Oral, Head and Neck Oncology and Reconstructive Surgery R. Bryan Bell, MD, DDS, FACS, FACD Medical Director Providence Oral, Head and Neck Program and Clinic; Fellowship Director Head and Neck Oncologic and Microvascular Reconstructive Surgery Providence Cancer Center at Providence Portland Medical Center; Assistant Member Robert W. Franz Cancer Research Center in the Earle A. Chiles Research Institute at Providence Cancer Center; Clinical Professor Oregon Health and Science University; Director of Research The Head and Neck Institute Head and Neck Surgical Associates Portland, Oregon Rui P. Fernandes, MD, DMD, FACS Associate Professor Departments of Oral and Maxillofacial Surgery and Neurosurgery; Chief, Division of Head Neck Surgery Director of Head and Neck Oncologic Surgery and Microvascular Reconstructive Fellowship University of Florida College of Medicine Jacksonville Jacksonville, Florida Peter E. Andersen, MD Professor Department of Otolaryngology–Head and Neck Surgery; Professor Department of Neurological Surgery Oregon Health and Science University Portland, Oregon To all whose lives are inexorably touched by the capriciousness of head and neck cancer: your grace and tenacity inspire us to do better. RBB RPF PEA v 3251 Riverport Lane St. Louis, Missouri 63043 ORAL, HEAD AND NECK ONCOLOGY AND RECONSTRUCTIVE SURGERY ISBN: 978-0-323-26568-3 Copyright © 2018 by Elsevier, Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. 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To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contributors for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Library of Congress Cataloging-in-Publication Data Names: Bell, R. Bryan, editor. | Fernandes, Rui P., editor. | Andersen, Peter E., editor. Title: Oral, head and neck oncology and reconstructive surgery / [edited by] R. Bryan Bell, Rui P. Fernandes, Peter E. Andersen. Description: St. Louis, Missouri : Elsevier, [2018] | Includes bibliographical references and index. Identifiers: LCCN 2017023583 | ISBN 9780323265683 (hardcover : alk. paper) Subjects: | MESH: Head and Neck Neoplasms--surgery | Mouth Neoplasms--surgery | Reconstructive Surgical Procedures--methods Classification: LCC RF51 | NLM WE 707 | DDC 617.5/1059--dc23 LC record available at https://lccn.loc.gov/2017023583 Director, Content Development: Teri Hines-Burnham Senior Content Strategist: Jennifer Flynn-Briggs Publishing Services Manager: Julie Eddy Senior Project Manager: Mary Stueck Design Direction: Miles Hitchen Printed in China Last digit is the print number: 9 8 7 6 5 4 3 2 1 Acknowledgments I am fortunate to have been surrounded by individuals of Robert W. Franz Cancer Research Center in the Earle A. much higher quality than myself ever since boyhood. At Chiles Research Institute at Providence Cancer Center; the home, at school, and in my current profession—I am deeply Trauma Service at Legacy Emanuel Medical Center; and the indebted to God, my family, friends, teachers, and colleagues Department of Oral and Maxillofacial Surgery at Oregon who have provided me the license, opportunity, and mentor- Health and Science University. ship necessary for a successful surgical career and a fulfill- To my parents, William and Sherry Bell, brother Adam Bell, ing life. I am especially grateful to E. Craig Nemec, Bruce sisters Christine Foreman and Elizabeth Atkins, and parents- Bordeleon, Don A. Hay, Gene R. Huebner, Wayne W. Bark- in-law Franklin and Karen Halvorsen—thank you for your meier, Lawrence J. Sutton, Sean M. Cerone, Timothy A. Tur- unconditional love. To my wife and children whom I adore vey, Raymond P. White, George H. Blakey, John R. Zuniga, and whose patience, gentleness, and love illuminate my path Ramon L. Ruiz, Tinerfe J. Tejera, Shawn M. Conrad, Steven home at the end of a long day—Heidi, Harrison, and Caroline. A. Bankston, Todd E. Zeigler, Eric J. Dierks, Bryce E. Potter, Thank you for my wonderful life. William B. Long, Leon A. Assael, Robert W. T. Myall, Jason K. R. Bryan Bell Potter, Kevin Arce, Joshua E. Lubek, Brian L. Schmidt, David L. Hirsch, Shahrokh C. Bagheri, Andrew Christensen, Tuan To Candace, Gabriela, and Alessandro with love and G. Bui, Allen C. Cheng, Ashish A. Patel, Melissa S. Amud- appreciation. son, Michael R. Markiewicz, Walter J. Urba, Rom S. Leidner, Rui P. Fernandes Bernard A. Fox, Andrew Weinberg, Marka R. Crittenden, Michael J. Gough, Brendan D. Curti, Steven K. Seung, and To Susan, Molly, Katherine, and Matthew, my teachers and Steven B. Bader for their tutelage, support, and unwavering especially to my patients for allowing me to be part of their friendship; as well as the physicians, scientists, residents, fel- lives. lows, nurses, surgical technicians, and administrators at the Peter E. Andersen xx Contributors Laith Al-Qamachi, BDS, MFDSRCSEd, MBChB, FRCSEd Richard L. Bakst, MD Department of Oral and Maxillofacial Surgery Assistant Professor University Hospital–Birmingham NHS Foundation Trust Radiation Oncology Birmingham, United Kingdom Ichan School of Medicine at Mount Sinai Chapter 36: Soft Palate Cancer Mount Sinai Medical Center New York, New York Hemantha K. Amarasinghe, BDS, MSc, MD Chapter 34: Advanced HPV-Related Oropharynx Cancer Consultant, Community Dentistry Head of Research and Surveillance Unit Lauren E. Basile, DMD Institute of Oral Health Chief Resident Maharagama, Sri Lanka Department of Oral and Maxillofacial Surgery Chapter 1: Epidemiology University of Washington Seattle, Washington Peter E. Andersen, MD Chapter 27: Early Palatomaxillary Cancer Professor Department of Otolaryngology–Head and Neck Surgery; Andrew D. Beckler, MD Professor Center for Advanced Facial Plastic, Reconstructive, and Department of Neurological Surgery Cosmetic Surgery Oregon Health and Science University ENT Specialists Portland, Oregon Boynton Beach, Florida Chapter 9: Management of the Neck Chapter 10: Microvascular Surgery Chapter 41: Subglottic Larynx Cancer R. Bryan Bell, MD, DDS, FACS, FACD Kevin Arce, DMD, MD, MCR Medical Director Assistant Professor of Surgery Providence Oral, Head and Neck Program and Clinic; Department of Surgery Fellowship Director Division of Oral and Maxillofacial Surgery Head and Neck Oncologic and Microvascular Reconstructive Mayo Clinic Surgery Rochester, Minnesota Providence Cancer Center at Providence Portland Medical Chapter 23: Early Oromandibular Cancer Center; Assistant Member Varun Arya, DMD, BDS Robert W. Franz Cancer Research Center in the Earle A. Chief Resident Chiles Research Institute at Providence Cancer Center; Oral and Maxillofacial Surgery Clinical Professor Boston University Henry M. Goldman School of Dental Oregon Health and Science University; Medicine Director of Research Boston Medical Center The Head and Neck Institute Boston, Massachusetts Head and Neck Surgical Associates Chapter 22: Advanced Floor of Mouth Cancer Portland, Oregon Chapter 12: Maxillofacial Reconstruction and Prosthetic Tomer Avraham, MD Rehabilitation Assistant Professor Chapter 15: Immunotherapy Plastic and Reconstructive Surgery Chapter 24: Advanced Oromandibular Cancer Mount Sinai Health System Chapter 33: Early HPV-Related Base of Tongue Cancer New York, New York Chapter 35: Advanced HPV-Unrelated Pharynx Cancer Chapter 7: Virtual Surgical Planning vi Contributors vii Sandeep Bhuta, MBBS, DMRD, DNB, FRANZCR Lawrence E. Brecht, DDS Neuroradiologist Director of Maxillofacial Prosthetics Chief of Neuroradiology and Head and Neck Imaging Jonathan and Maxine Ferencz Postgraduate Program in Department of Medical Imaging Prosthodontics Gold Coast University Hospital College of Dentistry Southport, Queensland, Australia New York University; Chapter 44: Aggressive Non-melanoma Skin Cancer Director of Dental Services and Craniofacial Prosthetics Hanjörg Wyss Department of Plastic Surgery Carlo B. Bifulco, MD Langone Medical Center Medical Director of Oncologic Molecular Pathology and New York University; Pathology Informatics Institute of Reconstructive Plastic Surgery Director of Translational Molecular Pathology New York, New York Robert W. Franz Cancer Research Center in the Earle A. Chapter 7: Virtual Surgical Planning Chiles Research Institute at Providence Cancer Center Providence Health and Services James Brown, MD, FRCs, FDSRCS Portland, Oregon Consultant, Maxillofacial and Head and Neck Surgeon Chapter 2: Cellular and Molecular Pathology Head and Neck Directorate Chapter 15: Immunotherapy Aintree University Hospital; Consultant, Oral and Maxillofacial Surgeon Gido Bittermann, MD, DMD Aintree University Hospital and Warrington Hospital Senior Physician Professor of Head and Neck Surgery Center of Dental Medicine Liverpool University Department of Oral and Maxillofacial Surgery and Regional Liverpool, United Kingdom Plastic Surgery Chapter 29: Advanced Palatomaxillary Cancer (Special University Medical Center Considerations Related to Reconstruction) Freiburg, Germany Chapter 8: Intraoperative Navigation Chris J. Butterworth, BDS(Hons), MPhil, FDSRCS, FDS(Rest), RCS Keith E. Blackwell, MD Consultant, Oral Rehabilitation and Maxillofacial Professor Prosthodontics Section Chief of Facial Plastic and Reconstructive Surgery Head and Neck Directorate Department of Head and Neck Surgery Aintree University Hospital; David Geffen School of Medicine at University of Hon Senior Lecturer in Maxillofacial Prosthodontics California–Los Angeles Department of Molecular and Clinical Cancer Medicine Los Angeles, California University of Liverpool Chapter 10: Microvascular Surgery Liverpool, United Kingdom Chapter 29: Advanced Palatomaxillary Cancer (Special Angel Blanco, MD Considerations Related to Reconstruction) Director of Radiation Oncology Memorial Hermann Cancer Center TMC Eric R. Carlson, DMD, MD, FACS Houston, Texas Professor and Kelly L. Krahwinkel Chair Chapter 25: Early Buccal Mucosa Cancer Director of Oral and Maxillofacial Surgery Residency Program Alexander M. Bobinskas, BSc, MBBS, B Oral Health Department of Oral and Maxillofacial Surgery (Dental Science), Grad Dip Dentistry, MPhil, University of Tennessee Medical Center; FRACDS(OMS), FRCS(OMFS) Director of Oral/Head and Neck Oncologic Surgery Oral and Maxillofacial Surgeon Fellowship Program Maxillofacial Surgery Department University of Tennessee Cancer Institute Gold Coast University Hospital Knoxville, Tennessee Southport, Queensland, Australia Chapter 31: Lip Cancer Chapter 44: Aggressive Non-melanoma Skin Cancer Keith A. Chadwick, MD Caroline Brammer, MBChB(Sheff), MRCP, FRCR Resident Physician Consultant, Clinical Oncology Department of Otolaryngology–Head and Neck Surgery The Clatterbridge Cancer Centre–Aintree Oregon Health and Science University Liverpool, United Kingdom Portland, Oregon Chapter 29: Advanced Palatomaxillary Cancer (Special Chapter 39: Early Glottic Larynx Cancer Considerations Related to Reconstruction) viii Contributors Srinivasa R. Chandra, MD, BDS, FDSRCS Brendan D. Curti, MD Assistant Professor Director of Biotherapy and Genitourinary Oncology Research Department of Maxillofacial–Head and Neck Oncologic and Earle A. Chiles Research Institute Reconstructive Microvascular Surgery Providence Cancer Center University of Washington Portland, Oregon Seattle, Washington Chapter 43: Melanoma Chapter 27: Early Palatomaxillary Cancer Derfel ap Dafydd, BSc, MBBCh, MRCP, FRCR Allen Cheng, MD, DDS Consultant, Radiologist Medical Director Imaging Department Oral, Head and Neck Cancer Program The Royal Marsden NHS Foundation Trust Legacy Good Samaritan Medical Center London, England Legacy Health; Chapter 42: Major Salivary Gland Cancer Section Chair Oral and Maxillofacial Surgery Roi Dagan, MD, MS Legacy Emanuel Medical Center; Assistant Professor Attending Surgeon Department of Radiation Oncology Providence Oral, Head and Neck Cancer Program University of Florida College of Medicine Providence Portland Medical Center; University of Florida Health Proton Therapy Institute Consultant Jacksonville, Florida The Head and Neck Institute Chapter 20: Advanced Tongue Cancer (Special Considerations Head and Neck Surgical Associates Requiring Total Glossectomy) Portland, Oregon Chapter 30: Advanced Palatomaxillary Cancer (Special Chapter 12: Maxillofacial Reconstruction and Prosthetic Considerations Related to Nasal Involvement) Rehabilitation Chapter 24: Advanced Oromandibular Cancer Camilla Dawson, BSC (Hons), MRCSLT, HCPC Chapter 33: Early HPV-Related Base of Tongue Cancer Clinical Lead Speech and Language Therapist Chapter 35: Advanced HPV-Unrelated Pharynx Cancer Queen Elizabeth Hospital Birmingham Birmingham, United Kingdom Scott Claiborne, DDS, MD Chapter 36: Soft Palate Cancer Fellow in Oral/Head and Neck Oncology and Reconstructive Surgery Eric J. Dierks, MD, DMD North Memorial Medical Center Director of Fellowship in Head and Neck Oncologic and Minneapolis, Minnesota Microvascular Reconstructive Surgery Chapter 21: Early Floor of Mouth Cancer The Head and Neck Institute Head and Neck Surgical Associates; Daniel R. Clayburgh, MD, PhD, FACS Attending Surgeon Assistant Professor Oral, Head and Neck Cancer Program Otolaryngology–Head and Neck Surgery Legacy Good Samaritan Medical Center Oregon Health and Science University Legacy Health; Portland, Oregon Attending Surgeon Chapter 3: Molecular Biology Providence Oral, Head and Neck Cancer Program; Chapter 40: Advanced Larynx Cancer Affiliate Professor Chapter 41: Subglottic Larynx Cancer Oral and Maxillofacial Surgery Oregon Health and Science University Marka R. Crittenden, MD, PhD Portland, Oregon Radiation Oncologist Chapter 12: Maxillofacial Reconstruction and Prosthetic Director of Translational Radiation Research Rehabilitation Providence Health and Services Chapter 35: Advanced HPV-Unrelated Pharynx Cancer Robert W. Franz Cancer Research Center in the Earle A. Chiles Research Institute at Providence Cancer Center Jasjit K. Dillon, DDs, MBBS, FDSRCS, FACS Portland, Oregon Clinical Associate Professor and Program Director Chapter 33: Early HPV-Related Base of Tongue Cancer Oral and Maxillofacial Surgery University of Washington Seattle, Washington Chapter 27: Early Palatomaxillary Cancer Contributors ix Donita Dyalram, DDS, MD, FACS Rui P. Fernandes, MD, DMD, FACS Assistant Professor Associate Professor Associate Program Director/Associate Fellowship Director Departments of Oral and Maxillofacial Surgery and Department of Oral and Maxillofacial Surgery Neurosurgery; University of Maryland Medical Center Chief, Division of Head Neck Surgery Baltimore, Maryland Director of Head and Neck Oncologic Surgery and Chapter 18: Early Tongue Cancer Microvascular Reconstructive Fellowship University of Florida College of Medicine Jacksonville Sean P. Edwards, DDS, MD Jacksonville, Florida Clinical Associate Professor Chapter 20: Advanced Tongue Cancer (Special Considerations Director, Residency Program Requiring Total Glossectomy) Chief, Pediatric Oral and Maxillofacial Surgery Chapter 30: Advanced Palatomaxillary Cancer (Special Department of Oral and Maxillofacial Surgery/Hospital Considerations Related to Nasal Involvement) Dentistry University of Michigan Health System Jay K. Ferrell, MD Ann Arbor, Michigan Resident Physician Chapter 28: Advanced Palatomaxillary Cancer Otorhinolaryngology—Head and Neck Surgery University of Texas Health Science Center at Houston School David A. Elliott, MD of Medicine Assistant Professor Houston, Texas Radiation Oncology Chapter 32: Early HPV-Related Tonsil Cancer University of Toledo Medical Center Toledo, Ohio Bernard A. Fox, PhD Chapter 13: Radiation Therapy Harder Family Endowed Chair for Cancer Research Chapter 40: Advanced Larynx Cancer Chief of Laboratory of Molecular and Tumor Immunology Chapter 41: Subglottic Larynx Cancer Robert W. Franz Cancer Research Center Earle A. Chiles Research Institute Mererid Evans, PhD, FRCR Providence Cancer Center, Knight Cancer Institute Consultant, Clinical Oncologist Department of Molecular and Immunology Velindre Cancer Centre Oregon Health and Science University Cardiff, Wales, United Kingdom Portland, Oregon Chapter 38: Advanced Supraglottic Larynx Cancer Chapter 15: Immunotherapy Adam P. Fagin, DMD, MD Clifton D. Fuller, MD, PhD Resident Assistant Professor Department of Oral and Maxillofacial Surgery Department of Radiation Oncology Oregon Health and Science University Division of Radiation Oncology Portland, Oregon The University of Texas MD Anderson Cancer Center Chapter 26: Advanced Buccal Mucosa Cancer Houston, Texas Chapter 32: Early HPV-Related Tonsil Cancer Carole Fakhry, MD, MPH Associate Professor of Otolaryngology-Head and Neck Surgery G.E. Ghali, DDS, MD, FACS, FRCS(Ed) Johns Hopkins University School of Medicine Gamble Professor and Chairman Baltimore, Maryland Department of Oral and Maxillofacial Surgery Chapter 1: Epidemiology Louisiana State University Health Sciences Center Shreveport, Louisiana Mark B. Faries, MD, FACS Chapter 19: Advanced Tongue Cancer Professor of Surgery Director of Donald L. Morton Melanoma Research Program John P. Gleysteen, MD John Wayne Cancer Institute Assistant Professor Santa Monica, California Department of Otolaryngology Chapter 43: Melanoma University of Tennessee Health Science Center Memphis, Tennessee Zipei Feng, PhD Chapter 40: Advanced Larynx Cancer Department of Cell, Developmental and Cancer Biology Oregon Health and Science University Portland, Oregon Chapter 15: Immunotherapy x Contributors Kathryn A. Gold, MD Bronwyn Hamilton, MD Associate Professor Associate Professor of Radiology Moores Cancer Center Radiology Department University of California San Diego Oregon Health and Science University La Jolla, California Portland, Oregon; Chapter 32: Early HPV−Related Tonsil Cancer Adjunct Assistant Professor of Radiology Radiology Department James Good, MSc, MD, PhD University of Utah Consultant, Oncologist Salt Lake City, Utah Queen Elizabeth Hospital Chapter 5: Diagnostic Imaging Birmingham, United Kingdom Chapter 36: Soft Palate Cancer Eric K. Hansen, MD Radiation Oncology Jennifer R. Grandis, MD Oregon Clinic American Cancer Society Professor Providence St. Vincent Medical Center Associate Vice Chancellor Portland, Oregon Clinical and Translational Research Director Chapter 13: Radiation Therapy Professor Otolaryngology—Head and Neck Surgery Heidi J. Hansen, DMD, DABOM University of California Assistant Professor of Surgery San Francisco, California Division of Dentistry, Oral and Maxillofacial Surgery Chapter 3: Molecular Biology Weill Cornell Medicine New York, New York Donna J. Graville, PhD, CCC-SLP Chapter 16: Oral/Dental Oncology Associate Professor Director of NW Center for Voice and Swallowing Bruce H. Haughey, MD, FACS Otolaryngology/Head and Neck Surgery Otolaryngology Oregon Health and Science University Florida ENT Surgical Specialists Portland, Oregon Celebration, Florida Chapter 17: Speech Pathology and Rehabilitation Chapter 4: Oncoviruses Neil D. Gross, MD, FACS Richard E. Hayden, MD, FACS, FRCS(C) Associate Professor Professor Director of Clinical Research Department of Otolaryngology–Head and Neck Surgery Head and Neck Surgery Mayo Clinic Arizona University of Texas MD Anderson Cancer Center Phoenix, Arizona Houston, Texas Chapter 37: Early Supraglottic Larynx Cancer Chapter 32: Early HPV-Related Tonsil Cancer Joseph I. Helman, DMD Aaron Grossberg, MD, PhD C.J. Lyons Endowed Professor Clinical Resident Oral and Maxillofacial Surgery Department of Radiation Oncology University of Michigan University of Texas MD Anderson Cancer Center Ann Arbor, Michigan Houston, Texas Chapter 28: Advanced Palatomaxillary Cancer Chapter 32: Early HPV-Related Tonsil Cancer David L. Hirsch, MD, DDS, FACS Shan Guo, MD Clinical Assistant Professor Assistant Professor Oral and Maxillofacial Surgery Division of Oncology College of Dentistry Department of Internal Medicine New York University University of Texas Health Science Center at Houston New York, New York Houston, Texas Chapter 7: Virtual Surgical Planning Chapter 25: Early Buccal Mucosa Cancer
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