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For all surgeons who manage patients with head and neck cancer, this information-packed book offers both a new approach and a new philosophy of treatment-one that rejects radical procedures except in advanced disease and focuses on a combined functional and selective approach for optimal outcome. You will find the rationale, indications, surgical steps, and results of these procedures, and be better equipped to handle a wide range of complex clinical situations. Functional and Selective Neck Dissection begins with a full explanation of the fascial compartmentalization of the neck, and goes on to explain and illustrate the procedures. Step-by-step descriptions of functional dissection surgeries, demonstrated with more than 200 high-quality, sequential operative photographs and drawings, highlight and clarify all points. Special features: A thorough description of the fascial anatomy of the neck, vital for facilitating an effective surgical approach in head and neck cancer patients Step-by-step surgical descriptions of functional neck dissections, augmented by hundreds of sequential operative photographs A full list of technical hints and pitfalls acquired through many years of clinical experience A unique chapter answering the most frequently asked questions about available surgical techniques A synthesis of the American and Latin viewpoints on neck dissection, key to understanding the evolution of the field and integrating the best aspects of both All head and neck surgeons, otolaryngologists, maxillofacial surgeons, plastic surgeons, and residents will find this synthesis of neck dissection techniques both informative and necessary for effective decision-making.
This title examines the differences between surgical techniques and conceptual approaches to neck dissection. It strives to connect the two points of view, beginning with a historical perspective of the procedure from both the American and Latin perspective. The book creates a better understanding of the reasons behind selective neck dissection, starting with an explanation of the fascial compartmentalization of the neck. This is a step-by-step guide to the operative technique of functional and other non-radical neck dissections. A full list of technical hints and pitfalls are included to enhance the learning process. The book is aimed at professionals that want to understand the rationale, indications, and results of the functional approach to the neck, including otolaryngologists, head and neck surgeons, maxillofacial surgeons, plastic surgeons, and general surgeons.
Describes surgical techniques for performing neck dissection on patients with head and neck cancer, and clarifies the connection between functional and selective neck dissection from historical, anatomic, and surgical standpoints. A detailed outline of the fascial layers and topographic anatomy of the neck serves as a guide in which the external and readily accessible superficial features of the neck provide landmarks for deep structures. Next, a sequence of surgical steps walks through the complete functional approach to the neck in which all cervical nodal groups are removed. A discussion of hints, pitfalls, and complications rounds out the volume. Three of the four authors are doctors of otolaryngology in Spain. Color photographs. Annotation copyrighted by Book News, Inc., Portland, OR
Cutting-edge neck dissection resource provides expert guidance on its use in a wide spectrum of head and neck pathologies Dissection of critical structures of the neck is integral to head and neck surgery, for both benign and malignant neck masses and diagnoses of the head, skull base, and cervicothoracic junction. Neck Dissection by Brendan Stack and Mauricio Moreno is a comprehensive treatise on state-of-the-art neck dissection. With contributions from an impressive cadre of international leaders in head and neck surgery, this in-depth, yet concise evidence-based guide covers fundamental and advanced principles of cervical lymphadenopathy surgery. The book begins with preoperative evaluation of cervical lymphadenopathy candidates, history of procedures, international nodal level classifications, and surgical neck anatomy. Subsequent chapters address the subtleties between different dissection modalities including radical, modified radical, selective, supraomohyoid, and salvage, as well as insights on complications and rehabilitation. Current imaging methods are discussed in context with anatomical structures and malignancies, including cross-sectional, ultrasound, and integrated FDG-PET/CT. Pathology and adjuvant therapies for malignant diseases of the neck are also discussed. Key Features The latest advances in immunology and cell signaling of neck metastatic disease, related to cervical lymph node and extracapsular spread Anatomic and pathophysiologic nuances encountered in the treatment of squamous cell carcinoma, melanoma, salivary gland malignancies, and thyroid carcinomas Special topics such as prophylactic neck dissection, robotics, intraoperative nerve monitoring, adjuvant therapy for neck nodal disease, and histopathologic neck dissection evaluation Over 200 radiographs and illustrations, as well as online supplementary video material enhance understanding of impacted anatomy and procedures All clinicians involved in the interdisciplinary diagnosis and treatment of head and neck pathologies will benefit from this outstanding operative guide.
-Richly illustrated; 109 illustrations, 57 in color -Cover a wide range of diagnostic and theraputic techniques, i.e. MRI, PET, surgical treatment, radiation therapy
Anesthesia for Otolaryngologic Surgery offers a comprehensive synopsis of the anesthetic management options for otolaryngologic and bronchoscopic procedures. Authored by world authorities in the fields of anesthesiology and otolaryngology, both theoretical concepts and practical issues are addressed in detail, providing literature-based evidence wherever available and offering expert clinical opinion where rigorous scientific evidence is lacking. A full chapter is dedicated to every common surgical ENT procedure, as well as less common procedures such as face transplantation. Clinical chapters are enriched with case descriptions, making the text applicable to everyday practice. Chapters are also enhanced by numerous illustrations and recommended anesthetic management plans, as well as hints and tips that draw on the authors' extensive experience. Comprehensively reviewing the whole field, Anesthesia for Otolaryngologic Surgery is an invaluable resource for every clinician involved in the care of ENT surgical patients, including anesthesiologists, otolaryngologists and pulmonologists.
This book is intended as a comprehensive reference on the anatomy, pathophysiology, and management of complications in neck dissection. The informative text is complemented by detailed clinical photos, high-quality illustrations, and clinical material from experienced and respected leaders in the field of neck surgery. An understanding of potential complications and early recognition of their signs and symptoms will prepare the surgeon to mitigate risk, minimize morbidity, and improve outcomes for each of their patients. Early recognition of the signs and symptoms of post-operative complications can prevent exacerbating the problem. Complications in Neck Dissection aims to shed light on these complications in greater detail and elaborate on their management. Written by experts in the field, the book reflects upon common and rare complications that are encountered and elaborates on how neck surgeons can prevent them.
This book is a unique in-depth and comprehensive reference that covers all surgically relevant thyroid and parathyroid diseases and presents the latest information on their management. International authorities discuss operative techniques and treatments in detail and explain the rationales for their favored approaches. The topics of this second edition include the description of surgically relevant pathologies, preoperative surgical evaluation, decision making, and operative strategies for the various thyroid and parathyroid diseases. In addition, experts present the molecular basis for thyroid neoplasia, review the current understanding of the genetics of inherited thyroid and parathyroid diseases, and discuss the management of recurrent and locally invasive thyroid cancer. Evolving modern operative techniques such as neuromonitoring and minimally invasive (videoscopic) approaches to the thyroid and parathyroids are also covered.
Rev. ed. of: Head and neck surgery and oncology. 3rd ed. 2003.
This book presents as teaching files a collection of cases of thyroid and parathyroid diseases seen at various high-volume endocrinology centers. The cases, most of which are accompanied by instructive images, have been selected in order to impart clinically relevant knowledge on the full range of endocrine disorders of thyroid and parathyroid origin. Accordingly, the book covers not only situations that are frequently encountered by the clinician in primary care, but also uncommon disorders and unusual presentations of common disorders. The comprehensive nature of the coverage will assist in resolving diagnostic dilemmas, and the reader will also find up-to-date information on disease management. The recommendations provided are based on current evidence-based clinical practice guidelines and are supported by relevant literature so as to harmonize available evidence-based protocols with current clinical practice. Thyroid and Parathyroid Diseases: A Case-Based Guide is designed to be thought provoking and to aid knowledge retention. Written by renowned experts in nuclear medicine, clinical endocrinology, oncology, and general surgery, it will appeal to specialists and residents in these fields.