Head and neck cancers represent a significant health challenge globally, and Nepal is no exception. These malignancies, which affect areas such as the oral cavity, pharynx, larynx, nasal cavity, and salivary glands, can profoundly impact essential functions like speaking, swallowing, and breathing. Addressing these cancers requires specialized expertise and comprehensive care. In Nepal, Dr. Prabhat Chandra Thakur stands out as a leading figure in the diagnosis, treatment, and management of head and neck cancers
Understanding Head and Neck Cancers
Head and neck cancers primarily originate from the squamous cells lining the moist surfaces of the head and neck regions. Common risk factors include tobacco use, excessive alcohol consumption, human papillomavirus (HPV) infection, and prolonged sun exposure. Symptoms often manifest as persistent sores, lumps, difficulty swallowing, changes in voice, or unexplained weight loss. Early detection is crucial, as it significantly enhances treatment outcomes and survival rates.
The Landscape of Head and Neck Cancer in Nepal
In Nepal, the incidence of head and neck cancers has been on the rise. A study conducted at B.P. Koirala Memorial Cancer Hospital (BPKMCH) indicated an increasing trend in these cancers, with variations observed based on anatomical sites and gender. Notably, males exhibited higher rates of oral cavity, tonsil, pharynx, and larynx cancers compared to females. The study emphasized the need for heightened awareness, screening programs, and HPV vaccination to mitigate the growing burden of these cancers in Nepal.
Dr. Prabhat Chandra Thakur: A Pioneer in Head and Neck Cancer Treatment
Dr. Prabhat Chandra Thakur is a distinguished ENT surgeon and head and neck oncologist based in Nepal. His academic journey began with an MBBS from B.P. Koirala Institute of Health Sciences (BPKIHS), Dharan, followed by a Master of Surgery (MS) in Otolaryngology-Head & Neck Surgery from the prestigious Post-Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, India, where he was honored with the Gold Medal Award for Best Outgoing Resident.
Further enhancing his expertise, Dr. Thakur pursued a fellowship in Head & Neck Oncology from the International Federation of Head & Neck Oncological Societies (IFHNOS) and Memorial Sloan Kettering Cancer Center in New York. He also completed a fellowship in Minimal Invasive Thyroid Surgery from Police General Hospital, Bangkok, Thailand.
With a career spanning over a decade, Dr. Thakur has performed more than 5,000 major head and neck cancer surgeries, including complex reconstructions. He is a pioneer of scarless minimal invasive thyroid surgery (endoscopic thyroidectomy) in Nepal, a procedure performed at only a few centers worldwide.
Comprehensive Services Offered by Dr. Thakur
Dr. Thakur’s practice encompasses a wide range of services tailored to address various head and neck conditions:
- Head and Neck Cancer Surgery: Involves the removal of cancerous tissues from the head and neck regions, often necessitating intricate reconstruction to restore function and appearance.
- Remote Access Endoscopic Thyroid Surgery: A minimally invasive technique that allows thyroid surgery without visible neck scars, enhancing cosmetic outcomes and reducing recovery time.
- Neck Surgery: Addresses both cancerous and non-cancerous conditions of the neck, including lymph node dissections and salivary gland surgeries.
- Endoscopic Skull Base Surgery: Utilizes endoscopic methods to access and treat tumors located at the skull base, minimizing invasiveness and promoting quicker recovery.
- Reconstruction in the Head & Neck: Focuses on restoring form and function following surgical removal of tumors, employing techniques like tissue grafts and flap surgeries.
Patient-Centered Approach and Community Engagement
Beyond his surgical expertise, Dr. Thakur is deeply committed to patient education and community outreach. He regularly conducts awareness programs emphasizing the importance of early detection and prevention of head and neck cancers. His patient-first philosophy ensures that individuals receive not only top-tier medical care but also the necessary support and counseling throughout their treatment journey.
Dr. Thakur’s dedication extends to academic contributions, with numerous articles published in indexed journals. He is also actively involved in professional societies, holding memberships in organizations such as the Society of Otolaryngology of Nepal (SOL), the Foundation of Head & Neck Oncology (FHNO), and the Asia Pacific Thyroid Society (APTS).
Advancements in Head and Neck Cancer Treatment in Nepal
The landscape of head and neck cancer treatment in Nepal has witnessed significant advancements, with institutions like the Nepal Cancer Hospital and Research Center (NCHRC) playing a pivotal role. NCHRC offers comprehensive cancer care, including surgical oncology, medical oncology, and radiation oncology, ensuring that patients have access to multidisciplinary treatment approaches.
Moreover, initiatives like the Binaytara Foundation Cancer Center in Janakpur have been instrumental in addressing cancer care disparities in rural Nepal. Since its inception in April 2022, the center has launched head and neck cancer treatment programs, emphasizing the need for accessible and affordable cancer care in underserved regions.
Conclusion
Head and neck cancers pose a formidable health challenge, but with specialists like Dr. Prabhat Chandra Thakur leading the way, Nepal is making significant strides in providing advanced and compassionate care.