The study which deals with head and neck surgery is known as Otolaryngology. Head and Neck surgery is mainly used to remove the tumors or cells which may contain cancer cells and it is also reconstruct part of body. Open Access eBooks is inviting research scholars to submit book chapter for the possible publication in volume 1 of an upcoming eBook entitled CLINICAL ADVANCES IN HEAD & NECK SURGERY.
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Supracricoid laryngectomies (SL) were introduced to radically treat laryngeal tumors while respecting laryngeal function. Despite SL with cricohyoidoepiglottopexy (CHEP) allows good functional results in terms of swallowing, Supracricoid laryngectomies (SL) were introduced to radically treat laryngeal tumors while respecting laryngeal function. Despite SL with cricohyoidoepiglottopexy (CHEP) allows good functional results in terms of swallowing, breathing function and voice quality, older age has been traditionally considered a contraindication to SL. Aim of this study is to investigate the functional outcomes of SL with CHEP among elderly patients (age older than 70 years) and compare them with those obtained in younger subjects submitted to CHEP for laryngeal cancer.
The incidence of head and neck cancers is on the rise. This implies that the anaesthesiologists will be dealing with these patients more often, in both elective and emergency operation theatres for various diagnostic, therapeutic and palliative procedures. Head and neck cancers (HNC) are most commonly associated with tobacco use in various forms. This also has concurrent anaesthetic implications. Most of these patients would also be candidates for chemo-and/or radio-therapy, which also poses several anaesthetic challenges. The over-riding concern in anaesthesia for HNC patients is the safe management of the airway. A proper structured plan for airway management needs to be laid down for every patient, at every step: during intubation, during intra-operative surgical manipulations and at the time of extubation. This requires a multi-disciplinary approach and a sound understanding between the onco- surgeon, anaesthesiologist, plastic surgeon and the intensivist. Most of these patients may have associated co-morbid conditions, which warrants pre-operative optimization and suitable modification of the anaesthetic management. Nutritional and psychological considerations need special mention in all HNC patients.