Head and neck patients who undergo treatment with free tissue transfer are patients with some of the most complex perioperative needs. Due to nature of the defects, reconstructive surgery is complex and often is the only available option offering an acceptable quality of life. Therefore, successful recovery of these patients is of paramount importance. Whilst the surgery itself is of utmost importance, insufficient or inappropriate pre-surgical work up and post-operative care may lead to reconstructive failures. Secondary reconstruction offers less optimal functional outcomes and may add to patient morbidity due to additional surgeries being required. This book serves as a comprehensive source of information related to the pre-, intra- and postoperative care of head and neck patients. It fills a critical need for a single source that addresses all aspects of perioperative management of head and neck patients.

Head and neck reconstruction can be challenging due to the anatomical complexity of the area, its impact upon function, and the common need for adjuvant treatment postoperatively in cases of malignancy. Furthermore, the results are very visible and may significantly affect the patient’s ability to reintegrate socially. This unique surgical atlas is organized as a matrix of options, from simple to complex, covering all described anatomical areas of the head and neck. The organization of defects and reconstructive options, combined with illustrations and high-resolution intraoperative photography, make this the premier reconstructive reference that will be accessible when difficult reconstructive situations arise. The matrix concept is a unique approach to organizing and presenting facial, head and neck defects. Most clinical cases present as a defect or as the potential for a defect after a resection. The matrix approach is a human cognitive approach to problem solving. This atlas allows the reader to search out their potential defects and study the possible reconstructive options available to them. This spectrum of possibilities may help the surgeon to decide whether to manage on the case on their own or refer it for more expertise. It is also a visible tool to assist surgeons in reviewing options and making decisions with patients in the informed consent process. The matrix presents defects with internal consistency throughout the text and is organized in an anatomic order. Each anatomic sub-site is further subdivided into recognized clinical sub-units, and each potential defect is then illustrated in a standardized fashion to promote clarity and uniformity for easy reference. Commonly associated defects are linked. Each specific defect is then addressed, presenting reconstructive options of increasing complexity, with photography to show a staged approach to pre-reconstruction, site preparation, flap selection, flap inset, and final results acutely post-operatively and at a delayed time point. Matrix Head and Neck Reconstruction combines and distills the work of major head and neck reconstruction and facial plastic surgery to provide a broad and deep resource that is highly pictorial and practical in providing a scalable approach to reconstruction.

This text will deliver revolutionary approaches to reconstructive surgery in a clear and consistent format. Head and neck reconstruction has long been thought to be a daunting, intimidating, and tedious field of surgery. Microvascular head and neck reconstruction is one of the most advanced surgical options available for reconstruction. It is used to treat defects created by removal of tissue in the larynx, pharynx, oral cavity, salivary glands, tongue, and skin. It is also utilized in combination with chemotherapy and radiation for the treatment of head and neck cancer. Due to the disfiguring nature of the removal of these tissues, microvascular reconstruction is important to return the face, head, and neck to as normal as possible. This text reviews cutting edge surgical skills in head and neck oncologic surgery and facial plastic and reconstructive surgery. The Manual of Head and Neck Reconstruction will include step-by-step guides, with clear, illustrated, coverage of regional and distant cutaneous, muscular, osseus flaps, donor site harvest and transfer for head and neck reconstruction. The book will discuss relevant anatomy, nuances of flap design, harvesting techniques, insetting, ideal locations of flap use, and flap combinations. It will also discuss preoperative preparations, intraoperative considerations, techniques for avoiding pitfalls, and managing postoperative complications. There will be intraoperative pictures walking the audience through the surgeries in a detailed fashion, with the goal of imparting an efficient, effective surgical philosophy. Exclusively to this text, the topic of surgical maneuvers designed to improve surgical efficiency and save hours of intraoperative time, limiting patient’s time under anesthesia, will be discussed. This book was authored by experts in head and neck reconstruction trained by Dr. Yadro Ducic over the past 12 years. It is a great resource for many surgeons in the field of otolaryngology-head/neck surgery.

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.

General surgery is the common ancestor of all surgical specialties. Within general surgery, many subspecialty areas of practice have evolved. This book is the first manual recognizing the growing role General Surgeons play in Head & Neck Surgery. From benign to malignant conditions and form ablative to reconstructive challenges, the renowned comprehensive capability of the General Surgeon is well suited to demands of this discipline. Each chapter details relevant anatomical considerations to enable understanding of this complex regional specialty and the full range of head and neck pathologies with requisite assessment, investigation, surgical and relevant reconstructive techniques. Written by a multidisciplinary, international team of recognized experts, this textbook is a practical but comprehensive guide for both candidates preparing for final surgery examinations as well as general surgeons requiring an up-to-date source of definitive advice on topics of this regional specialty.

Authoritative and lavishly illustrated, this book is a valuable compendium of surgical techniques for the most complex oncologic problems in the head and neck patient. It distills the authors decades of experience in the surgical management of cases in which the excision of complex lesions is difficult and reconstruction is problematic. In the first half of the book, each chapter addresses cancer in a different region of the head and neck. Each chapter provides discussion of etiology, pathology, pathophysiology, and surgical anatomy, providing the necessary background for diagnostic evaluation, surgical treatment as well as nonsurgical treatment, including chemotherapy and radiation. Additional chapters cover such important topics as care for the pediatric patient, radiotherapy, restoration secondary to tumor ablation, and speech, voice, and swallowing implications following ablative procedures. Features: Detailed descriptions that guide the clinician through each surgical procedure Comprehensive discussion of management strategies that provides clinicians with a solid understanding of the available treatments and the possibilities and limitations of each Nearly 1,000 high-quality illustrations, photographs, and radiographic images that demonstrate pathologic and surgical concepts in precise detail Coverage of the latest techniques in skull base surgery and laryngeal surgery Valuable discussion of nursing care, nutrition, and speech therapy An essential resource for optimizing the care of patients with advanced cancer, this book is ideal for clinicians and residents in otolaryngology-head and neck surgery, facial plastic and reconstructive surgery, oral and maxillofacial surgery, oncology, and general surgery.

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.

Looking for the go-to guide on head and neck reconstruction? Check out the newest volume in the top-rated Master Techniques in Otolaryngology series, edited by the surgeon who performed the first human jaw transplant in the US. As a leading authority on head and neck cancers and reconstructive surgery, Dr. Eric Genden includes a range of treatments and techniques in this authoritative volume on microvascular reconstruction. Chapters are authored by leaders in the development of free tissue transfer flaps in head and neck reconstruction. Features: Techniques presented in step-by-step format Illustrated with more than 250 full-color intraoperative photos and line drawings Covers techniques ranging from local flaps to free tissue transfer Focuses on procedures used on the thyroid, parathyroid, salivary glands, paranasal sinuses and nasopharynx Includes discussion of skin, scalp, facial paralysis, palatomaxillary complex, skull base and special considerations

This issue of Clinics in Plastic Surgery, edited by Drs. Fu-Chan Wei and Nidal Farhan Al Deek, is devoted to Free Tissue Transfer to Head and Neck: Lessons Learned from Unfavorable Results. Articles in this issue include: The Triangle of Failure: Failure in Planning, Selection, and Execution; Lessons Learned from Unfavorable Microsurgical Head and Neck Reconstruction: Chang Gung Experience; Lessons Learned from Unfavorable Microsurgical Head and Neck Reconstruction: M.D Anderson Cancer Center Perspective; Lessons Learned from Unfavorable Microsurgical Head and Neck Reconstruction: Japan National Cancer Center Point of View; Insights from Mexico on the Unfavorable Results after Free Tissue Transfer to Head and Neck; “A Word from University of Toronto on the Unfavorable Results after Free Tissue Transfer to Head and Neck; Mount Sinai Medical Center and their Experience with Unfavorable Microsurgical Head and Neck Reconstruction; Mayo Clinic Experience with Unfavorable Results after Free Tissue Transfer to Head and Neck; University of Washington at Seattle and the Unfavorable Results after Free Tissue Transfer to Head and Neck; Henri Mondor Experience with Unfavorable Microsurgical Head and Neck Reconstruction; Liverpool Opinion on Unfavorable Microsurgical Head and Neck Reconstruction: Lessons Learned; The Osteoradionecrosis as Untoward Outcomes Following Successful Free Tissue Transfer to Head and Neck; Trismus as Untoward Outcomes after Successful Free Tissue Transfer to Head and Neck; and Oro- and –Naso- Cutaneous Fistulae as Untoward Outcomes after Successful Free Tissue Transfer to Head Neck.

It is my opinion that, in the near future, all major centres will have access to their own robot and that there will be an increasing role for this technology, especially in head and neck surgery. This book provides an excellent and timely introduction to this field. -- The Journal of Laryngology & Otology This is an exceptional resource on the latest techniques in robotic surgery, one of the most rapidly changing fields in head and neck surgery. The book focuses on the practical application of robotic surgical techniques to all types of head and neck locations. It is the first to meet the need for additional resources in this innovative area. -- Doody's Review (starred review) Head and neck surgery for benign and malignant disease is undergoing a groundbreaking transformation. Robot-assisted surgery is quickly being recognized as a significant innovation, demonstrating the potential to change treatment paradigms for head and neck disease. State-of-the-art robotics enables surgeons to access complex anatomy using a more minimally invasive approach, with the potential to improve patient outcome and reduce surgical morbidity. Learn from international clinicians who have pioneered new paths in the application of robotic-assisted surgery. Throughout the 16 chapters of this book, the authors provide comprehensive discussion of robotic surgical procedures for diseases affecting the oropharynx, larynx, hypopharynx, parapharyngeal space, thyroid, neck, and skull base. Key Features: Fundamental training and education-from ethical considerations and room set-up-to avoiding complications and clinical pearls Ten videos on the treatment of squamous and spindle cell carcinomas 150 superb illustrations enhance the didactic text Although further innovations and refinement of this technology will be forthcoming, the current state of robotic surgery encompassed in these pages lays a foundation for today and inspiration for tomorrow's advancements. The book is an invaluable resource for surgeons and residents interested in learning about and incorporating surgical robotics into otolaryngology practice, and will also benefit medical and radiation oncologists.