Technical Variations and Refinements in Head and Neck Surgery Jatin P Shah, Luc GT Morris
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1Technical Variations and Refinements in Head and Neck Surgery2
3Technical Variations and Refinements in Head and Neck Surgery
Luc GT Morris MD MSc Catherine and Frederick R Adler Chair for Junior Faculty Assistant Attending Surgeon Head and Neck Service Memorial Sloan-Kettering Cancer Center Assistant Professor of Otolaryngology Weill Medical College of Cornell University New York, NY, USA Jatin P Shah MD PhD(Hon) FACS FRCS(Hon) FDSRCS(Hon) FRACS(Hon) Chief, Head and Neck Service EW Strong Chair in Head and Neck Oncology Memorial Sloan-Kettering Cancer Center Professor of Surgery Weill Medical College of Cornell University New York, NY, USA
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Technical Variations and Refinements in Head and Neck Surgery
First Edition: 2014
9789351523178
Printed at:
5Dedicated to
Jack and Kaia and all the aspiring Head and Neck Surgeons around the globe
6
7Preface
“A large part of abdominal work is recreation as compared with the work of what might be called the heavy surgery of the neck”.
Charles H Mayo, 1905
Unique among the specialties that make up the field of cancer care, surgical oncology is both a science and an art. The outcome of patients with head and neck cancer depends not only on the surgeon's decision-making and knowledge base, but also on his technical ability to accomplish a surgically safe and complete cancer operation. No two operations are the same, no surgery is ever routine, and even “minor” technical aspects of the procedure can affect the patient's quality, and length of life. This is a perennial aspect of high-quality cancer care that is difficult to convey in a textbook or journal article. Over the past 30 years, training programs for the increasingly complex specialty of Head and Neck Surgical Oncology have evolved to train the next generation in high quality surgical care for diseases of the head and neck.
This textbook will cover the advanced technical aspects, variations, and refinements of head and neck surgical procedures, developed by the senior author over the past 40 years. These variations in technique are currently practiced by the surgeons on the Head and Neck Service at Memorial Sloan-Kettering Cancer Center in New York, USA. For each procedure, the refinements will be directly compared with conventional surgical techniques. These refinements were developed, keeping function and esthetics in mind, which clearly impact on the quality of life. This focused text is a companion to Jatin P Shah's Head and Neck Surgery and Oncology, 4th edition, and therefore does not seek to cover oncologic aspects of surgical decision-making, nor does it encompass the critical multi-disciplinary nature of head and neck cancer treatment, or the rapidly evolving science of the field. It also does not describe the step by step conduct of operations, for which the reader is referred to the main textbook. On the other hand it highlights the important components of operative procedures, concentrating on technical nuances. Thus, this book is intended to take the reader on a focused tour through some major refinements to the performance of the craft of head and neck surgery.
We hope that this work will be of value to residents and fellows in training, as well as established surgeons who may not perform a high volume of head and neck procedures.
Luc GT Morris
Jatin P Shah8
9Acknowledgments
We would like to thank the many courageous patients with head and neck cancer who we have had the good fortune to meet, treat and glean inspiration from. We would also like to thank Ms Raia Mohammed and Mr Benjamin Hegel of the Head and Neck Service for their superb editorial assistance, Ms Chetna Malhotra Vohra (Senior Manager—Business Development) and Ms Sheetal Arora (Development Editor) of M/s Jaypee Brothers Medical Publishers (P) Ltd., New Delhi, India.