Jaypee Brothers Medical Publishers (P) Ltd

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© 2013, Jaypee Brothers Medical Publishers

All rights reserved. No part of this book may be reproduced in any form or by any means without the prior permission of the publisher.

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This book has been published in good faith that the contents provided by the contributors contained herein are original, and is intended for educational purposes only. While every effort is made to ensure accuracy of information, the publisher and the editors specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work. If not specifically stated, all figures and tables are courtesy of the editors. Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device.

First Edition: 2013

In spite of significant advances made in the multidisciplinary treatment of diseases and neoplasia in the head and neck region, surgery remains the mainstay amongst all therapeutic modalities currently available for these conditions. Surgical techniques have however, undergone significant evolution with major emphasis on preservation or restoration of form and function. This has resulted in the development of minimally invasive techniques. Technological advances in endoscopic instrumentation have ushered in the era of endoscopic surgery, replacing the well-established techniques of open surgery of the nasal cavity and paranasal sinuses. Major strides in imaging techniques over the past three decades, has facilitated accurate assessment of the extent of a neoplasm and has facilitated development of computer-assisted surgical techniques with intraoperative navigation and Robotic surgery. Thus, the surgical specialty of Otolaryngology and Head & Neck Surgery has dramatically changed over the years, and remains a challenging and continuously evolving field.

23It is a pleasure to write the foreword for the Atlas of Operative Otorhinolaryngology and Head & Neck Surgery. Today, the field of Medicine and especially the field of Otorhinolaryngology and Head & Neck Surgery is advancing by leaps and bounds in expertise and technology. With evidence-based medicine being at the forefront of our practice, mastering the skills of the surgical technique and the rationale behind this is of equal importance to the surgeon. There are various centers of excellence all over the world specializing in particular aspects of our field and it is common practice for the trainee doctors as well as established surgeons to visit these from time to time to learn and to upgrade their skills.

25In today's age of rapid advances in science and technology, there is no dearth of learning material available to the avid learner. However, in the field of Otorhinolaryngology and Head & Neck Surgery, there seemed a lacuna between undergoing surgical training at various places and understanding the concepts/rationale behind the surgical technique. This book is a modest attempt by the editors to bridge this lacuna by going through each surgery in a simple step-wise manner using intraoperative images and illustrated figures, wherever required, to help understand the technique of surgery.

We would like to express our gratitude to our publishers, M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, especially Shri Jitendar P Vij for having the vision and faith in us, Ms Chetna Malhotra Vohra for her patience, perseverance and perfection, Ms Payal Bharti, Mr Arun Sharma and the entire team for their untiring efforts in completing this book on time. Also, we would like to thank all our students who have taught us in addition to learning from us; Reema Rai, Harshad Nikte, Parag Watve, Harshal Sonavane, Snigdha Devane, Anjoo Choudhary, Alok Nema, Supriya Rode, Balagopal Kurup, Hemant Sharma, Sunil Khot, Sanket Dani, Ankit Jain, Diptarka Bhattacharya, Sobhana Chandran and Lubna Sayed. They have all contributed to the making of this Atlas in significant ways. Most importantly, our teachers who have not only taught us surgery but, given us the drive to teach and impart knowledge.28293031