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Technical Variations and Refinements in Head and Neck Surgery
Jatin P Shah, Luc GT Morris
CHAPTER 1:
Basic Surgical Principles
OPERATING ROOM SETUP AND INSTRUMENTATION
Operating Room Setup
Setup for Specific Surgical Procedures
Basic Surgical Instrumentation
Electrodissection Instruments
BASIC SURGICAL TECHNIQUES
Skin Incision and Elevation of Skin Flaps
Access, Exposure, Visualization and Stability
Basic Dissection Technique
CHAPTER 2:
Surgery of the Scalp and the Skin of the Face and Neck
GENERAL PRINCIPLES
Infiltration before Incision
SURGERY OF THE SCALP
Scalp Incisions
Primary Closure versus Skin Graft versus Rotation Flap
Method of Fixation of Skin Graft on the Scalp
Wedge Excision and Primary Closure of the Pinna
Excision and Primary Closure of Facial Skin Lesions
CHAPTER 3:
Nose, Paranasal Sinuses, and Orbit
INTRODUCTION
FACIAL INCISION
PARTIAL MAXILLECTOMY
Extent of Resection
Preservation of the Soft Palate
Management of the Postmaxillectomy Defect
Palatal Fenestration
Repair of the Central Palatal Defect
Preservation of the Hard Palate
CHAPTER 4:
Skull Base Surgery
INTRODUCTION
ANTERIOR CRANIOFACIAL SURGERY
ENDONASAL SKULL BASE SURGERY
MIDDLE CRANIAL FOSSA AND INFRATEMPORAL FOSSA
CHAPTER 5:
Oral Cavity
INTRODUCTION
“V” EXCISION OF THE LIP
PARTIAL GLOSSECTOMY
SKIN GRAFTS IN THE ORAL CAVITY
MANAGEMENT OF THE MANDIBLE: SEGMENTAL MANDIBULECTOMY
MANAGEMENT OF THE MANDIBLE: MARGINAL MANDIBULECTOMY
MANDIBULOTOMY
OPTIMIZING THE LIP-SPLITTING INCISION
PALATAL FENESTRATION FOR HARD PALATE TUMORS
REPAIR OF THE CENTRAL PALATAL DEFECT
CHAPTER 6:
Larynx, Hypopharynx and Trachea
LOW-STAGE TUMORS
ADVANCED LARYNGEAL TUMORS
TOTAL LARYNGECTOMY OR PHARYNGOLARYNGECTOMY
Incision
Midline Vertical Incision
Apron Incision
“H” Incision
Single Transverse Incision
PHARYNGEAL CLOSURE
TRACHEOESOPHAGEAL PUNCTURE
TRACHEAL RESECTION
CHAPTER 7:
The Neck
INTRODUCTION
LYMPH NODE BIOPSY
NECK DISSECTION
Incision
EXTENT OF NECK DISSECTION
Comprehensive Neck Dissections
Selective Neck Dissections
PRESERVATION OF THE MARGINAL MANDIBULAR BRANCH OF THE FACIAL NERVE
PRESERVATION OF SKIN SENSATION
PRESERVATION OF VASCULARITY OF THE ACCESSORY NERVE
SELECTIVE NECK DISSECTION IN THE POSTCHEMORADIATION SALVAGE SETTING
Avoidance of Chyle Leak
CENTRAL-COMPARTMENT NODE DISSECTION
PLACEMENT OF SUCTION DRAINS
CHAPTER 8:
Thyroid and Parathyroid Glands
INTRODUCTION
THYROID LOBECTOMY OR TOTAL THYROIDECTOMY
THYROIDECTOMY AND NECK DISSECTION
SURGERY FOR LARGE THYROID TUMORS AND RETROSTERNAL GOITERS
NERVE MONITORING
PARATHYROID SURGERY
MINIMALLY INVASIVE PARATHYROIDECTOMY
FOUR-GLAND EXPLORATION AND SUBTOTAL PARATHYROIDECTOMY
CHAPTER 9:
Salivary Glands
SUPERFICIAL PAROTIDECTOMY
Incision
Elevation of Skin Flap
Management of the Great Auricular Nerve
Initial Dissection of the Parotid Gland
Identification of the Main Trunk of the Facial Nerve
PAROTIDECTOMY AND EXCISION OF DEEP LOBE PAROTID TUMOR
Sacrifice of the Facial Nerve
Management of the Eye in Facial Paralysis
EXCISION OF THE SUBMANDIBULAR GLAND FOR SIALOLITHIASIS
CHAPTER 10:
Other Tumors
CAROTID BODY TUMORS AND PARAGANGLIOMAS
CHAPTER 11:
Transoral Surgery and Endoscopic Techniques
TRANSORAL LASER MICROSURGERY AND TRANSORAL ROBOTIC SURGERY
Choosing an Approach
Evaluating Candidacy for Transoral Exposure
Safety, Setup and Exposure
Piecemeal Resection with Margin Mapping
Transoral Supraglottic Laryngectomy
Transoral Surgery for Glottic Tumors
Transoral Surgery for Base of Tongue Tumors
Transoral Surgery for Tonsil Tumors
Transoral Approaches to Squamous Cell Carcinoma of Unknown Primary Origin
ENDOSCOPIC MANAGEMENT OF TRACHEAL AND SUBGLOTTIC STENOSIS
PERCUTANEOUS ENDOSCOPIC GASTROSTOMY TUBE INSERTION
INDEX
TOC
Index
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