Predictive factors for nodal recurrence in differentiated thyroid cancers.

Introduction: Differentiated thyroid carcinoma usually has a good prognosis. Primary treatment is surgery, followed by radioactive iodine ablation based on risk stratification. The incidence of local and distant recurrence is 30%.

Papillary Thyroid Carcinoma Arising from Thyroglossal Cyst-an Institutional Experience over a Decade.

Papillary carcinoma constitutes 80% of thyroglossal duct cyst carcinoma (TGCC). The mainstay of treatment for TGCC is Sistrunk procedure. Due to lack of clear-cut guidelines in managing TGCC, the role of total thyroidectomy, neck dissection and adjuvant radioiodine therapy is still debatable.

Correlation of TIRADS and Bethesda Scoring Systems with Final Histopathology of Thyroid Nodules - An Institutional Experience.

Fine needle aspiration cytology (FNAC) reduces the number of unnecessary thyroid surgeries for patients with benign nodules and appropriately triages patients with thyroid cancer to appropriate treatment. This was a observational study done on cases presenting with clinical suspicion of thyroid malignancy which underwent ultrasonography followed by FNAC of thyroid nodule. Ultrasonographic characterization of nodules was based on Thyroid Imaging Reporting and Data System (TIRADS) and cytology reporting was based on Bethesda system.

Mucosal Melanomas of the Oral Cavity: A Tertiary Care Centre Experience of Surgically Treated Cases.

Mucosal melanoma of oral cavity (MMO) is a relatively rare tumour comprising of 40% of all head and neck mucosal melanomas. This study assessed the treatment outcomes and factors affecting prognosis in oral cavity mucosal melanomas. The clinical case records of 25 cases of oral cavity mucosal melanomas treated in our institution during 2003-2013 were retrospectively reviewed.

Transglottic intralaryngeal papillary thyroid carcinoma.

Background: Malignant change of intralaryngeal ectopic thyroid tissues to papillary thyroid cancer is extremely rare.

Method: A case that was successfully managed with a conservation surgery of the larynx and an interval total thyroidectomy is presented.

Conclusion: High index of suspicion and optimised surgery yields the best outcome as demonstrated in the description.

Island NLF or Island FAMM Flap in Reconstruction of Oral Malignancy Defects?

Free tissue transfer is the reconstructive option of choice in oral defects of onco-resections. Local flaps like nasolabial flap and FAMM flaps need to be in the armamentarium of surgeons to use when need arises. The aim of this study is to assess utility of island FAMM or nasolabial flap in oral reconstruction, in an oncological setting.

Adequate thyroidectomy in laryngectomy.

Optimal resection of the involved portion of the thyroid gland is decisive in long term functional and oncologic results of a Laryngectomy. Regardless of the setting and techniques adopted in performing the laryngeal surgery, we propose a concept of adequate removal of the infiltrated thyroid glandular tissue based on the current status of available literature and our own published experience of managing the thyroid gland in laryngectomies.

Emergency tracheostomy during COVID 19 pandemic in a head and neck surgical oncology unit.

• Awake, emergency, intervention for an unsecured critical upper airway obstruction is a challenge. • Aerosolization and risk of COVID  of 19 transmission add to the already existing difficulty. • Adequate personal protection and  minimum aerosol generation are  the keys to the success.

'Doing as little as possible and as much as necessary' - Oncological efficacy of marginal mandibulectomy in resection of oral cavity cancers.

Background: In carefully selected oral cavity cancers, marginal mandibulectomy is an adequate procedure which achieves good disease control adhering to the principle of "doing as little as possible and as much as necessary".

Methodology: This was a retrospective study done by reviewing the medical records of all patients who underwent marginal mandibulectomy for resection of oral cavity cancers in our institution during a period of 5 years. Data was collected from medical case records and analyzed.

Prospective Evaluation of Surgical Outcome After Transoral CO Laser Resection of Potentially Malignant and Early Oral Malignancy.

A prospective observational study was done at the Regional Cancer Centre, Thiruvananthapuram, a tertiary referral center for cancer care in India with an aim to assess the surgical outcomes of CO laser resection of oral lesions in terms of operative time, blood loss, hospital stay, postoperative pain, time to re-epithelization, pathological margins achieved and the postoperative scar. The excision was performed in 30 patients with a diagnosis of either potentially malignant lesions (leucoplakia, erythroplakia) or early cancers, i.e.