Head and Neck Surgery involves the treatment of a myriad of problems within the most complex anatomical region of the body. In no other locale are structures of such functional and aesthetic importance so concentrated. Whether dealing with benign or malignant disease, the surgeon must at all times remember the importance of each decision, and must respect the sensibilities of the patient who can see surgery as threat to his very center, and being.

Physicians working in this area may address a variety of problems, ranging in character from allergic and infectious processes to destructive cancers. While some practices give emphasis to the more common, everyday otolaryngological complaints, (e.g. allergies, ear infections, tonsillitis), Doctor Caruana has focused his energies on delivery of the surgical therapies required for treatment of what might be called, "the larger problems." Among these are:

• Surgical diseases of the sinuses
• Surgical diseases of the salivary glands
• Thyroid and parathyroid disease
• Cancers of the mouth, throat and voicebox (larynx)

These can be difficult problems and a challenge to patient and doctor alike. It is in recognition of this that Dr. Caruana has forged his practice philosophy:

"Each patient will be given the time and attention that he or she needs. We will provide direction and advice as we would for family and will be unflinchingly honest. Surgery will employ the best technologies available, but will be appropriately chosen in each instance... and we will support our patients throughout recovery and beyond."

Dr. Caruana intends this website to be a resource for his patients as well as for others seeking information on the illnesses and surgery of the Head and Neck.