Ablative tumor surgery of the head and neck region often results in severe cosmetic and functional deformities. In these cases, microvascular free-tissue transfer enables three-dimensional reconstruction of head and neck defects. The selection of adequate donor tissue and a profound knowledge of the human anatomy and the various harvesting techniques are paramount in ensuring successful reconstruction. Reflecting current surgical approaches, this book presents the most frequently used flaps in head and neck surgery, including detailed overviews as well as their respective pearls and pitfalls. Moreover, each section contains a synopsis and pre-operative checklist. The overlay-technique merges high-quality-photographs with drawings and precisely illustrates the step-to-step descriptions of the different flap harvesting techniques, making this manual in pocket size an unique and accessible reference for both doctors in training and specialists in the field of otolaryngology, head and neck, plastic, maxillofacial and skull base surgery.

Local and Regional Flaps in Head & Neck Reconstruction: A Practical Approach provides comprehensive, step-by-step instruction for flap raising and insetting for the head and neck region. Ideal for oral and maxillofacial surgeons, facial plastic surgeons, and head and neck surgeons, the book serves as a useful guide to planning reconstructive cases and an easily accessible reference prior to operation. Local and Regional Flaps in Head & Neck Reconstruction is logically organized into 24 chapters, each focusing on a local or regional flap, or a special site reconstruction. Chapters focused on a particular flap will begin with a detailed description of the relevant anatomy and discuss potential applications of the flap before moving into a detailed step-by-step description of how to elevated and transfer the flap to the defect site. Potential complications will also be addressed. Well-illustrated with more than 800 clinical photographs and with a website featuring surgical procedures, this book is an ideal reference for those new to practice and experts alike.

This Atlas depicts in a clear manner the use of regional skin, muscle and musculocutaneous flaps as well as donor sites from distant regions of the body where vascularized skin, muscle, bone, and nerves can be harvested and transferred to the head and neck. Otolaryngologists, plastic surgeons and general surgeons use both regional and free flaps to reconstruct damage to the head and neck caused by cancer and trauma. This Atlas provides the surgeon with techniques for mastering different donor sites needed to find solutions to virtually every reconstruction problem. It provides detailed descriptions of the anatomy and harvesting techniques of the major regional and free-flap donor sites currently employed in head and neck reconstruction.

The definitive resource on surgical flaps from renowned MD Anderson plastic surgeons Handbook of Reconstructive Flaps by Matthew Hanasono and Charles Butler reflects contributions from clinicians associated with the prestigious MD Anderson Cancer Center. The institution is internationally recognized as one of the world's premier reconstructive centers and renowned for its Reconstructive Microsurgery fellowship program. This unique resource provides a comprehensive review of microvascular surgery techniques using the most common reconstructive pedicle flaps, free flaps, perforator flaps, and workhorse flaps. Seven parts organized anatomically detail flaps used for the head/neck, chest, back, abdomen, pelvis, upper extremity, and lower extremity, followed by an eighth part on lymphedema. Each flap or procedure includes pertinent anatomy, indications for usage, preoperative considerations, a concise step-by-step description of the operative setup, the actual procedure, and donor site closure. Key Features A Pearls and Pitfalls section in each chapter outlines key concepts and critical nuances in surgical techniques or patient management More than 200 clear diagrams, line drawings, and illustrative surgical photos enhance understanding of high impact points High quality videos posted online elucidate flap techniques A section dedicated to the microsurgical treatment of lymphedema covers lymphovenous bypass, vascularized lymph node transfers from the groin and supraclavicular region, and lymphovenous anastomosis This is an essential, user-friendly backpack reference for plastic surgery residents to use during rounds and as a board prep. It is also an excellent resource for plastic surgeons new to clinical practice and veteran practitioners as a refresher on unfamiliar flaps.

This book is truly a classic, beloved by plastic surgeons throughout the world. Its strength lies in its simple, elegant approach to solving common reconstructive problems encountered by plastic surgeons at all levels of training. Its appeal transcends specialty interests, with aesthetic and reconstructive surgeons alike finding this book to be an invaluable resource for daily practice. Its comprehensive coverage makes it an essential addition to any surgeon's library. Totally revised and updated with color throughout, this new edition has been totally revised and updated with over 150 additional pages, two new chapters, and numerous new cases, flaps, and problems. Additionally, there are color illustrations, summary tables highlighting the best flaps for various clinical situations, annotated bibliographies, and much, much more. Throughout these pages, the reader benefits from Dr. Jackson's enormous experience and wisdom as he makes note of special tips, critical maneuvers, and important principles that warrant emphasis. Each flap is accompanied by a description of potential problems, and each anatomic area for reconstruction ends with a technique of choice so that the reader can understand the decision-making process that is involved in flap selection. The book begins with a chapter on basic principles, which reviews the important oncologic concerns that must precede any reconstructive-surgery procedure. Principles of tissue movement and flap design are accompanied by drawings that aid the reader in planning. The next seven chapters address each anatomic region. Alternate methods for closing defects in each region are presented. Both simple and complex solutions are detailed. Each reconstructive option is presented in great detail with operative photos as well as beautiful illustrations to depict flap design, elevation, and closure, and to more clearly explicate complex flap reconstructions for difficult problems. Common mistakes and the limitations of each flap are clearly delineated. Chapters on each anatomic region conclude with new summary tables that help the reader quickly identify the best reconstructive options for specific problems. Two Totally New Chapters The final two chapters are new to this edition-Tissue Expansion and Problems and Complication. The chapter on tissue expansion fully details the advantages to be gained from tissue expansion and the applications in each area of the head and neck when local flaps are planned. The Problems and Complications chapter covers common problems encountered in head and neck reconstruction as well as avoidance and treatment of complications should they occur. It concludes with a section on tricks and innovations, which discusses diverse topics such as the use of scarlet red for wound healing, the aesthetic repair of torn earlobes, and the repair of cocaine-induced palatal fistula. There is clearly a wealth of information and much to be learned and applied by surgeons at all levels of expertise.

Surgery for head neck cancer has evolved greatly in the recent years. Appropriate surgical resection with negative margins still remain corner-stone in achieving good oncological outcome. This atlas proposes a new concept of " The Compartment Surgery " to achieve negative margins in third dimensions which is the problem area in majority of cases. Reconstructive techniques have evolved vastly in the recent years with use of microvascular free flaps and this has significantly improved the functional outcome. Performing each step in appropriate manner cumulatively enables us to perform more complex procedures. Theme of this atlas revolves around this fact. This atlas on head and neck cancers takes a fresh stylistic approach where each surgical procedure is described in a step-wise manner through labeled high-resolution images with minimal incorporation of text. This allows the surgeons to rapidly revise the operative steps of a procedure within minutes just before they start a surgery. Head and neck has multidimensional anatomy and surgical treatment requires specific approach for each subsite. This operative atlas covers the entire spectrum of common, uncommon and rare cancers of the head and neck area. Each subsite is addressed in a separate chapter with further subdivisions for surgery of tumors with varying extent. Each procedure is demonstrated with photographs of each surgical step and line diagrams. Commonly used flaps (regional and free flaps) are demonstrated in separate chapter for reconstruction. With over 1000 images, and coverage of both the ablative and reconstructive surgical procedures, this is a technique-focused atlas in comparison to the available comprehensive texts. There are two chapters on very advanced cancers, and surgery in resource constrained surgical units making the book relevant to a wide range of cancer surgeons and fellows-in-training in varied clinical settings.

This work presents a clear approach for the reconstruction of head and neck cancer excision defects. Starting with a brief historical account of head and neck reconstruction, the principles of resection and reconstruction of head and neck cancer, the book then provides a detailed overview of head and neck reconstruction based on head and neck subsites; various reconstruction techniques; best approaches; and the challenges faced in reconstruction and how to overcome them. Lastly, it discusses future directions in head and neck reconstruction.