Table of Contents

Oral Cancer Surgery: A Visual Guide; Title Page; Copyright; Dedication; Contents; Preface; Acknowledgments; 1 Airway Management; 1.1 Tracheotomy; 1.1.1 History; 1.1.2 Relevant Anatomy for Tracheotomy; 1.2 Technique of Tracheotomy; 2 Lymph Node Management; 2.1 General Overview of Neck Dissection; 2.1.1 History; 2.1.2 Classification and Clinical Management; 2.1.3 Relevant Anatomy of the Neck; 2.1.4 Definition and Description of the Cervical Lymph Node Groups: Levels and Sublevels of the Neck; 2.2 Neck Dissection Levels I to III (Supraomohyoid Dissection) 2.2.1 Preliminary Considerations and Recommended Procedure2.2.2 Technique of Neck Dissection Levels I to III; 2.3 Neck Dissection Levels IV and V; 2.3.1 Preliminary Considerations and Recommended Approaches; 2.3.2 Relevant Anatomy for Level V Dissection; 2.3.3 Technique of Posterior Neck Dissection (MacFee Approach); 2.3.4 Alternative Approaches for Levels I to V; 3 Ablative Tumor Surgery; 3.1 Access to the Tumor and Tumor Resection; 3.1.1 Overview and Accessibility; 3.1.2 Alternative Approaches and Indications; 3.2 Lip-split Mandibulotomy Access; 3.2.1 History; 3.2.2 Modifications 3.2.3 Technique3.3 Weber-Fergusson-Die.enbach Approach; 3.3.1 History; 3.3.2 Technique; 3.4 Midfacial Degloving; 3.4.1 History; 3.4.2 Technique; 3.5 Le-Fort-I Osteotomy Approach; 3.5.1 History; 3.5.2 Technique; 3.6 Tumor Access: Further Approaches; 3.6.1 To the Upper Part of the Oral Cavity and the Midface; 3.6.2 To the Lower Part of the Oral Cavity; 3.7 Tumor Resection; 3.7.1 Technique; 4 Reconstructive Surgery; 4.1 Considerations on Reconstructive Procedures; 4.2 Suggestions for Reconstructive Algorithms; 4.3 Nasolabial Flap; 4.3.1 History; 4.3.2 Flap Anatomy; 4.3.3 Indications 4.3.4 Variations4.3.5 Technique; 4.4 Deltopectoral Flap; 4.4.1 History; 4.4.2 Flap Design and Anatomy; 4.4.3 Indication; 4.4.4 Technique; 4.5 Microvascular Anastomosis; 4.5.1 History; 4.5.2 Technique; 4.6 Radial Forearm Flap; 4.6.1 History; 4.6.2 Indication.; 4.6.3 Preliminary Examinations and Considerations; 4.6.4 Technique; 4.7 Anterolateral Thigh Flap/ Myocutaneous Vastus Lateralis Flap; 4.7.1 History; 4.7.2 Indication; 4.7.3 Preoperative Procedures; 4.7.4 Technique; 4.7.5 Modification of the Procedure by Harvesting an Additional Myocutaneous Tensor Fasciae Latae Flap 4.8 Osseocutaneous Fibula Flap4.8.1 History; 4.8.2 Indication.; 4.8.3 Preoperative Procedures; 4.8.4 Cross-sectional Anatomy; 4.8.5 Technique; 4.9 Considerable Alternatives in Reconstruction; 4.9.1 Pedicled Flaps; 4.9.2 Free Flaps; 4.10 Principles of Complex Reconstruction Planning; 4.10.1 Classification of Mandibular Defects; 4.10.2 Mandibular Reconstruction with Osseocutaneous Fibula Flaps; 4.10.3 Combined Mandibula and Tongue Reconstruction; Index "Preface Operative treatment for oral cancer is one of the most challenging fields in whole surgery. The perioral region is the only area of the body containing all types of tissue: muscle, bone, cartilage, skin and mucosa. Because of this unique anatomy, ablative tumor surgery and reconstructive surgery remain very complex. On the one hand, the surgeon has to possess elaborate skills in handling the soft tissue, dealing with microvascular techniques and managing bone treatment including osteosynthesis. On the other hand, he has to prepare defined strategies to anticipate any upcoming surgical problem. As there is an overwhelming repertoire of ablative and reconstructive procedures, it is hard for students, residents and young surgeons to find the right way to "survive in the operative jungle." This book concentrates on key procedures that offer young surgeons the possibility to solve almost any case of oral cancer. Basic principles are didactically edited in series of pictures and/or diagrams. Traditional approaches are combined with innovative techniques. Anatomical introductions connect previous knowledge with the surgical procedures. Additionally, historic landmarks and recommendations regarding to the techniques are given in an informational, sometimes anecdotic style. The compact and concise character of the book should enable the resident to study, prepare and recapitulate all issues regarding oral cancer surgery in a short time. Marco Kesting 2014 "--Provided by publisher.