Unit II OPD (Dr. Chavan & Dr. Siddappa): Tuesday, Thursday, and Saturday

Procedure to see the doctors:

Patients who have been referred to Kidwai Memorial Institute of Oncology and those who walk in are screened in the screening OPD in OPD Block by Resident doctors and are then referred our department at 2nd floor OPD Block. There is no appointment system. Patient has to get a file made fter the screening and come to our department where they are seen on first come first basis.

Treatment and investigation:

New patients are seen by resident doctors and are worked up and investigations are sent, since cancer treatment cannot be given without proper investigations. All the patients have to undergo all the tests advised. Patients are seen by senior doctors with patient reports. Appropriate treatment options are discussed with patient and their relatives. Department of Head and Neck Onco- surgery has total 30beds in Vatsalya General Ward for male patients and total 20 beds in Karunya General Ward for female patients. Apart from this patient can also take admission in private ward in Anikethana and Shantidhama block.

Emergency services:

All the patients are explained about the possible emergencies and complications at the time of discharge. Some patients are advised to stay in the dharmasala which is an in-campus accommodation where the patients can stay with their relatives. Emergency services are provided in the treatment room no. 109 on all days for 24 hours. A resident duty doctor is available on call to attend any emergency.

Major equipments added during the year

• Zeiss Eyemag Pro s (Smart 2.5X/450mm Mounted on Titanium frame-1(2 Qty)
• (headband mounted )4X/ 500mm Prismatic Loupes-1 (2 Qty)
• Osteosynthesis set- (19 Qty)
• Micro laryngeal set-(39 Qty)
• FK retractor System-(22 Qty)

STATISTICS

General Statistics-2022

 The Details surgical procedure performed during 2022

Research activities/projects/completed projects, ongoing and new projects

• Radiological and histopathological correlation of depth of invasion and nodal characteristic for its prognostic importance in oral squamous cell carcinoma.
• Indocyanine Green Fluorescence for Assessment of Perfusion Pattern in Pectoralis Major Myocutaneous Flap in Female Patients with Head and Neck Cancer.
• Transoral robotic/Transoral laser tongue base mucosectomy and palatine tonsillectomy for detection of site of origin in carcinoma unknown primary
• Speech and swallowing outcomes in innervated vs non-innervated soft tissue flap reconstruction after subtotal or total glossectomy
• Translation and Validation of the M.D. Anderson Dysphagia Inventory (MDADI) and TheUniversity of Washington Quality of Life Scale (UW-QoL)
• Phase IIb/III study to determine efficacy of Curcumin and Metformin to reduce the incidence of second primary tumors of aero-digestive tract in patients with history of head and neck squamous cell carcinoma.
• A Comprehensive and comparative analysis of Speech in Maxillectomees and Mandibulectomees.
• Clinical outcome and impact of guide flange prosthesis on Quality of life in Segmental Mandibulectomy Patients withsoft Tissue Reconstruction.

Staff Details

RESEARCH  PAPER PUBLICATIONS

Chavan, P., Greeshma, G., Shah, R., Tyagi, A., Dhakal, S., Nayak, P., Prasad, K., & Halkud, R. (2022, December 1). Isolated posterior tracheal wall defect reconstruction using novel technique. International journal of scientific research, 21–22.

Ramchandrappa K, Shah R, Tyagi A. Can Submandibular Gland be Preserved During Neck Disscetion in Oral Cavity Squamous Cell Carcinoma?. Indian Journal of Otolaryngology and Head & Neck Surgery. 2022 Jan 23:1-5.

Ganga VB. Krishnappa R, (2022). Clinicopathological Study on Osteosarcoma Mandible and Literature Review. International Journal of Scientific Research,2(2):40-42. doi.10.36106/ IJSR /0809456.

Ramchandrappa K, Shah R, Tyagi A. Metastasis to Thyroid Gland from Neuroendocrine Carcinoma of Endometrium: A Rare Entity. Indian Journal of Otolaryngology and Head & Neck Surgery. 2022 Dec 11:1-3.

Greeshma, P & Prasad, P & Halkud, Rajshekar & Murthy, Samskruthi & Chavan, Purushottham & Kurle, Vinayak & Shah, Rahul & Tyagi, Amith. (2022). Reconstruction of two discrete surgical defects in head and neck in the absence of free flapavailability-an institutional experience. International journal of scientific research. 63-65. 10.36106/ijsr/2805089.

Ahmed S, Kunnumal A, Chavan P, Afreen SS, Parthiban R. Intra Parotid Facial Nerve Neurofibroma: A Rare Case Report. Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5699-5702. doi: 10.1007/s12070-021-03029-2. Epub 2022 Jan 17. PMID: 36742894; PMCID: PMC9895133.

Ganga J Kamath., et al. “The Hyoid Bone in Nasal Bridge Reconstruction: A Versatile Technique". Acta Scientific Otolaryngology 4.2 (2022): 18-22.

Pasha T, Krishna U, Loni R, Kumar A, Chandraraj V, Chavan P, et al. Long-term outcomes of reduced high-risk clinical target volume margin for intensity-modulated radiotherapy in locally advanced head and neck cancers. Middle East J Cancer. 2022;13(4):665-73. doi: 10.30476/mejc.2020. 86958.1378.

Shetty KSR, Kurle V, Greeshma P, Ganga VB, Murthy SP, Thammaiah SK, Prasad PK, Chavan P, Halkud R, Krishnappa R. Salvage Surgery in Recurrent Oral Squamous Cell Carcinoma. Front Oral Health. 2022 Jan 28;2:815606. doi: 0.3389/froh.2021.815606. PMID: 35156084; PMCID: PMC8831824.

Ramchandrappa, D. K., & Shah, D. R. (2023, January 1). Carotid Body Tumor: Our Experience, IJSR - International Journal of Scientific Research(IJSR), IJSR | World Wide Journals. Carotid Body Tumor: Our Experience, IJSR - International Journal of Scientific Research(IJSR), IJSR | World Wide Journals.

Palled Siddanna & Chavan, Purushottam & R a, Sunil & Venugopal, Bindu & Viswanath, Lokesh. (2023). Intra-operative interstitial brachytherapy in a novel infra-zygomatic approach for partially resectable head and neck cancers around the base of skull: A technical note. Journal of Contemporary Brachytherapy. 15. 1-6. 10.5114/jcb.2023.126861.

RESEARCH  PAPER PUBLICATIONS (Archive)

Ganga VB. Krishnappa R, (2021). Patterns Of Second Primary Malignancies in Carcinoma Larynx and Hypopharynx Following Surgical Management. International Journal of Otorhinolaryngology and Head and Neck Surgery, Sep;7(9):1419-1425.https://dx.doi.org/10.18203/issn.2454-5929.ijohns20213231.

Ganga VB. Krishnappa R, (2021). Clinicopathological Study on Rare Malignant Tumors of Parotid Gland and Comprehensive Review on Newer Entities of Salivary Gland Tumors. International Journal of Scientific Research Journal, 10(8):35-40. doi.10.36106/ IJSR /1901386.

Chavan, P., Greeshma, G., Shah, R., Tyagi, A., Dhakal, S., Nayak, P., Prasad, K., & Halkud, R. (2022, December 1). Isolated posterior tracheal wall defect reconstruction using novel technique. International journal of scientific research, 21–22.

A Modified PMMC flap with improved vascular supply of random part of the flap. Siddappa K Thammaiah, krishnappaRamachandrappa .MedPulse-international medical journal. feburery2017,4(2):213-216.

Transabdominal assisted ICD insertion minimises the malposition of tubes our experience compared with standard technique. Siddappa K Thammaiah, krishnappaRamachandrappa .MedPulse-international medical journal.feburery2017,4(2):207-209.

Squamous cell Carcinoma of the scalp Masquerading as Trichilemmal tumor of the scalp. A. Nanjundappa, rajshekarHalkud,Binduvenugopal, Purshottam Chavan, KT Sidappa, Siddharth Biswas, M Samskruthi, sudhir M Naik. .International Journal of Head and Neck Surgery, September-December 2014;5(3): 144-147.

Blocked voice prosthesis: A common complication reducing the prosthesis longevity.RajshekarHalkud,Ashok M shenoy, KC Sunil, Samskruthimoorthy,jagdishsarvadyna, Siddharth Biswas, Purshottam Chavan, Siddppa,AkshayShivappa,sudhir M Naik. . International Journal of Head and Neck Surgery, May-August 2014;5(2):66-67

Cutaneous Malignancies in Xeroderma Pigmentosum: Earlier Management Improves Survival. Sudhir M. Naik, Ashok M. Shenoy, A. Nanjundappa, RajshekarHalkud, Purshottam Chavan, K. Sidappa, Sumit Gupta. Indian Journal of Otolaryngology and Head & Neck Surgery January 2013.

Non recurrent laryngeal nerve with right aberrant subclavian artery in recurrent case of papillary carcinoma of thyroid: an interesting clinical entity.Sudhir M Naik, Purshottam Chavan, RajshekarHalkud, Ashok M Shenoy, Sumit Gupta, Latif zameer. Otolaryngology online journal, Vol 3, No 2 (2013) 3. Aspiration in Head and Neck Cancer Patients: A Single Centre Experience of Cl inical Profile, Bacterial Isolates and Antibiotic Sensitivity Pattern K. C. Lakshmaiah, Nagesh T. Sirsath, Jayshree R. Subramanyam, Babu K. Govind, D. Lokanatha, Ashok M. Shenoy Indian Journal of Otolaryngology and Head & Neck Surgery July 2013, Volume 65, Issue 1 Supplement, pp 144-149.

Neck Dissection Followed by Definitive Radiotherapy for Small Upper Aerodigestive Tract Squamous Cell Carcinoma, with Advanced Neck Disease: An Alternative Treatment Strategy Ashok M. Shenoy, T. Shiva Kumar, V. Prashanth, Purushotham Chavan, RajshekarHalkud, Linu Jacob, K. Govind Babu, G. Lokesh, Tanveer Pasha, Rekha V. Kumar. Indian Journal of Otolaryngology and Head & Neck Surgery, July 2013, Volume 65, Issue 1 Supplement, pp 48-5.

Carcinoma Expleomorphic Adenoma of the Submandibular Gland Sudhir M Naik, Ashok M Shenoy, Purshottam Chavan, RajshekarHalkud, Siddharth Biswas, Mahesh Kalloli, Sumit Gupta, AkshayKudpaje J Postgrad Med Edu Res 2013;47(3):162166.

Paragangliomas of the Carotid Body: Current Management Protocols and Review of Literature. Sudhir M. Naik, Ashok M. Shenoy, Nanjundappa, RajshekarHalkud, Purshottam Chavan,  K. Sidappa, Usha Amritham,  Sumit Gupta, Indian Journal of Surgical Oncology. August 2013

A Rare Case of Follicular Dendritic Cell Sarcoma of Cervical Lymph Node Mahesh KalloliSudhir M Naik, Ashish Dinesh Shah,Purushotham Chavan, Ashok Shenoy Indian Journal of Surgical Oncology. August 2013 International Journal of Health Sciences & Research (www.ijhsr.org)Vol.3; Issue: 4; April 2013.

Crushed Muscle Tissue Graft: A Efficient Repair Technique for Intraoperative Chylous Fistulas Naik SM, Chavan P, Halkud R, Shenoy AM, Nanjundappa A, Gupta S. Int J PhonosurgLaryngol 2013;3(1):1-5.

Advanced Case of Invasive Basal Cell Carcinoma with Extensive Ocular Myiasis SM Naik, A Nanjundappa, R Halkud, S Gupta - jaypeejournals.com, Int J Head and Neck Surgery 2013;4(1):36-40.

Acinic Cell Carcinoma of the Minor Salivary Glands of the Tongue: A Case Study with Review of Literature Naik SM, Kudpaje A, Gupta S, Nanjundappa A, Halkud R, Prashanth V, Biswas S.. Int J Head and Neck Surgery 2013 4(1):2428 Publications in National journal 2012.

Laryngeal Paraganglioma: A Rare Clinical Entity Managed by Supraselective Embolization and Lateral Pharygotomy Sudhir M. Naik, Ashok M. Shenoy, Purshottam Chavan, Akkamahadevi Patil, Sumit Gupta. Indian Journal of Otolaryngology and Head & Neck Surgery, October 2012.

Synovial sarcoma of the infratemporal fossa with extension into the oral cavity--a rare presentation and literature review. Dhawan A, Shenoy AM, Chavan P, Sandhu S, Sriprakash D.J Oral Maxillofac Surg. 2012 Dec;70(12):2923-9.

The Utility of Second Look Microlaryngoscopy after Trans Oral Laser Resection of Laryngeal Cancer. Ashok M. Shenoy, V. Prashanth, T. Shivakumar, Purushottam Chavan, S. Akshay, Rekha V. Kumar, Indian Journal of Otolaryngology and Head & Neck Surgery June 2012, Volume 64, Issue 2, pp 137-14

Management of Naso-orbital Fistula following Maxillectomy: a Case Report. Rajaram Burrah, Ashok Shenoy, Vishal Rao, Purushotham Chavan, Thiagarajan Shivakumar. Indian Journal of Surgical Oncology September 2012, Volume 3, Issue 3, pp 236-238

Laryngeal Paraganglioma: A Rare Clinical Entity Managed by Supraselective Embolization and Lateral Pharygotomy Sudhir M. Naik, Ashok M. Shenoy, Purshottam Chavan, Akkamahadevi Patil, Sumit Gupta. Indian Journal of Otolaryngology and Head & Neck Surgery, October 2012.

Oral histoplasmosis masquerading as oral cancer in HIV-infected patient: A case report.Shafiulla Mohammed Mahua Sinha,Purushottam Chavan CS Premalata,MRShivaprakash,Arunaloke Chakrabarti, Rudrapatna S Jayshree. Medical Mycology Case Reports Volume 1, Issue 1, 2012, Pages 85–87.

Gastric pull up reconstruction after pharyngolaryngo esophagectomy for advanced hypopharyngeal cancer.SreehariprasadAV,Krishnappa R, ChikaraddiBS,Veerendrakumar K. Indian J Surg Oncol. 2012 Mar;3(1):4-7. doi: 10.1007/s13193-012-0135-5. Epub 2012 Mar 17 Publications in International journals 2012.

Lymphoma Kinase-positive Primary Diffuse Large B-cell Lymphoma of the Larynx: A Rare Clinical Entity Naik SM, Nanjundappa A, Halkud R, Premlatha CS, Ramarao C, Appaji L, Gupta S. Int J P honosurgLaryngol 2012;2(2): 57-61.

Pediatric Laryngeal Maliganancies: Current Management Protocols and Review of Literature. Naik SM, Nanjundappa A, Srihariprasad H, Halkud R, Chavan P, Gupta S. Int J PhonosurgLaryngol 2012;2(2):62-65

Massive Chylorrhea following Total Thyroidectomy and Neck Dissection Thiagarajan S, Shenoy AM, Veerabadriah P, Chavan P, HalkudR.. Int J Head and Neck Surg 2012;3(1):45-48

Tracheal resection for thyroid cancer. Shenoy AM, Burrah R, Rao V, Chavan P, Halkud R, Gowda VB, Ranganath N, Shivakumar T, Prashanth V.J Laryngol Otol. 2012 Jun;126(6):594-7.

Human papillomavirus: a predictor of better survival in ocular surface squamous neoplasia patients, Bhuvaneswari Anand, C Ramesh,LAppaji, B S ArunaKumari,A M Shenoy, Nanjundappa, R S Jayshree, Rekha V Kumar. Br J Ophthalmol2012;96:12 1517-1521 Publications in National journal 2011.

Myoepithelial carcinoma of the nasopharynx: Case report of a rare entity. Dhawan A, Shenoy A, Sriprakash D. Natl J Maxillofac Surg. 2011 Jul;2(2):207-9.

Vocal Cord Paralysis Following Percutaneous Embolization of a Vagal Paraganglioma Vishal Rao, Raghavendra KS, Purushottam Chavan, Ashok Shenoy M. International Journal of Head and Neck Surgery, January-April 2011;2(1):65-66.

Cyclin D1 over expression as a prognostic factor in patients with tobaccorelated intraoral squamous cell carcinoma, Ashok M. Shenoy Indian J Med Res. 2011 April; 133(4): 364–365.

Prevalence of high-risk human papillomavirus genotypes in retinoblastoma Anand B, Ramesh C, Appaji L, Kumari BS, Shenoy AM, Nanjundappa , Jayshree RS, Kumar RV Br J Ophthalmol. 2011 Jul;95(7):1014-8. Publications in National journals 2010.

Evaluation of extensions of sinonasal mass lesions by computerized tomography scan Annam V, Shenoy A M, Raghuram P, Annam V, Kurien J M.. Indian J Cancer [serial online] 2010 [cited 2013 Sep 10];47:173-8. Available from: http://www.indianjcancer.com/text.asp?2010/47/2/173/63016. 

Infantile myofibroma of the pharynx presenting with severe upper airway obstruction in a child. Panja S, Champaka G, Shenoy A M Indian J Cancer [serial online] 2010 [cited 2013 Sep 10];47:78-9. Available from: http://www.indianjcancer.com/text.asp?2010/47/1/78/58869 Publications in International journals 2010.

Vocal cord paralysis after percutaneous embolization of a vagal paraganglioma--the role of intraoperative nerve monitoring. Panja S, Kovoor JM, Shenoy AM, Chavan P. J VascIntervRadiol. 2010 Nov;21(11):1770-2.

Osteoradionecrosis Complicating Mandibulotomy. Kolur Trupti, Rao Vishal, Purushottam Chavan, Umesh Kavita, Shenoy Ashok, International Journal of Head and Neck Surgery, January-April 2010;1(1):35-37

Role of angiogenetic markers to predict neck node metastasis in head and neck cancers. Rao VU, Shenoy AM, Karthikeyan B J Can Res Ther [serial online] 2010 [cited 2013 Sep 10];6:142-7. Available from: http://www.cancerjournal.net/text.asp?2010/6/2/142/65235.

Adjuvant neck dissection after chemoradiotherapy. Rao VU, Shenoy AM, Lancet.

Gandla S, Halkud R, Siddappa K T, Murthy Sp, Ray SL, Greeshma P, thyroid  Hemiagenesis and  papillary Carcinoma  : a Rare Association. Indian Journal of Surgical  Oncology.: 1-3.

P .Chavan , R Shetty,  Dr. Krishna Prasad , et al. From Confusion  to clarity : a Regional  cancer  Center  of India Documents its  Journey in the management of Head  Neck Malignancy  during the Covid-19 Pandemic. IJSR Aug 2020 Volume -9, Issue -8.