Free Flap Reconstruction Of The Head And Neck

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 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.

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 textbook, containing a plethora of illustrations and pictures, will serve as an atlas and as a superb guide to the use of cutaneous flaps in head and neck reconstruction. Each chapter depicts, in a layered manner, the anatomy of a particular donor site from which flaps are derived and used in head and neck defects, providing systematic steps in understanding the topographical anatomy of the various tissue layers. The flaps derived from each donor site are presented in detail, with step-by-step instructions in flap design and harvesting techniques based in anatomy. The author uses numerous high-quality color illustrations drawn from his own practice in order to demonstrate the techniques. His combined expertise as a maxillofacial surgeon and an assistant professor of anatomy enables him to explain clearly the transition from basic science anatomy to applied anatomy and to document reconstructive surgical techniques in precise detail. This beautifully illustrated book, including many basic and advanced flap designs, will be an illuminating reference for all who treat defects in the head and neck area.

Thieme congratulates Eric M. Genden on being chosen by New York magazine for its prestigious ‘Best Doctors 2017' list. A unique approach to surgical reconstruction of the head and neck" Written and edited by renowned leaders in the field, Reconstruction of the Head and Neck takes a defect-oriented approach that enables surgeons to match their patients' defects with those included in the book and offers clinicians excellent guidance on the latest techniques for achieving optimal functional and aesthetic surgical results. Topics covered include oromandibular complex reconstruction, skull base reconstruction, microvascular reconstruction, and more. Special Features: Authors have organized the chapters by specific defect, so readers can easily find the reconstructive options for their patients Experts cover the reconstruction of major soft tissue, bony and muscular defects of the head, neck, and skull base in detail More than 200 color illustrations help clarify the surgical methods described in the text Experienced surgeons review approaches to reconstruction and the fine points that surgeons need to know for the best outcomes For each defect, the steps in the procedure, the orientations of the flap, and the details that confer excellent surgical results are covered. Surgeons and fellows involved in head and neck reconstruction will greatly benefit from the extensive coverage of the best methods to treat some of the most challenging defects they will face.

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.

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.