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.

Microvascular reconstruction is a surgical procedure that involves moving a composite piece of tissue from another part of the body to the head and neck. The tissue most commonly comes from the arms, legs, or back, and can include bone, skin, fat, and/or muscle. The details of what is moved and where it is moved from are dependent on the reconstructive needs. Transfer of the tissue to the head and neck allows us to do things such as rebuild a jaw, optimize tongue function, or reconstruct the throat. This technique has opened numerous possibilities for single stage reconstruction of complex deformities of the cranio-maxillofacial region. Newer technique will undoubtedly further advance the reconstruction options of the surgeons, perhaps simplify the sometimes difficult procedures or allowing more refinement in the everlasting pursuit of perfect form and function. Surgery and Creativity must continue to form a close alliance to further refine the art and science of reconstruction of cranio-maxillofacial region.

Head and neck patients who undergo treatment with free tissue transfer are patients with some of the most complex perioperative needs. Due to nature of the defects, reconstructive surgery is complex and often is the only available option offering an acceptable quality of life. Therefore, successful recovery of these patients is of paramount importance. Whilst the surgery itself is of utmost importance, insufficient or inappropriate pre-surgical work up and post-operative care may lead to reconstructive failures. Secondary reconstruction offers less optimal functional outcomes and may add to patient morbidity due to additional surgeries being required. This book serves as a comprehensive source of information related to the pre-, intra- and postoperative care of head and neck patients. It fills a critical need for a single source that addresses all aspects of perioperative management of head and neck patients.

Head and neck reconstruction can be challenging due to the anatomical complexity of the area, its impact upon function, and the common need for adjuvant treatment postoperatively in cases of malignancy. Furthermore, the results are very visible and may significantly affect the patient’s ability to reintegrate socially. This unique surgical atlas is organized as a matrix of options, from simple to complex, covering all described anatomical areas of the head and neck. The organization of defects and reconstructive options, combined with illustrations and high-resolution intraoperative photography, make this the premier reconstructive reference that will be accessible when difficult reconstructive situations arise. The matrix concept is a unique approach to organizing and presenting facial, head and neck defects. Most clinical cases present as a defect or as the potential for a defect after a resection. The matrix approach is a human cognitive approach to problem solving. This atlas allows the reader to search out their potential defects and study the possible reconstructive options available to them. This spectrum of possibilities may help the surgeon to decide whether to manage on the case on their own or refer it for more expertise. It is also a visible tool to assist surgeons in reviewing options and making decisions with patients in the informed consent process. The matrix presents defects with internal consistency throughout the text and is organized in an anatomic order. Each anatomic sub-site is further subdivided into recognized clinical sub-units, and each potential defect is then illustrated in a standardized fashion to promote clarity and uniformity for easy reference. Commonly associated defects are linked. Each specific defect is then addressed, presenting reconstructive options of increasing complexity, with photography to show a staged approach to pre-reconstruction, site preparation, flap selection, flap inset, and final results acutely post-operatively and at a delayed time point. Matrix Head and Neck Reconstruction combines and distills the work of major head and neck reconstruction and facial plastic surgery to provide a broad and deep resource that is highly pictorial and practical in providing a scalable approach to reconstruction.

Illustrated with over 3,400 drawings and full-color photographs, this volume presents a unique multidisciplinary approach to head and neck reconstruction, combining input from otolaryngologists, plastic surgeons, oral and maxillofacial surgeons, maxillofacial prosthodontists, oculoplastic surgeons, speech and swallowing therapists, and metabolic support and nutrition specialists. For each anatomic region of the head and neck, the book defines the various defects from the reconstructive surgeon's point of view and presents actual cases demonstrating how each defect was reconstructed. In-depth discussions by leaders in the field allow the reader to appreciate the basic principles as well as the nuances of restoring each defect to an optimal level using regional flaps, free flaps, and prosthetic rehabilitation. The detailed case presentations show flap design and inset to achieve the final result. One of the key advances emphasized is the combination of implant technology and free tissue transfer to achieve the highest level of functional restoration. The reconstruction of patients following failure of radiation therapy is also extensively discussed.

This text will deliver revolutionary approaches to reconstructive surgery in a clear and consistent format. Head and neck reconstruction has long been thought to be a daunting, intimidating, and tedious field of surgery. Microvascular head and neck reconstruction is one of the most advanced surgical options available for reconstruction. It is used to treat defects created by removal of tissue in the larynx, pharynx, oral cavity, salivary glands, tongue, and skin. It is also utilized in combination with chemotherapy and radiation for the treatment of head and neck cancer. Due to the disfiguring nature of the removal of these tissues, microvascular reconstruction is important to return the face, head, and neck to as normal as possible. This text reviews cutting edge surgical skills in head and neck oncologic surgery and facial plastic and reconstructive surgery. The Manual of Head and Neck Reconstruction will include step-by-step guides, with clear, illustrated, coverage of regional and distant cutaneous, muscular, osseus flaps, donor site harvest and transfer for head and neck reconstruction. The book will discuss relevant anatomy, nuances of flap design, harvesting techniques, insetting, ideal locations of flap use, and flap combinations. It will also discuss preoperative preparations, intraoperative considerations, techniques for avoiding pitfalls, and managing postoperative complications. There will be intraoperative pictures walking the audience through the surgeries in a detailed fashion, with the goal of imparting an efficient, effective surgical philosophy. Exclusively to this text, the topic of surgical maneuvers designed to improve surgical efficiency and save hours of intraoperative time, limiting patient’s time under anesthesia, will be discussed. This book was authored by experts in head and neck reconstruction trained by Dr. Yadro Ducic over the past 12 years. It is a great resource for many surgeons in the field of otolaryngology-head/neck surgery.