Oral Cavity Reconstruction PDF
Preview Oral Cavity Reconstruction
Oral Cavity Reconstruction DK5780_FM.indd 1 8/12/05 10:29:49 AM Process CyanProcess MagentaProcess YellowProcess Black Oral Cavity Reconstruction edited by TERRY A. DAY Medical University of South Carolina Charleston, South Carolina, U.S.A. DOUGLAS A. GIROD University of Kansas Medical Center, Kansas City, Kansas, U.S.A. DK5780_FM.indd 2 8/12/05 10:29:49 AM Process CyanProcess MagentaProcess YellowProcess Black DK5780_Discl.fm Page 1 Monday, August 29, 2005 11:02 AM Published in 2006 by Taylor & Francis Group 270 Madison Avenue New York, NY 10016 © 2006 by Taylor & Francis Group, LLC No claim to original U.S. Government works Printed in the United States of America on acid-free paper 10 9 8 7 6 5 4 3 2 1 International Standard Book Number-10: 1-57444-892-7 (Hardcover) International Standard Book Number-13: 978-1-57444-892-4 (Hardcover) This book contains information obtained from authentic and highly regarded sources. Reprinted material is quoted with permission, and sources are indicated. A wide variety of references are listed. Reasonable efforts have been made to publish reliable data and information, but the author and the publisher cannot assume responsibility for the validity of all materials or for the consequences of their use. No part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC) 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging-in-Publication Data Catalog record is available from the Library of Congress Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com Taylor & Francis Group is the Academic Division of T&F Informa plc. This book was completed through the love, support, and patience of my wife, Millie, and my children, Austen and Meredith. They became all too knowledgeable about the ‘‘Oral Cavity Textbook’’ but in an entirely different way than we as clinicians view this text! Additionally, I would like to give credit to the authors and all physicians, dentists, and health care professionals who have sacrificed their lives to help the lives of others stricken with head and neck cancers through patient care, research, and education. Terry Day I would like to dedicate my efforts on this text to my wife Susan Girod who strives to keep me sane and grounded through my many projects and has done such a wonderful job with our children Katelyn, Callie and Jimmy. I thank them all for their patience and love. I would like to thank my professional mentor Dr. Charles Cummings for his inspiration, insight, humor and support throughout my career and during this endeavor. Thanks also to Heather Barnhart, RN for her tireless support and endless compassion for the many cancer patients we have worked with over the last 11 years who have served as the motivation for this text. Lastly, I would like to thank the faculty, residents, students and staff of the Department of Otolaryngology—Head and Neck Surgery at the University of Kansas for the years of dedication and hard work for the sake of our patients. Doug Girod Foreword It is my distinct pleasure to make comment about this well-timed text regarding oral cavity reconstruction. That this book has evolved is a testimonial to the evolution of medical understanding, enhancement, and therapeutic planning in the multidisciplin- ary approach to complex problems. What was once an arena of extirpation followed by modest attempts at reconstruction, management has been transformed (through the wonders of imaging, miniaturization, and visual magnification) to selective extir- pation and functional as well as cosmetic reconstruction. Questions heretofore unasked, or at least unanswered, have in many instances fallen to resolution. This excellent work chronicles the breadth of understanding and implementation which now exists, such that the bottom line focus of the surgical rehabilitative team focuses on quality of life for the patient. I commend the editors for their creativity and all of the authors for their contribution thus enhancing the welfare of our patients. For those of us involved in treatment of advanced head/neck malignancy, this contribu- tion comes at the right time. Charles W. Cummings, MD Distinguished Service Professor Department of Otolaryngology— Head and Neck Surgery v Preface The twilight of the 20th century was a time of many advances in the management of head and neck cancer, but perhaps none have been so dramatic as those found in the reconstruction of defects of the oral cavity. The incidence of oral cavity carcinoma remains tied to the usage of tobacco and alcohol products, and thus, although preventable, is still quite prevalent. While radiotherapy has made advances as well, surgery remains the mainstay of management of oral cavity carcinoma. Unfortunately, surgical extirpation of oral cancers may result in significant functional and aesthetic compromise unless appropriate reconstructive and rehabilitative approaches are utilized. This text provides a comprehensive and detailed summary of these methods. Unfortunately, the oral cavity is a major component of personal, professional, and social interaction through speech, deglutition, respiration, and cosmesis. It also serves in many aspects as a dividing line between dental and medical specialists related to appropriate oral and dental health. These specialists from a variety of backgrounds must collaborate in providing the optimal care for oral cancer patients. Additionally, the impact of surgical treatment of oral cavity carcinoma can be very profound for an individual. The success of reconstructive efforts in the oral cavity may be the difference between the retention of an individual as a productive member of society or complete social isolation. Reconstructive management of oral cavity defects has now progressed beyond primary closure and skin grafts to a variety of pedicled flaps and, more recently, to microvascular free tissue transfers of composite flaps that can be tailor designed to match the missing tissues. These advances arm the reconstructive surgeon with a wide variety of options to consider when faced with an oral cavity defect. Addition- ally, the oncologic surgeon may now consider the resection of large debilitating tumors, which would have previously been deemed unresectable without the current options for complex reconstruction. With the wide variety of reconstructive techniques for the oral cavity now available, the surgeon is faced with making choices for the repair of individual defects. Each patient and defect of the oral cavity is unique and requires a multidis- ciplinary approach to optimal function and cosmesis. The successful reconstructive surgeon relies heavily on experience in making these difficult decisions, taking a multitude of factors unique to a given situation into consideration. Thus, the genesis of this text was to draw upon some of the most active and experienced oral and head and neck reconstructive surgeons to outline their approach to managing very site-specific defects of the oral cavity. A review of (i) oral vii
The list of books you might like
