Head and neck cancer has become one of the top ten leading causes of death in India. Studies have reported an increase of 55.8% cancer incidence in the past 2 decades as per the national urban registries. The data accrued by the National Cancer Registry Program (NCRP) reflects the number of newly diagnosed cancer to be within 700,000 to 900,000 per year with an annual mortality of 3 lakhs. A National Perspective Data from population-based registries under NCRP indicate that the leading sites of cancer are the oral cavity, lungs, esophagus, and stomach amongst men and cervix, breast and oral cavity amongst women .

Cancers especially those of head and neck account for over 50% of all cancer deaths in India (NCCP). In general, there are regional differences in rates (ASR) from 87.8 (Trivandrum) to 123.3 (Delhi) in urban males and 81.1 (Trivandrum) to 135.6 (Delhi) in urban females . This…