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This is the second edition of a superbly illustrated manual on neck dissection that will serve as a roadmap for advanced surgeons and beginners alike. The reader is guided through the various cervical structures in a series of chapters depicting the methods employed by surgeons operating in vivo. The illustrations provide an overview of all surgical anatomy relevant to the treatment of oncologic patients. Compared with the first edition, revisions have been made when appropriate and an important new chapter has been added on microscopic anatomy and laryngeal cancer. This chapter, which will also be of interest to pathologists, documents the microscopic anatomy of the larynx, presents patterns of spread and surgical options, and depicts the major surgical procedures on the larynx with the aid of numerous photographs and line drawings.
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.
Neck dissection is an integral part in the management of patients with head and neck cancer. The complexity of the head and neck region makes this procedure an inherently delicate undertaking for surgeons from different specialties who treat head and neck cancer.This richly illustrated guide provides a detailed step-by-step description of operative techniques involved in neck dissection. The authors share their extensive experience, giving precise surgical instructions specific to this procedure. Actual intraoperative photos, in combination with high-quality drawings, are used to highlight all the essential steps. The book discusses anatomic variations as well as practical pearls and pitfalls and will be an essential resource for trainees and practicing surgeons in the fields of head and neck surgery, oral and maxillofacial surgery, reconstructive surgery, and oncologic surgery.​
The dissection of surgical specimens from the upper aero digestive tract is often difficult due to the anatomically complicated nature of this area. Local environ ment dictates routes of tumour spread and surgical margins at risk and these features differ for various subsites within this part of the body. Moreover, ade quate investigation of surgical specimens of the upper aero digestive tract requires knowledge of the various types of surgical procedures used for differ ent areas and should provide data that enable the surgeon to correlate preoper atively performed diagnostic imaging with the macroscopic findings obtained postoperatively. The aim of this book is to provide guidelines for the anatomical dissection of specimens from oral and sinonasal cavities, pharynx and larynx. This is done by illustrations that combine drawings of tumours at various anatomical subsites, details of the respective surgical procedures, the specimens thus obtained, and the way to dissect these specimens as shown by colour photographs of surgical specimens handled in the way schematically outlined. The book will be of benefit for pathologists, oral and maxillofacial surgeons, ENT surgeons and residents in training for these specialties. v Contents 1 Introduction . . . . . . . . . . . . . . . . . . . . 1 1 Head and Neck Specimens and Surgical Pathology 3 General Technical Notes 3 Anatomy 2 Oral Cavity . . . . . . 5 Anatomical Subregions 5 5 Lip ....
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.
Ablative tumor surgery of the head and neck region often results in severe cosmetic and functional deformities. In these cases, microvascular free-tissue transfer enables three-dimensional reconstruction of head and neck defects. The selection of adequate donor tissue and a profound knowledge of the human anatomy and the various harvesting techniques are paramount in ensuring successful reconstruction. Reflecting current surgical approaches, this book presents the most frequently used flaps in head and neck surgery, including detailed overviews as well as their respective pearls and pitfalls. Moreover, each section contains a synopsis and pre-operative checklist. The overlay-technique merges high-quality-photographs with drawings and precisely illustrates the step-to-step descriptions of the different flap harvesting techniques, making this manual in pocket size an unique and accessible reference for both doctors in training and specialists in the field of otolaryngology, head and neck, plastic, maxillofacial and skull base surgery.
Laryngeal Dissection and Surgery Guide provides surgeons with detailed, step-by-step instructions for performing laryngeal dissections in a lab or clinical setting, helping them put knowledge into practice. The dissection chapter grounds the young surgeon in the anatomy of the larynx and provides a detailed look at the complex relationships of the various structures in and around the larynx. The descriptions of over 20 common surgical procedures give surgeons a complete picture of each surgical step. Key Features: Guidance on performing endoscopic and open procedures including phonosurgery, arytenoidectomy, laryngectomy, and thyroplasty High quality, detailed photos and illustrations accompany the text, clarifying each surgical step Key points, pearls, and pitfalls presented in each chapter for easy reference Written by more than 25 renowned experts from all over the world Laryngeal Dissection and Surgery Guide is the manual otolaryngology residents, laryngology fellows, and practitioners should have by their side as they work to perfect their surgical skills in the dissection lab and in the operating room. Experienced surgeons will also find it a useful review.
A good knowledge of anatomy helps surgeons avoid anatomical complications, while masterful technique allows them to proceed rapidly and securely in the operating room. Unlike other pocket-sized surgical texts on the market, Surgical Anatomy and Technique manual provides step-by-step techniques of a wide range of general surgery procedures and reviews the anatomical entities involved in each operation. The book's scope spans the entire body: skin and scalp, neck, breast, abdominal wall and herniae, diaphragm, esophagus, stomach, duodenum, pancreas, small intestines, appendix, colon and anorectum, liver, extrahepatic biliary tract, spleen, adrenal glands, carpal tunnel, and varicosities of the lower extremity. A chapter on laparoscopic surgery is also included. Clear, concise, and generously illustrated, this is a superb quick reference to refresh the memory of the surgical resident before entering the operating room.
Surgery for head neck cancer has evolved greatly in the recent years. Appropriate surgical resection with negative margins still remain corner-stone in achieving good oncological outcome. This atlas proposes a new concept of " The Compartment Surgery " to achieve negative margins in third dimensions which is the problem area in majority of cases. Reconstructive techniques have evolved vastly in the recent years with use of microvascular free flaps and this has significantly improved the functional outcome. Performing each step in appropriate manner cumulatively enables us to perform more complex procedures. Theme of this atlas revolves around this fact. This atlas on head and neck cancers takes a fresh stylistic approach where each surgical procedure is described in a step-wise manner through labeled high-resolution images with minimal incorporation of text. This allows the surgeons to rapidly revise the operative steps of a procedure within minutes just before they start a surgery. Head and neck has multidimensional anatomy and surgical treatment requires specific approach for each subsite. This operative atlas covers the entire spectrum of common, uncommon and rare cancers of the head and neck area. Each subsite is addressed in a separate chapter with further subdivisions for surgery of tumors with varying extent. Each procedure is demonstrated with photographs of each surgical step and line diagrams. Commonly used flaps (regional and free flaps) are demonstrated in separate chapter for reconstruction. With over 1000 images, and coverage of both the ablative and reconstructive surgical procedures, this is a technique-focused atlas in comparison to the available comprehensive texts. There are two chapters on very advanced cancers, and surgery in resource constrained surgical units making the book relevant to a wide range of cancer surgeons and fellows-in-training in varied clinical settings.