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.

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.

This Atlas depicts in a clear manner the use of regional skin, muscle and musculocutaneous flaps as well as donor sites from distant regions of the body where vascularized skin, muscle, bone, and nerves can be harvested and transferred to the head and neck. Otolaryngologists, plastic surgeons and general surgeons use both regional and free flaps to reconstruct damage to the head and neck caused by cancer and trauma. This Atlas provides the surgeon with techniques for mastering different donor sites needed to find solutions to virtually every reconstruction problem. It provides detailed descriptions of the anatomy and harvesting techniques of the major regional and free-flap donor sites currently employed in head and neck reconstruction.

This richly illustrated atlas provides a clear and comprehensive step-by-step description of surgical techniques for raising and setting free flaps from different donor sites, to reconstruct damage to the head and neck caused by cancer and trauma. Adopting a highly practical approach, the book describes the indications and technical aspects of each procedure with sets of in-vivo pictures clearly showing the surgical passages. In addition, it discusses microvascular techniques and explores different soft-tissue, perforator and bone flaps, including novel free tissue flaps, presented for the first time in the head and neck field. This book offers invaluable insights into free-flap harvesting and transferring techniques for both residents and experienced specialists in the field of otolaryngology, head and neck, maxillo-facial and plastic surgery.

Local and Regional Flaps in Head & Neck Reconstruction: A Practical Approach provides comprehensive, step-by-step instruction for flap raising and insetting for the head and neck region. Ideal for oral and maxillofacial surgeons, facial plastic surgeons, and head and neck surgeons, the book serves as a useful guide to planning reconstructive cases and an easily accessible reference prior to operation. Local and Regional Flaps in Head & Neck Reconstruction is logically organized into 24 chapters, each focusing on a local or regional flap, or a special site reconstruction. Chapters focused on a particular flap will begin with a detailed description of the relevant anatomy and discuss potential applications of the flap before moving into a detailed step-by-step description of how to elevated and transfer the flap to the defect site. Potential complications will also be addressed. Well-illustrated with more than 800 clinical photographs and with a website featuring surgical procedures, this book is an ideal reference for those new to practice and experts alike.

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.

Local and Regional Flaps in Head & Neck Reconstruction: A Practical Approach provides comprehensive, step-by-step instruction for flap raising and insetting for the head and neck region. Ideal for oral and maxillofacial surgeons, facial plastic surgeons, and head and neck surgeons, the book serves as a useful guide to planning reconstructive cases and an easily accessible reference prior to operation. Local and Regional Flaps in Head & Neck Reconstruction is logically organized into 24 chapters, each focusing on a local or regional flap, or a special site reconstruction. Chapters focused on a particular flap will begin with a detailed description of the relevant anatomy and discuss potential applications of the flap before moving into a detailed step-by-step description of how to elevated and transfer the flap to the defect site. Potential complications will also be addressed. Well-illustrated with more than 800 clinical photographs and with a website featuring surgical procedures, this book is an ideal reference for those new to practice and experts alike.

This surgical atlas, featuring a wealth of color photographs, provides detailed step-by-step descriptions of a wide range of open head and neck procedures, including radical and conservative (organ preservation, functional) approaches, aesthetic and reconstructive surgeries with the use of axial and free flaps, and surgery within the narrow confines of the skull base. Individual chapters are dedicated to surgery of the nose and paranasal sinuses, larynx and trachea, thyroid, salivary glands, mandible, face and lips, and neck, the repair of external nose defects, the use of axial and free flaps, and surgical treatment of temporal bone malignancy. The atlas will be a comprehensive practical reference for clinicians in the various specialties involved in head and neck surgery, including otolaryngologists, head and neck surgeons, plastic surgeons, maxillofacial surgeons and surgical oncologists. It will assist practitioners in achieving the high level of competence that is essential owing to the large number of vital structures in the head and neck region.

A beautifully illustrated, step-by-step surgical guide to the key procedures in reconstructive facial plastic surgery Drawing on decades of operating room and teaching experience, Dr. Weerda and his team offer a complete guide to reconstructive options for facial, head, and neck defects in this eagerly awaited second edition. Their systematic, step-by-step approach, with an emphasis on meticulous preoperative planning, evaluation of alternatives, and selection of the best procedure, ensures optimal results for all patients. Special features of the second edition: Includes more than 1,500 sequential illustrations of each procedure, along with full-color intraoperative photographs and before and after surgical results Reviews the full range of local, regional, and free flaps used in the reconstruction of facial structures, with chapters on myocutaneous island flaps, delto-pectoral flaps, and free microvascular transplants written by well-known practitioners Offers new and expanded sections on dermabrasion, free flaps, removal of skull bone for modern defect reconstruction, instrument sets/trays, and more Covers the entire scope of the field, from basic principles, anatomy, wound healing, and scar revision to defect closings in each facial region, bone grafts, and the groundbreaking auricular reconstructive techniques developed by Dr. Weerda Focusing on the questions, problems, and technical solutions most commonly encountered in everyday practice, this compact book will be valuable to both the novice and more experienced surgeon. It is filled with the insights, wisdom, and experience of a leading worldwide expert, and will be kept close at hand as a refresher, teaching guide, encyclopedia of facial plastic techniques, and standard operating room reference.