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Head and Neck Cancer is a term used to describe a number of different malignant tumors that develop in or around the throat, larynx, nose, sinuses, and mouth

Most head and neck cancers are squamous cell carcinomas. This type of cancer begins in the flat, squamous cells that make up the thin layer of tissue on the surface of the structures in the head and neck. Directly beneath this lining, which is called the epithelium, some areas of the head and neck have a layer of moist tissue, called the mucosa. If a cancer is limited to the squamous layer of cells, it is called carcinoma in situ. If the cancer has grown beyond this cell layer and moved into the deeper tissue, then it is called invasive squamous cell carcinoma.head and neck - oncology in dubai

If a head and neck cancer starts in the salivary glands, the tumor will usually be classified as an adenocarcinoma, adenoid cystic carcinoma, or mucoepidermoid carcinoma.

Difficult cases of H & N diseases are consulted by our "MULTIDISCIPLINARY TEAM" which includes H & N and Fasciomaxillary Surgeons, Radiologist, Interventional Radiologist, Pathologist, Medical Oncologist, Radiation Oncologist, Plastic Surgeon, Nuclear Medicine Physician, Supportive Team and Molecular Genetics Team, that meet regularly.

Plastic Surgery reconstruction, including, flaps whether rotation or free vascular flap, are integral part of our center.

Types of Head and Neck Cancer:

There are five main types of head and neck cancer, each named according to the part of the body where they develop. For more information about a specific type, click on one of the names below.

  • Laryngeal and Hypopharyngeal Cancer: The larynx is commonly called the voice box. It is a tube-shaped organ in the neck that is important for breathing, talking, and swallowing. It is located at the top of the windpipe, or trachea. The hypopharynx is also called the gullet. It is the lower part of the throat that surrounds the larynx.
  • Nasal Cavity and Paranasal Sinus Cancer: The nasal cavity is the space just behind the nose where air passes on its way to the throat. The paranasal sinuses are the air-filled areas that surround the nasal cavity.
  • Nasopharyngeal Cancer: The nasopharynx is the air passageway at the upper part of the throat behind the nose.
  • Oral and Oropharyngeal Cancer: The oral cavity includes the mouth and tongue. The oropharynx includes the middle of the throat from the tonsils to the tip of the voice box.
  • Salivary Gland Cancer: The salivary gland is tissue that produces saliva, which is the fluid that is released into the mouth to keep it moist and that contains enzymes that begin breaking down food.


Points of interest to patients:

  • Tongue cancer
  • Base of tongue
  • Parotid tumor
  • Leukoplakia
  • Buccal tumors
  • Chemoradiation
  • Center of Excellence
  • MDT
  • Molecular pathology
  • Genetic testing
  • Direct laryngoscopy
  • Neoadjuvant treatment
  • Salvage surgery
  • Neck dissections
  • Laser therapy
  • Speech therapy s
  • Feeding and nutrition
  • Pharyngeal wall cancer
  • Larynx
  • Piriform sinus
  • Pull up surgery
  • Free microvascular flap
  • Lip reconstruction
  • Maxillary tumors
  • Sinus tumors
  • Orbital tumors
  • Smoking and drinking
  • Screening
  • Adenoid cystic tumors
  • Minor salivary glands
  • Mucoepidermoid cancer
  • Thyroid and parathyroid surgery

Head & Neck Information Booklets:

Head & Neck Booklet: (Click here to download)

Goiter Information Booklet: (Click here to download)

Thyroid Nodules Information Booklet: (Click here to download)

Thyroid Cancer Information Booklet: (Click here to download)

Thyroid Surgery Information Booklet: (Click here to download)

Parathyroid Surgery Information Booklet: (Click here to download)

Enhanced Recovery After Surgery (ERAS): (Click here to download)

Port Placement in Cancer Patients Booklet: (Click here to download)

Nutrition in Cancer Patients Booklet: (Click here to download)

Center of Excellence “Boutique Surgery”

State of the art breast surgery with Oncoplastic reconstruction by the highest standard team with western qualifications(American Boarded Surgeons), Gamma probe/ blue dye utilization, intra operative ultrasound with minimal invasive approach and outpatient/ Day care surgery using update international protocols
These high standard difficult cases of breast diseases are discussed by high caliber “BREAST TEAM” including breast surgeons, breast radiologist, breast interventional radiologist, breast pathologist, medical oncologist, radiation oncologist, plastic surgeon , nuclear medicine physician, supportive team and molecular genetics team , who meet on weekly regular basis.
Plastic surgery reconstruction, including Oncoplastic, implants, flaps whether rotation or free vascular flap are integral part of our center 

Points of interest to patients

  • High Level American and European standards
  • Small scar with Oncoplastic reconstruction after segmental resection
  • Lumpectomy, segmental resection, simple, modified radical, skin sparing, nipple sparing  mastectomies
  • Breast cancer screening, using digital mammogram and ultrasound
  • Nipple surgery with microdochotomy or nipple reconstruction
  • Breast cancer staging
  • Patient can go home same day
  • ERAS, enhanced recovery after anesthesia
  • No drains, drain training and charting
  • Center of excellence in breast surgery
  • Benign and malignant breast diseases
  • Recurrent or metastatic breast cancer
  • Breast digital Mammogram, Magnetic Resonance Imaging MRI, Ultra Sound US
  • Clear localization of abnormal  calcification with stereotactic biopsy, wiring, clips localization and vacuum  assisted biopsies
  • Intraoperative Frozen Section Evaluation
  • Intraoperative Ultra Sound and mammogram evaluation
  • Sentinel lymph node biopsy and axillary dissection, using blue dye and nuclear medicine
  • Weekly Multidisciplinary breast  meeting
  • Second opinion in complicated cases
  • Neoadjuvant chemotherapy for locally advanced cases
  • Braca genetic test evaluation
  • Genetic testing for familial conditions, and genetic evaluation
  • Chemotherapy administration pre and postoperatively and hormonal treatments
  • State of the art port placement
  • Nutrition evaluations of cancer patients
  • Oncoplastic reconstruction by highly specialized team of plastic surgeons, including rotation flaps, free flaps, implant and biological meshes
  • Radiation referral for local and advanced cases per MDT  recommendation
  • Pathological evaluations, second opinion, immune testing, including estrogen, progesterone receptors, cytology, frozen section, touch prep
  • Aesthetic support team

Breast Cancer Information booklets:

What is Breast Cancer? (Click here to download)

Port placement booklet: (Click here to download)

What is Enhanced recovery after surgery? (Click here to download)

Nutrition Guide for Cancer Patients (Click here to download)

Center of Excellence in Gynecological Oncology

State of the art highly advanced gynecological Center by the highest standard team with western qualifications with intra operative ultrasound utilization, with minimal invasive approach and outpatient/ Day care surgery using update international protocols.

These high standard difficult cases are discussed by high caliber “MULTIDISCIPLINARY TEAM” including Gynecological surgeons, Radiologist, Pathologist, Medical oncologist, Radiation oncologist, Surgical oncologist, Supportive team and Molecular genetics team , who meet on weekly regular basis.

Plastic surgery reconstruction, including Oncoplastic, implants, flaps whether rotation or free vascular flap are integral part of our center

Points of interest to patients

  • International high standard care for gynecologic cancer
  • Latest updates on guidelines in gynecology cancer treatment
  • Accurate diagnosis, latest advanced surgical techniques, leading-edge targeted treatments
  • Multidisciplinary team work and decisions
  • Center of excellence for gynecologic oncology cases
  • Minimal  invasive surgery with shorter hospital stay and quicker recovery
  • Complicated cases of ovarian and cervical cancer
  • Treating cases of recurrent gynecologic cancers
  • Expert center for gynecologic cancers and second opinion on complicated cases
  • High risk patients and surgeries in cancer patients
  • Intraoperative frozen section  evaluation
  • Debulking surgery for ovarian cancer and iliac and paraaortic lymph nodes dissection
  • Radical hysterectomy for cervical cancer with lymph nodes dissection
  • Trachelectomy for early  cervical cancer treatment
  • Adjuvant and neoadjuvant chemotherapy and radiotherapy for gynecologic cancers
  • Genetic testing for familial ovarian cancer predisposition
  • HIPC ( heated intraperitoneal chemotherapy ) for advanced cases of ovarian cancer
  • Special post operative care for patients by a dedicated team specially trained for oncology post operative care
  • Special post operative pain management plan

Information booklets:

Port placement booklet: (Click here to download)

What is Enhanced recovery after surgery? (Click here to download)

Nutrition Guide for Cancer Patients (Click here to download)

The digestive system is a miracle of muscles, valves, digestive juices and nutrient absorption.

The synchronized, wave-like movement of our digestive system's muscles, which push food through the various parts of the system, is essential for a healthy and happy living. Disturbances of gastrointestinal system can cause a variety of symptoms, pain or discomfort and a loss of nutrient absorption.

Our GI Program and task force team provides referring physicians with complete tests of motility and gastro-intestinal functioning. Our comprehensive reports provide an analysis of motility tracings and expert comments. Patients are offered a variety of life style change advise, nutritional expert opinion, medical, endoscopic and minimally invasive surgical solutions are implemented to elevate symptoms and restore function of the GI tract.

The high standard difficult cases of cancer and complex reflux diseases are discussed by high caliber “GI TASK FORCE TEAM” including Surgical Oncologist, Thoracic Surgeon, Medical Oncologist, Radiation Oncologist, Pathologists, Radiologist, Nutritionist, who meet on regular basis

Points of interest to patients

  • Gastrointestinal Reflux Disease ( Heart burn, acid, acid reflux, chest pain)
  • 24 - esophageal pH study
  • High-Resolution Esophageal Manometry
  • Barrets Esophagus
  • Esophageal Cancer
  • Asthma associated with Gastroesophageal reflux (adult onset asthma)
  • Hiatal Hernia (Sliding & Paraesophageal)
  • Zenkers Diverticulum
  • Nissen Fundiplication
  • Upper GI Endoscopy
  • Endoscopic Ultra Sound
  • Non Cardiac Chest Pain
  • Endoscopic Mucosal Resection (EMR)
  • PH 24 Hour Monitoring
  • Minimal Invasive Esophagostomy
  • Esophageal Stents
  • Laser Therapy for Cancer
  • Radiofrequency Therapy
  • Chemotherapy & Radiation Therapy
  • Achalasia
  • ERAS, Enhanced Recovery After Anesthesia
  • Neoadjuvant Treatment
  • Quality of Life
  • No Drains
  • Boutique Surgery

Information booklets:

Port placement booklet: (Click here to download)

What is Enhanced recovery after surgery? (Click here to download)

Nutrition Guide for Cancer Patients (Click here to download)

Gastric Bypass Surgery

The most widely recognized kind of gastric sidestep surgery is known as a Roux-en-Y' gastric sidestep. This is the highest quality level for the weight reduction surgeries. Gastric sidestep surgery makes the stomach littler and enables nourishment to sidestep some portion of the small digestive system. You will feel full more rapidly than when your stomach was its unique size, which will lessen the measure of nourishment you eat and consequently decrease the calories devoured

Bypassing a piece of the digestive tract additionally brings about less calories being assimilated. This will prompt weight reduction.

In ordinary assimilation, sustenance goes through the stomach and enters the small digestive tract where most of the supplements and calories are retained. It at that point goes into the digestive organ (colon) and the staying waste is in the long run discharged.

In a Roux-en-Y technique, a little stomach pocket is made which diminishes the measure of sustenance you can eat. The littler stomach is associated straightforwardly to the centre segment of the small digestive system, bypassing whatever remains of the stomach and the upper segment of the small digestive tract.

Who can have this Procedure

Although rules can differ, surgery is for the most part considered when weight record is 40 or more prominent or BMI at least 35 with co morbidities like diabetes/hypertension and so on. Additionally, if you have a dangerous or debilitating condition identified with your weight. Your specialist may just consider doing gastric sidestep surgery if you have not possessed the capacity to get thinner with different medicines. The accompanying conditions may likewise be required or if nothing else considered:

1-You have been large despite eating less/restorative endeavours

2-You don't have a progressing issue with liquor

3-You don't have an untreated gloom or another major mental condition

4-You are near 18 and 65 years of age

How is the activity (Gastric Bypass Surgery Dubai) performed?

This surgery is done laparoscopically or by open strategy. You will be admitted to the healing facility the morning of your surgery and the normal length of stay is around 2 evenings post-surgery. The specialist will make a progression of modest entry points in your upper stomach area, through which he/she will pass fine laparoscopic instruments and a camera. The normal length of surgery is between 2-3 hours. In a few patients that are extremely fat, or who have had past stomach surgery, it is conceivable that they won't not be a contender for laparoscopic surgery but rather may require 'open' surgery. Recuperation may take somewhat more yet weight reduction will be only the same. Some distress and restricted portability is likewise not out of the ordinary however recommended medicine is accessible to control this. You can be guaranteed of quick care and consideration.

 

What's in store following surgery (Gastric Bypass Surgery Dubai)?

Patients will be on a reasonable fluid eating routine for the two weeks promptly following gastric sidestep surgery, and after that progress to a pureed eating regimen implies nourishments will be delicate, to go through the little, recently framed pocket and stomach. One of the fundamental issues amid this period will be sufficient liquid admission. Around 3 a month after the gastric sidestep surgery, the patients can hope to progress to a typical sound eating regimen. They will even now be figuring out how to eat right, including biting sustenance painstakingly, figuring out how to drink most of their fluids between as opposed to with suppers, and discovering that eating the wrong nourishments, for example, desserts or greasy foods, is not bravo.

Patients encounter the fastest weight reduction amid this period. They are frequently excited to see the weight falling off, some of the time at the rate of 5-10 kgs. per month. Maybe a couple of them may encounter male pattern baldness, however the hair as a rule becomes back inside a couple of months.

After the gastric sidestep surgery, the patients will most likely be on their long-haul support eat less carbs, which is pretty much what and how they will eat for whatever remains of their lives. The upkeep eat less generally comprises of consistent table nourishments, however in little bits. Most patients depict their suppers as kid estimated, and they regularly don't complete what they are served. The patients by and large end up open to eating these little dinners, and quite often say the loss of the capacity to appreciate extensive suppers or certain sustenance’s is more than adjusted for by having the capacity to effectively control their weight.

Patients may hope to lose around 60-70% of their abundance body weight amid the initial 1 years following surgery. In some cases, a weight recapture of around 10% is seen between years 2 and 5, maybe claiming the little pocket expands a few ounces in measure, and maybe because the patients figure out how to take in additional calories without influencing themselves to wiped out.

Normal follow up is unequivocally prompted. An exertion is made to keep patients engaged with help gatherings and in catch up with their specialists to strengthen what they had been educated after surgery, and what had worked for them the initial 2 years. Long haul accomplishment with this activity requires a collaboration of both the patients and their specialists.

Gastric Bypass Surgery patient’s admission is less nourishment and they ingest less of what they take in, making them in danger for creating dietary lacks. They should likewise make a long-lasting responsibility regarding taking vitamin, mineral, and potentially protein supplements.

Dr. Girish Juneja is a very much experienced Gastric sidestep Surgeon in Dubai. He has been a Guest speaker for some establishments/meetings for addresses on Gastric sidestep surgery (weight reduction surgery) in Dubai and furthermore holds extraordinary mastery and enthusiasm for Gastric Sleeve Surgery.

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