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Rapidly expanding neck mass? Pain when swallowing or eating? Get a priority consult.

Head & Neck Pathologies Division

Resolving Neck Swellings With Biopsy Diagnostics, Nerve Preservation, & Clean Margin Excision.

Advanced diagnostic review and surgical removal of salivary gland tumors, ameloblastoma jaw cysts, and thyroid lumps in Kolkata & Siliguri. Sparing critical facial nerves during parotid resections.

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Advanced nerve-monitoring and microscopic resection matching oncological guidelines.

Dr. Saikat Saha
  • MDS (Oral & Maxillofacial Surgery)
  • IFAAM (Germany)

Nerve-Sparing Head & Neck Excision • 22+ Years Experience

Diagnostic Competence

Clinical Benchmarks & Surgical Standards

Surgical removal of head/neck masses prioritizes complete resection margins and vital nerve preservation.

Sparing

Facial Nerve Focus

Preserving salivary area nerves branch-by-branch to protect facial movement.

24-Hr

USG / FNAC Review

Biopsy and ultrasound reports are clinically evaluated within 24 hours.

Ablative

Clean Margins

Microscopically-clear R0 border excisions for ameloblastomas and cysts.

Cervical

Node Clearance

Selective neck node dissections to manage suspected neoplastic spread.

Medical Guide

Face & Neck Pathology Protocols

Any lump, swelling, or persistent asymmetry in the neck or face warrants careful diagnostic investigation. Neck swellings can range from simple reactive lymph nodes to salivary gland tumors, thyroglossal cysts, or bone-eating ameloblastomas inside the jaw. Fine Needle Aspiration Cytology (FNAC) or core needle biopsy remains the gold standard to establish tissue confirmation.

1. Salivary Gland Tumors (Parotid & Submandibular)

The parotid gland (in front of the ear) is split into superficial and deep lobes by the **facial nerve**, which controls all facial expression. Tumors like pleomorphic adenoma must be removed surgically (superficial parotidectomy) with extreme care. Dr. Saha isolates and preserves the facial nerve branches to prevent post-operative facial paralysis.

2. Thyroid Nodules & Congenital Neck Cysts

Thyroid nodules, branchial cleft cysts, and thyroglossal duct cysts present as anterior neck swellings. A thyroglossal cyst is characteristically attached to the hyoid bone, meaning it moves upward when the patient swallows or sticks out their tongue. Removal requires the **Sistrunk Procedure**, where the middle segment of the hyoid bone is excised along with the cyst track to prevent recurrence.

3. Jaw Cysts & Ameloblastoma (Osteolytic Tumors)

Ameloblastomas and odontogenic keratocysts (OKC) are benign but highly aggressive tumors that grow inside the jawbone, hollow it out, and cause painless facial expansion. Treatment requires radical jaw resection with 1cm healthy bone margins. The resected mandible is immediately reconstructed using a vascularized fibula free flap to restore speech and chewing.

Swellings Directory

Jaw Swellings & Oral Pathology Directory

Segmental tumor resections, fibula free flap reconstructions, cyst enucleations, and salivary gland surgical guides.

Ameloblastoma Resection & Jaw Reconstruction

Segmental jaw resection and microvascular fibula reconstruction for ameloblastomas in Kolkata. Lead by surgeon Dr. Saikat Saha.

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Odontogenic Jaw Cyst Removal & Enucleation

Removal of odontogenic cysts (OKC, Dentigerous, Radicular) in Kolkata. Dr. Saikat Saha uses enucleation, Carnoy's solution, and bone grafts.

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Fibrous Dysplasia Jaw Contouring & Bone Shaving

Surgical contouring and shaving of jaw bone growths (fibrous dysplasia, osteoma) in Kolkata. Restoring facial symmetry.

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Salivary Gland Tumor & Stone Surgery

Safe removal of salivary stones and pleomorphic adenomas in Kolkata. Facial nerve protection during parotidectomy.

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Medial & Lateral Neck Swelling Treatment

Get expert diagnosis and surgery for medial and lateral neck swellings in Kolkata. Dr. Saikat Saha provides thyroglossal cyst and branchial cyst removal.

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Thyroid Swelling & Goiter Treatment

Specialized treatment for benign thyroid swellings, nodules, and goiter in Kolkata. Dr. Saikat Saha offers safe lobectomy & thyroidectomy.

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🛡 iHANSâ„¢
Neck Swelling Triage

Neck Node & Salivary Swelling Risk Profiler

Noticed a lump or swelling in your neck, jawline, or cheek? Use our 60-second self-assessment to identify risk indicators and rule out acute pathologies.

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60 Seconds

Evaluate swelling texture and growth rate.

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Secure & Private

Symptom details are completely private.

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Risk Profiler

Calibrated for salivary duct blockages and neck neoplasm alerts.

Question Text

Step 1 of 4
Low Risk

No acute swelling signs detected

Your answers indicate a low probability of neoplasm. Monitor the lump for 14 days; if persistent, schedule an evaluation.

Painless, Hard Neck Mass Matured Over 2 Weeks?

If you have an official ultrasound or FNAC report confirming a parotid neoplasm, thyroid nodule, or ameloblastoma cyst, request a priority consultation to arrange a surgical slot.

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Clinical Information

Neck Pathology Q&A

Scientific explanations covering parotid surgery, ameloblastomas, and thyroid nodules.

Inflammatory neck lumps (like swollen lymph nodes from throat infections) are typically tender, soft, and resolve within 10-14 days. Painless, firm, or hard lumps that continue to expand over weeks and do not move freely are highly suspicious and require an immediate ultrasound and Fine Needle Aspiration Cytology (FNAC) biopsy to rule out neoplasm.
The facial nerve passes directly through the parotid salivary gland, branching out to control the muscles of facial expression (eye closure, smiling, frowning). Superficial parotidectomy carries a temporary risk of nerve weakness (facial palsy) due to stretching during surgery. Experienced surgeons utilize nerve monitors and meticulous micro-dissection to isolate and preserve all branches, reducing the permanent palsy risk to under 1-2%.
Ameloblastoma is a benign but locally destructive tumor that invades the surrounding jawbone trabeculae. Simple scraping (curettage) carries a recurrence rate of over 50-80% because tumor cells remain hidden in the bone pores. Safe surgical protocol requires resecting the affected bone with a 1cm margins of healthy bone, followed by immediate microvascular reconstruction.
A thyroglossal duct cyst is a congenital neck mass that forms along the track left by the thyroid gland during embryonic descent. This track runs through the center of the hyoid bone in the neck. A Sistrunk procedure is the gold standard surgery: it involves removing the cyst, the entire fibrous tract, and the middle segment of the hyoid bone. This reduces the recurrence rate from 50% down to less than 3%.