Restoration Reconstruction And Rehabilitation In Head And Neck Cancer

This book offers a comprehensive set of principles that lead to ideal outcomes following treatment for Head and Neck Cancers, especially in those patients who need major reconstructive procedures. It goes beyond the scope of basic Head and Neck Cancer textbooks, or of reconstructive surgery texts, in that the essential focus is on optimal outcomes beyond fundamental evaluation and management. The book addresses a range of essential aspects: the chapters on Functional and Aesthetic considerations underscore crucial basics that should be understood by all surgeons, while other chapters relevant to all members of the Head and Neck team address Imaging, Robotics, Radiation Morbidities, Prosthetics and Quality of Life. Throughout the book, particular attention is given to high-quality photographs, flow diagrams and tables wherever possible, combined with crisp writing to achieve effective communication. The book is unique in the completeness of its approach: from the time of initial presentation, to the time patients resume their normal lives. Although written primarily for surgeons, its value extends to all members of the multi-disciplinary team managing Head and Neck Cancer patients today.

This book offers a comprehensive set of principles that lead to ideal outcomes following treatment for Head and Neck Cancers, especially in those patients who need major reconstructive procedures. It goes beyond the scope of basic Head and Neck Cancer textbooks, or of reconstructive surgery texts, in that the essential focus is on optimal outcomes beyond fundamental evaluation and management. The book addresses a range of essential aspects: the chapters on Functional and Aesthetic considerations underscore crucial basics that should be understood by all surgeons, while other chapters relevant to all members of the Head and Neck team address Imaging, Robotics, Radiation Morbidities, Prosthetics and Quality of Life. Throughout the book, particular attention is given to high-quality photographs, flow diagrams and tables wherever possible, combined with crisp writing to achieve effective communication. The book is unique in the completeness of its approach: from the time of initial presentation, to the time patients resume their normal lives. Although written primarily for surgeons, its value extends to all members of the multi-disciplinary team managing Head and Neck Cancer patients today.

Malignancies involving structures of the head and neck frequently impact the most fundamental aspects of human existence, namely, those functions related to voice and speech production, eating, and swallowing. Abnormalities in voice production, and in some instances its complete loss, are common following treatment for laryngeal (voice box) cancer. Similarly, speech, eating, and swallowing may be dramatically disrupted in those where oral structures (e.g., the tongue, jaw, hard palate, pharynx, etc.) are surgically ablated to eliminate the cancer. Consequently, the range and degree of deficits that may be experienced secondary to the treatment of head and neck cancer (HNCa) are often substantial. This need is further reinforced by the Centers for Disease Control and Prevention who have estimated that the number of individuals who will be newly diagnosed with HNCa will now double every 10 years. This estimate becomes even more critical given that an increasing number of those who are newly diagnosed will be younger and will experience the possibility of long-term survival post-treatment. Contemporary rehabilitation efforts for those treated for HNCa increasingly demand that clinicians actively consider and address multiple issues. Beyond the obvious concerns specific to any type of cancer (i.e., the desire for curative treatment), clinical efforts that address physical, psychological, communicative, and social consequences secondary to HNCa treatment are essential components of all effective rehabilitation programs. Comprehensive HNCa rehabilitation ultimately seeks to restore multiple areas of functioning in the context of the disabling effects of treatment. In this regard, rehabilitation often focuses on restoration of function while reducing the impact of residual treatment-related deficits on the individual’s overall functioning, well-being, quality of life (QOL), and ultimately, optimize survivorship. Regardless of the treatment method(s) pursued for HNCa (e.g., surgery, radiotherapy, chemoradiation, or combined methods), additional problems beyond those associated with voice, speech, eating and swallowing frequently exist. For example, post-treatment changes in areas such as breathing, maintaining nutrition, limitations in physical capacity because surgical reconstruction such as deficits in shoulder functioning, concerns specific to cosmetic alterations and associated disfigurement, and deficits in body image are common. Those treated for HNCa also may experience significant pain, depression, stigma and subsequent social isolation. Concerns of this type have led clinicians and researchers to describe HNCa as the most emotionally traumatic form of cancer. It is, therefore, essential that clinicians charged with the care and rehabilitation of those treated for HNCa actively seek to identify, acknowledge, and systematically address a range of physical, psychological, social, and communication problems. Efforts that systematically consider this range of post-treatment sequelae are seen as critical to any effort directed toward enhanced rehabilitation outcomes. Actively and purposefully addressing post-treatment challenges may increase the likelihood of both short- and long-term rehabilitation success in this challenging clinical population. Current information suggests that successful clinical outcomes for those with HNCa are more likely to be realized when highly structured, yet flexible interdisciplinary programs of care are pursued. Yet contemporary educational resources that focus not only on management of voice, speech, eating, and swallowing disorders, but also address issues such as shoulder dysfunction due to neck dissection, the significant potential for cosmetic alterations can offer a much broader perspective on rehabilitation. Contemporary surgical treatment frequently involves reconstruction with extensive procedures that require donor sites that include both soft tissue from a variety of locations (e.g., forearm, thigh, etc.), as well as bone (e.g., the scapula). Collectively, resources that address these issues and many other concerns and the resultant social implications of HNCa and its treatment can serve to establish a comprehensive framework for clinical care. Consequently, providing a highly specialized and comprehensive educational resource specific to HNCa rehabilitation is currently needed. The proposed edited book is designed to address this void in a single authoritative resource that is also accessible to the clinical readership. Integral to this proposed book is information that guides clinical approaches to HNCa rehabilitation, in addition to offering emphasis on the direct impact of changes in voice, speech, and swallowing and the impact of such losses on outcomes. Finally, while several other published sources currently exist (see attached list), the emphasis of these books is directed either toward the identification and diagnosis of malignant disease, clinical and surgical pathology, associated efforts directed toward biomedical aspects of cancer and its treatment, or those with a focus on a single clinical problem or approach to rehabilitation. Therefore, the content of the proposed multi-chapter text centers on delivering a systematically structured, comprehensive, and clinically-oriented presentation on a range of topics that will provide readers at a variety of levels with a strong, well-integrated, and empirically driven foundation to optimize the clinical care of those with HNCa. The primary audience for this textbook is undergraduate and graduate-level students in Speech-Language Pathology, as well as practitioners, especially hospital-based practitioners, in Speech-Language Pathology; other key audiences include junior and senior level otolaryngology residents and fellows, translational researchers in head and neck cancer, related medical specialists (e.g., radiation oncology), oncology nurses, and potentially other rehabilitation professionals such as occupational therapists, counseling psychologists, social workers, and rehabilitation counselors.

This text provides a comprehensive grounding in the contemporary rehabilitation, management, and clinical care of patients following treatment of head and neck cancer (HNCa). It provides the diagnostic and clinical information necessary to successfully manage patients with HNCa, and aids clinical health trainees and professionals in identifying, acknowledging, and addressing a wide range of problems that may occur post treatment, such as abnormalities in voice and speech production, eating, and swallowing. In addition, the book explores the physical, psychological, communicative, and social aspects that form essential components of cancer rehabilitation programs that seek to restore multiple areas of functioning which are disrupted secondary to treatment. Post-treatment changes in breathing, nutrition, physical capabilities, disfigurement, mood, and body image are also covered.

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.

Accompanying CD-ROM contains ... "audio and video vignettes giving case examples covering swallowing disorders, stoma care, nonsurgical and prosthetic voice restoration, rehabilitation of olfaction, as well as personal patient experiences and reflections from adult and pediatric laryngectomees ..."--P. [4] of cover.

Each year, over 650,000 people worldwide are diagnosed with cancers of the head and neck-a deeply personal disease that can affect functions critical to everyday life, like breathing, eating, and speaking. While these cancers have traditionally been associated with tobacco and alcohol use, recent studies reveal that 25% of cases are linked to HPV. In Conquering Head and Neck Cancer, readers will gain a comprehensive understanding of these diverse cancers so they can take charge of their diagnosis, treatment options, and recovery. This empowering guide provides advice the author wishes she had when facing her own head and neck cancer journey. In addition to covering established treatments like surgery, chemotherapy, and radiation, the book explores exciting emerging immunotherapies that utilize the body's immune system. It also delves into complementary therapies to manage side effects. Crucially, this is among the first patient guides to dedicate entire chapters to life after treatment-including physical, emotional, and practical aspects of survivorship. Conquering Head and Neck Cancer equips readers with the knowledge, strategies, and support community to face every uphill and downhill along their path. From diagnosis and treatment to recovery and beyond, it helps create an optimal trajectory while living with hope. If you or a loved one are seeking to understand head and neck cancers deeply and navigate the terrain ahead, this may be the most useful book you ever read.

Thieme congratulates Dr. Eric M. Genden on being chosen by New York magazine for its prestigious 'Best Doctors 2018' list! Head and Neck Cancer: Management and Reconstruction, 2nd Edition by Eric M. Genden masterfully blends two lauded Thieme books, Reconstruction of the Head and Neck, focusing on defect repair, and Head and Neck Cancer, a multidisciplinary, evidence-based approach to treatment. A significant increase in the incidence of oropharyngeal cancer in the U.S. and other countries, especially among men, is attributed to high-risk subtypes of the human papillomavirus (HPV). HPV associated tonsillar cancer and base of tongue cancer account for 90% of all oropharyngeal squamous cell carcinoma. Internationally renowned authors share the latest knowledge on HPV and other causes of head and neck cancers, from diagnosis to cutting-edge treatments. Thirty richly illustrated chapters feature open and endoscopic ablative techniques for treating a full spectrum of carcinomas and associated defects of the buccal, mandible and composite, laryngeal, hypopharyngeal, and parotid. The book encompasses the nuances of each pathology, step-by-step procedural guidance, clinical pearls, and the latest reconstructive techniques such as 3-D. For each disease, the authors discuss management concepts followed by principles of reconstruction and functional rehabilitation. Special topics include patient surveillance, monoclonal antibodies and immunotherapy, microvascular reconstruction, and minimizing wound complications. Key Features State-of-the-art management of carcinomas impacting the oral and nasal cavities, salivary glands, oropharynx, hypopharynx, larynx, thyroid, anterior skull base, skin, and more A chapter devoted to transoral robotic management of the oropharynx includes epidemiology, etiology, anatomy, staging, clinical presentation, diagnosis, work-up, and case studies More than 300 high-quality illustrations and photos elucidate complex anatomy and surgical approaches Concise videos posted online in the Thieme MediaCenter provide insightful hands-on surgical guidance This is the definitive, one-stop resource on the use of ablative and reconstructive approaches for head and neck cancers. Residents, fellows, and veteran practitioners in otolaryngology—head and neck surgery, radiation oncology, and medical oncology will benefit from this comprehensive reference.