All you need to know about Head and Neck Cancer

Dr Sashikanth Jonnalagadda 
April 14, 2021

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The Head and Neck is a very complex region of the body and consists of several subsites like the Oral Cavity, Oropharynx (Throat), Larynx (voice box), Thyroid, Paranasal Sinuses, and Neck Lymph Nodes. Cancer that occurs in the Oral Cavity (mouth), throat, nose, paranasal sinuses, salivary glands, and other areas of the head and neck are considered Head and Neck cancer.  
  
Squamous cell carcinomas arise in the lining of the mouth, nose, and throat, account for the majority of these cancers.  
  
Because of the widespread use of Tobacco (gutka, pan masala, and betelnut), oral cancers are the most common form of cancer in India and it accounts for roughly 30 percent of all cancers in the body. Oral Cancers and other Head and Neck Cancers are also increased by smoking and alcohol consumption. 
  
Approximately 20 people out of 1,00,000 population are diagnosed with Head and Neck Cancer.  
  
It is very important to pay attention to symptoms such as non-healing ulcers in the mouth or throat, bleeding from mouth or nose, persisting sore throat, breathing or swallowing difficulty, change in voice, and swellings in the neck and face region. 
  
Head and neck tumors affect the patient's ability to chew, swallow, speak and breathe. As a result, early detection of the tumor is critical in order to increase the patient's chances of survival as well as his or her ability to speak and swallow normally during treatment. 
  
Treatment Options 

These symptoms need to be evaluated with a concerned Head and Neck Onco Surgeons who helps patients to make an informed decision about their treatment options.  The first step is to obtain a tissue sample from the affected area, which is done by a biopsy. The type of cancer will be confirmed by Histopathology, which will decide further management. 
 
The next step is staging, which entails deciding how far cancer has spread. It will be obtained by Radiological Imaging such as CT, MRI, and, on rare occasions PET scan. 
 
Cancers can be classified into four stages based on the extent of their spread. Usually, head and neck cancers are treated with surgery followed by adjuvant treatment such as radiation and chemotherapy, if necessary. The tumor and neck nodes are removed during surgery. Plastic surgery procedures are used to reconstruct the shape and function of the removed organ, allowing the patient to appear and function as normally as possible. 
  
After the treatment, the patient is kept on close surveillance for 3 to 5 years with a follow-up with his or her Head and Neck Surgeon. 

 

By Dr. Sashikanth Jonnalagadda is the Consultant - ENT, Head and Neck Oncology at American Oncology Institute

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coastaldigest.com news network
November 28,2025

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Udupi district transformed into a sea of saffron and celebration on Friday, November 28, as Prime Minister Narendra Modi’s roadshow swept through the coastal temple town. Thousands of residents lined the streets, turning the event into a vibrant public spectacle filled with cheers, flags, and festive energy.

The procession route—from the helipad to the historic Sri Krishna Math—was decked with buntings, saffron flags, and multilayered security barricades. One of the district’s largest-ever security deployments was put in place for the high-profile visit, with over 3,000 police personnel on duty. The arrangement included ten SPs, 27 DSPs, 49 inspectors, 127 sub-inspectors, 232 assistant sub-inspectors, 1,608 constables, and 39 women staff.

Six platoons of the Karnataka State Reserve Police, six Quick Response Teams, bomb detection units, and dog squads were stationed across Udupi. Enhanced surveillance covered Adi Udupi, Bannanje bus stand, and the Sri Krishna Math parking zone, with combing operations carried out along the roadshow corridor.

At the 800-year-old Sri Krishna Math, preparations reached a ceremonial peak. Paryaya Puttige Math seer Sugunendra Teertha Swamiji said the Prime Minister would take part in the Laksha Kantha Geetha Parayana, a mass chanting of the Bhagavad Gita by one lakh devotees, and inaugurate the new Suvarna Teertha Mantapa.

“He will first offer floral tributes to saint-poet Kanakadasa and then unveil the golden covering over the Kanakana Kindi,” the seer said.

The Prime Minister will also receive a Poorna Kumbha welcome and have darshan of Lord Sri Krishna, Mukhyaprana Devaru, and the Suvarna Paduke. Union Minister Pralhad Joshi, Karnataka Governor Thaawarchand Gehlot, Minister Bairathi Suresh, Dharmadhikari D. Veerendra Heggade, and seers from the Ashta Maths are expected to join the ceremony.

Ahead of his arrival, the Prime Minister posted on X that he felt “honoured” to attend the spiritually significant gathering. “This is a special occasion that brings together people from different sections of society for a recital of the Gita. This Matha has a very special significance in our cultural life,” he wrote, noting the institution’s long-standing legacy rooted in the teachings of Sri Madhvacharya.

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News Network
December 4,2025

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Angry outbursts, long queues, and desperate appeals filled airports across India today as IndiGo grappled with a severe operational breakdown. Hundreds of flights have been cancelled or delayed, leaving thousands of passengers stranded through the night and forcing many to spend long hours at helpdesks.

Social media was flooded with videos of fliers pleading for assistance, accusing the airline of misleading updates, and demanding accommodation after being stuck for 10 to 12 hours at airports such as Hyderabad and Bengaluru.

What Triggered the Meltdown?

IndiGo has attributed the widespread disruption to “a multitude of unforeseen operational challenges.” These include:

•    Minor technology glitches
•    Winter-season schedule adjustments
•    Bad weather
•    Congestion in the aviation network
•    New crew rostering rules (Flight Duty Time Limitations or FDTL)

Among these, the most disruptive has been the implementation of the updated FDTL norms introduced by the Directorate General of Civil Aviation (DGCA) in January 2024.

These rules were designed to reduce pilot fatigue and improve passenger safety. Key changes include:

•    Longer weekly rest periods for flight crew
•    A revised definition of “night,” extending it by an extra hour
•    Tighter caps on flight duty timing and night landings
•    Cutting night shifts for pilots and crew from six per roster cycle to just two

Once these norms became fully enforceable, airlines were required to overhaul rosters well in advance. For IndiGo, this triggered a sudden shortage of crew available for duty, leading to cascading delays and cancellations.

Why IndiGo Was Hit the Hardest

IndiGo is India’s largest airline by a wide margin, operating over 2,200 flights daily. That’s roughly double the number operated by Air India.

When an airline of this size experiences even a 10–20% disruption, it translates to 200–400 flights being delayed or grounded — producing massive spillover effects across the country.

IndiGo also relies heavily on high-frequency overnight operations, a model typical of low-cost carriers that aim to maximise aircraft utilisation and reduce downtime. The stricter FDTL norms clash with these overnight-heavy schedules, forcing the airline to pull back services.

Aviation bodies have also criticised IndiGo’s preparedness. The Airline Pilots' Association of India (ALPA) said airlines were given a two-year window to plan for the new rules but “started preparing rather late.” IndiGo, it said, failed to rebuild crew rosters 15 days in advance as required.

The Federation of Indian Pilots (FIP) went further, calling the crisis the result of IndiGo’s “prolonged and unorthodox lean manpower strategy,” and alleging that the airline adopted a hiring freeze even as it knew the new rules would require more careful staffing.

How Many Flights Are Affected?

In the past 48 hours, over 300 flights have been cancelled. At least 100 more are expected to be cancelled today.

City-wise impact:

•    Hyderabad: 33 expected cancellations; several fliers stranded overnight
•    Bengaluru: over 70 expected cancellations
•    Delhi, Mumbai, Chennai, Kolkata: widespread delays and missed connections

Passengers shared distressing accounts online.

One customer at Hyderabad airport said they waited from 6 PM to 9 AM with “no action taken” regarding their delayed Pune flight. Another said IndiGo repeatedly told them the crew was “arriving soon,” only for the delay to stretch over 12 hours.

IndiGo has apologised for the disruption and promised that operations will stabilise within 48 hours, adding that “calibrated adjustments” are being made to contain the chaos.

What Should Passengers Do Now?

For those flying in the next few days, especially with IndiGo, here are key precautions:

1. Keep Checking Flight Status
Monitor your flight closely before leaving for the airport, as delays may be announced last-minute.

2. Arrive Early
Expect long queues at counters and security due to crowding and rescheduling.

3. Carry Essentials
Pack snacks, water, basic medicines, chargers, and items for children or senior citizens. Extended waiting times should be anticipated.

4. Use Flexible Booking Options
If you booked tickets with a free-date-change or cancellation option, consider using them.
If you haven’t booked yet, prefer refundable or flexible fares, or even consider alternate airlines.

5. Follow IndiGo’s Updates
Keep an eye on IndiGo’s official social media channels and contact customer support for rebooking and refund queries.

What Needs to Change?

Pilot groups have raised concerns not just about staffing but also the planning practices behind it.
The Federation of Indian Pilots accused IndiGo of:

•    Imposing an unexplained hiring freeze despite knowing the FDTL changes were coming
•    Entering non-poaching agreements that limited talent movement
•    Keeping pilot pay frozen
•    Underestimating the need to restructure operations in advance

They have urged DGCA to approve seasonal schedules only after airlines prove they have adequate pilot strength under the new norms.

ALPA also warned that some airlines might be using the delays as an “immature pressure tactic” to push DGCA for relaxations in the new rules — which, if granted, could compromise the very safety standards the norms were meant to protect.

Both pilot bodies stressed that no exemption should dilute safety, and any deviations should be based solely on scientific risk assessment.

Is a Solution in Sight?

While IndiGo says normalcy will return within two days, aviation experts believe that fully stabilising operations could take longer, depending on how quickly the airline can:
•    Re-align rosters
•    Mobilise rested crew
•    Boost staffing
•    Adjust its winter schedule to match regulatory requirements
Passengers are advised to remain prepared for continued delays over the next few days as the airline works through its backlog. 

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