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BACKGROUND Oral cancer is the most common cancer in Indian males and is the third most common cancer in Indian females. Tobacco, alcohol, areca nut, and human papillomavirus (HPV) are the common etiologic factors. Each of these agents follows a unique model of carcinogenesis that leads to a certain distinct presentation and behavior. For example, HPV is(More)
Oral cancers form a significant portion of the cancer burden seen in our country. Typically, they tend to be preceded by a premalignant state for a long time. This article discusses the various types of premalignant disorders commonly seen in daily practice. Also, it is important to screen patients for these conditions so as to detect malignant changes(More)
OBJECTIVE Advanced oral cancers are a challenge for treatment, as they require complex procedures for excision and reconstruction. Despite being occurring at a visible site and can be detected easily, many patients present in advanced stages with large tumors. Timely intervention is important in improving survival and quality of life in these patients. The(More)
Voice rehabilitation in laryngectomized patients by tracheoesophageal puncture is a time tested technique. In some patients the tracheoesophageal puncture gets inordinately dilated leading to leakage around the prosthesis. Most of these fistulas are managed by a variety of conservative treatments like temporary removal of prosthesis, placement of silastic(More)
BACKGROUND AND OBJECTIVES Certain tumor-related factors like thickness increases the risk of nodal metastasis and may affect survival in patients with oral tongue cancers. The objective of this study is to identify those tumor-related prognostic predictors that can potentially influence decision for adjuvant radiotherapy. METHODS A retrospective review of(More)
BACKGROUND The purpose of this study was to compare sentinel node biopsy (SNB) and ultrasound-guided fine-needle aspiration cytology (FNAC) for preoperative evaluation of the N0 neck in T1 to T2 oral cavity squamous cell carcinoma (SCC). METHODS Fifty-one consecutive patients with T1 to T2 N0 oral cavity SCC were included in this study. Preoperative(More)
Tumors of the fronto-orbitomaxillary segment are complex and pose a significant challenge for radical resection and subsequent reconstruction. With evolution in surgical reconstructive techniques, better reconstruction of these complex defects is now possible and facilitates more aggressive surgical management. The anterolateral thigh (ALT) flap has(More)
OBJECTIVE The aims of this study are to evaluate the impact of frozen section in achieving adequate surgical margin and to study the accuracy of frozen section in detection of occult metastases. MATERIALS AND METHODS This was a retrospective review of prospectively collected data of 877 patients with squamous cell carcinoma of the tongue who underwent(More)
At IBM®, we developed a set of user roles that describe the tasks of the people who interact with any cloud based Information Technology system. The three core roles of Cloud Service Creator, Cloud Service Provider, and Cloud Service Consumer create the base for reflecting the close interaction between developers, providers, and consumers in order to(More)
In order to design, build, and provide cloud based solutions that best meet customers' needs, it is essential to understand the skills, goals, primary tasks, and responsibilities of the people or organizations involved throughout the cloud service lifecycle. At IBM®, we developed a set of user roles that are used to describe the tasks of the people(More)