Atlas Of Regional And Free Flaps For Head And Neck Reconstruction

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 text describes surgical procedures, techniques and approaches used in major flap transfers for reconstructive head-and-neck surgery. It presents descriptions of anatomy and anatomical variations, step-by-step guides on preparing appropriate donor/recipient sites, and techniques for grafting. It is a colour pictorial reference on major flap transfers for reconstructive head-and-neck surgery.

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.

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.

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.

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.

Illustrated with over 3,400 drawings and full-color photographs, this volume presents a unique multidisciplinary approach to head and neck reconstruction, combining input from otolaryngologists, plastic surgeons, oral and maxillofacial surgeons, maxillofacial prosthodontists, oculoplastic surgeons, speech and swallowing therapists, and metabolic support and nutrition specialists. For each anatomic region of the head and neck, the book defines the various defects from the reconstructive surgeon's point of view and presents actual cases demonstrating how each defect was reconstructed. In-depth discussions by leaders in the field allow the reader to appreciate the basic principles as well as the nuances of restoring each defect to an optimal level using regional flaps, free flaps, and prosthetic rehabilitation. The detailed case presentations show flap design and inset to achieve the final result. One of the key advances emphasized is the combination of implant technology and free tissue transfer to achieve the highest level of functional restoration. The reconstruction of patients following failure of radiation therapy is also extensively discussed.

Now in its thoroughly updated Third Edition, this classic work is the most comprehensive reference ever published on surgical flaps for reconstructing defects in the head and neck. In clearly organized chapters, internationally recognized surgeons describe and illustrate every clinically proven flap option available for repairing every routine and unusual defect. Complementing the text are hundreds of clinical photographs and diagrams of anatomy, blood supply, flap design, and operative procedures. The book is extensively indexed and organized by anatomic region, and chapters follow a uniform format that clearly presents all the information needed on each flap. The Third Edition features new chapters by the original experts who have made landmark contributions to the recent literature. Many chapters from the previous edition have been completely revised. Wherever appropriate, the editors have added editorial comments to guide the reader in selection of flaps.