The Parapharyngeal Space (PPS) tumors are rare tumors accounting for 0.5% of the tumors in head and neck region. A retrospective study conducted at Department of Surgical oncology, Vydehi institute of Medical Sciences & Research center, Bengaluru, between 2010 and 2015 identified nine cases treated for PPS tumors. Patients are diagnosed on the basis of clinical examination fine needle aspiration cytology and imaging and considered for excision by one of the varied surgical approaches {transoral(1), transcervical(4), transparotid(0), transcervical-transparotid(1), transmandibular(3) or intratemporal(0) approach}. The choice of approach is defined by the size of the tumor, suspicion of malignancy and the position of the tumor with regard to the superior extent and proximity to the skull base as well as its relation with neurovascular bundle.
BACKGROUND Surgical resection is the main stay treatment in oral cancer. Different techniques were used by the surgeons for reconstruction of the normal anatomy. With these, a study was conducted to evaluate the outcome and quality of life in terms of conventional forms of reconstruction and functional outcome in both genders for oral cavity reconstruction. METHODS It was a hospital based non randomized study, conducted in the department of surgical oncology, Vydehi Institute of Medical Sciences and research centre, Bangalore from January 2017 to June 2018. Individuals aged 20 – 70 years with confirmed oral carcinoma were included; poor vascular supply of donor area, distant metastasis proved by chest X ray or abdominal ultrasound were excluded. Pre-structured proforma was used to collect the baseline data. ANOVA tests were used. P <0.05 was considered statistically significant. RESULTS Majority (27.7 %) were in the age group 51 to 60 years and the male to female ratio was 0.56. Statistically, there was no significant association between gender and type of flaps. 60 % had carcinoma of left buccal mucosa and 40 % had right side carcinoma, statistically there was no significant difference. The mean number of nodes was 20.85 ± 9.52. Statistically, there was no significant association between type of flaps and number of lymph nodes. CONCLUSIONS PMMC flap reconstruction is reliable and an affordable procedure with high success rate in achieving treatment goals. However, studies on large sample size for long term is required. KEYWORDS Oral Carcinoma, Microvascular Techniques, Local Flaps, Regional Flaps
BACKGROUND Salivary gland (SG) neoplasms are rare, constitute of 3 - 4 % of head and neck tumours. 70 - 80 % of SG neoplasms occur in parotid gland. These are unique in the way they present, generally slow growing. A study was conducted to analyse various modes of presentation of SG tumours and to review the role of FNAC (Fine Needle Aspiration Cytology) in the diagnosis of SG tumours. METHODS This was a prospective study, conducted in the department of surgical oncology, October 2016 to July 2018. Individuals aged >18 years, came with swelling of the SGs were considered. Swellings that were not neoplasms, the individuals with inflammatory or infections of SGs, autoimmune diseases were excluded. Statistical analysis were performed by SPSS software version-21 and MS excel 2013. RESULTS Out of 40 participants, male female ratio was 2.07. The age was ranged between 31 – 70 years, maximum (80 %) members were in 41 – 60 group. Parotid gland was the most commonly followed by submandibular gland (20 %). Swelling alone was observed in 82.5 % (33) cases, two cases (5 %) presented with swelling along with pain with facial nerve involvement. CONCLUSIONS SG tumours occur in 4th to 6th decade, common among men. Parotid gland is most frequently involved, most often benign. FNAC had good accuracy in diagnosis and surgery is the main modality of treatment. KEYWORDS Salivary Gland, Tumour, Neoplasms, FNAC
Schwannomas are rare benign tumours arising from neuroectodermal Schwann cells. They can arise from cranial, intraspinal, peripheral and autonomic nerve sheaths. Schwannomas represent 1 - 8 % of head and neck tumours. They constitute 25 – 40 % of extracranial tumours in head and neck region.1 Among the schwannomas arising in head and neck region those arising intraorbitally are very rare. The most common benign intra orbital tumours are haemangiomas. They can arise as localised forms or in association with Neurofibromatosis-1 (NF1). In patients with neurofibromatosis-type 1 or in patients with family history of NF, the risk of developing orbital schwannoma is 1.5 %. Schwannomas constitute 1 - 6.5 % of intra orbital tumours.2-6 Of these tumours those undergoing cystic changes are still rare. The most common cystic lesions in the orbit are dermoid cysts or mucoceles.
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