Purpose: To demonstrate the management protocol in head and neck vascular malformation Methods: This is a retrospective review of 12 patients of arteriovenous malformation managed at a teaching hospital. Medical records were examined for age at first diagnosis, disease course, prior treatments, and age at presentation, management, therapeutic outcomes, impact on quality of life and photograph at time of presentation.Results: Twelve patients with head and neck arteriovenous malformation presented to our centre. There was equal distribution of males and females with an average age of presentation being 24 years (range 13-40 years). Ten patients out of 12 underwent embolization which was followed by surgery. Complete excision was achieved in eight cases while partial resection was achieved in two cases. Three patients had complications while getting treated. Conclusions:Head and neck AVM can be presented as expansile, invasive and locally aggressive lesions which require detailed evaluation and multidisciplinary approach for treatment.

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Knowledge of different anatomical structures is very important in parotid surgery to preserve facial nerve. Retromandibular vein is one of the landmarks used to identify facial nerve. So, the relation of the vein with facial nerve is very important in parotid surgery. The typical position of RMV is deep to facial nerve in almost 88% of cases reported in various literatures. Here, we present an unusual position of RMV found during parotid surgery for pleomorphic adenoma.

Liposarcoma (LS) is the most common soft tissue sarcomas ( STSs ) that arise from embryonic mesenchymal tissue. The appearance of these tumors in the head and neck region is rare, with the tongue as a preferred site. Well differentiated liposarcoma is the most common variant among all.

Background: Oral cancer, which includes cancer of lips, gingiva, tongue, oropharynx, sinuses, and salivary glands, ranks fifth in its kind in Nepal. The incidence of oral cancer may differ among gender, age, and site. This study aims to address the questions regarding the incidence and trend of oral cancer occurrence. Methods: Oral cancer cases registered in the Head and Neck Oncology Department of Nepal Cancer Hospital & Research Centre, Lalitpur, Nepal from 01 Jan 2018 to 31 Dec 2019 were included in this study. The data were categorized under gender, site of a tumor, year of diagnosis, and age of patients at diagnosis and entered in RStudio version-1.3.1093 for analysis. Results: A total of 165 cases were found to be recorded where 74.5% were male and 24.5% were female. The most common site was the tongue (27.27%) followed by the mandibular alveolus (19.39%). The overall mean age was 53.71 years (95% CI: 55.73-51.68). The number of new cases was found to be increased by 35.71% from 2018 to 2019.Conclusion: A significant increase in the number of new cases indicates that there are deficiencies in handling oral cancer in Nepal. Reducing the production, import, and consumption of tobacco and related products as well as ensuring accessible health facilities for all may help control this disease.