ENT-HEAD & NECK ONCOLOGY
H.O.D: Dr. Aniruddha Dam
MBBS, MS, DLO, DNB
In the Grade of Specialist Grade I
 

Team

Dr. Anup Kr. Bhowmick                In the Grade of Specialist Grade II (SG)
Dr. Rup Kr. Saha                           Chief Medical Officer.
Dr. Souvanik Sathpathy                 Sr. Resident
Dr. Mollah Arafat Hossain            Jr. Resident
Dr Jayanta Chatterjee                   Clinical Fellow
Sister Purnima Sarkar                   OPD Sister
Mr. Kartick Pramanik                   OPD GDA staff

Objectives

During the above period ENT-Head & Neck Oncology Department continued to provide quality care to all the patients, both in the OPD and the Indoors. There was significant modification of the treatment protocols with greater emphasis being placed in combining chemotherapy with radiotherapy as well as surgery. Internationally accepted treatment combination such as induction chemotherapy and concomitant chemo-radiotherapy were offered to patients attending the Tumor Board. Even though major ablative and reconstructive surgeries continued to be necessary, a greater portion of the surgical load handled by the department during this period were with ’salvage surgery’ as an definitive treatment option for residual or recurrent head & neck tumors. There was a sharp decline in the overall number of surgical treatment as the first line option. Adequate patient counseling and assistance in the psychological and social rehabilitation of cancer patients continued to be part of the treatment goal. Effort was made to work in conjunction with the departments of Radiotherapy and Chemotherapy so that a multidisciplinary treatment option could be offered. A significant part of the departmental activity involved training and teaching the DNB Surgical Oncologists doing their rotation duties in the Head & Neck sub-specialty.


Brief description of the work done

Analysis of patients reviewed by the department during this period

Total number of cases (old + new) reviewed by the department:

4567

Total number of NEW CASES attending the department:

790

Total number of OLD CASES followed up in the department:

3777

Total number of patients attending TUMOR BOARD

735

Total number of Planned MINOR SURGICAL Procedures

57

Total number of Planned MAJOR SURGICAL Procedures

109

Total number of FLEXIBLE ENDOSCOPIES (Therapeutic/Diagnostic)

150

Total number of Emergency TRACHEOSTOMY

43

Analysis of treatment offered by the department during this period

TYPE OF TREATMENT

PERCENTAGE

Radiotherapy (with/without surgery)

58

Concomitant Chemo-Radiotherapy (CCRT)

20

Surgery (with/without RT)

19

Induction Chemotherapy

8

Palliative Care

18

Analysis of the tissue diagnostic technique followed during this period

Cytology Diagnosis (FNAC from regional Nodes)

32%

Histopathology Diagnosis (Biopsy from Primary)

78%

Analysis of distribution of Head & Neck Regions affected

REGION

%

Supraglottic Larynx

5

Base-of –tongue (BOT)

7

Tonsil

8

Thyroid

15

Pyriform Fossa

20

Vallecula

7

Nose

0.3

Larynx

12

Buccal Mucosa

4

Parotid

3

Maxilla

4

Sinonsal carcinoma

1.3

Tongue

5

Nasopharynx

3

Alveolus +

4

Unknown Primary

3

Esophagus

1.2

Mastoid

0.8

Research work / Projects involved with

1.Office of the Public Information Officer (PIO): As the designated Public Information Officer under the RIA Act 2005 Dr. Aniruddha Dam was continued with the new responsibility of fulfilling the obligations of the Institute under the act. Every effort was made to uphold the administrative duties of the Office of the PIO during this period.

2.Voice Rehabilitation Clinic: The Laryngectomy Clinic for voice rehabilitation was run on a regular basis every Friday for the patients who have undergone total laryngectomy. The clinic handled patients from various institutes. Prosthetic Voice rehabilitation program was perused by the department, offering both primary and secondary TEP for the patients.

List of publications

  • A. Dam, S. Sathpathy, A. K. Bhowmick, G. Mondol, K. Dewan, 'Unilateral Vocal Cord Paralysis in Multi-centric Castlemen's Disease' accepted for publication in An International Journal of Otolaryngologic Clinic in March 2013 Jaypee Publications.

Training program

  • The department continued to be part of the DNB Surgical Oncology training program during the above period. It also participated in the PhD course for Senior and Junior Research Fellow attached with the various departments of CNCI Research Facility.