Self-assessment in head and neck surgery and oncology

284 Pages·26.771 MB·English

by  O’Neill J., Shah J.

SELF-ASSESSMENT IN
HEAD AND NECK SURGERY
AND ONCOLOGY
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SELF-ASSESSMENT
IN HEAD AND
NECK SURGERY
AND ONCOLOGY
EDITORS:
James Paul O’Neill, MD, MB, FRCSI, MMSc, MBA,
ORL-HNS
Professor of Otolaryngology, Head and Neck Surgery
The Royal College of Surgeons in Ireland
St. Stephen’s Green
Dublin, Ireland;
Consultant Otolaryngology Head and Neck Surgeon
Beaumont Hospital
Dublin, Ireland
Jatin P. Shah, MD, PhD (Hon), FACS, FRCS (Hon),
FDSRCS (Hon), FRACS (Hon)
Chief, Head and Neck Service
E.W. Strong Chair in Head and Neck Oncology
Memorial Sloan Kettering Cancer Center;
Professor of Surgery
Weill Cornell Medical College of Cornell University
New York, New York
United States
ASSOCIATE EDITORS:
Ian Ganly, MD, PhD, FRCS
Luc G. T. Morris, MD, MSc
Snehal Patel, MD, MS, FRCS
Ashok Shaha, MD, FACS
Bhuvanesh Singh, MD, PhD, FACS
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
SELF-ASSESSMENT IN HEAD AND NECK SURGERY AND ONCOLOGY ISBN: 978-0-323-26003-9
Copyright © 2015 by Saunders, an imprint of Elsevier Inc.
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any
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This book and the individual contributions contained in it are protected under copyright by the Publisher
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Notices
Knowledge and best practice in this field are constantly changing. As new research and e xperience
broaden our understanding, changes in research methods, professional practices, or medical
treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in e valuating
and using any information, methods, compounds, or experiments described herein. In using such in-
formation or methods they should be mindful of their own safety and the safety of others, including
parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the
most current information provided (i) on procedures featured or (ii) by the manufacturer of each
product to be administered, to verify the recommended dose or formula, the method and duration
of administration, and contraindications. It is the responsibility of practitioners, relying on their own
experience and knowledge of their patients, to make diagnoses, to determine dosages and the best
treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors,
assume any liability 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, i nstructions,
or ideas contained in the material herein.
Library of Congress Cataloging-in-Publication Data
Self-assessment in head and neck surgery and oncology / editors, James Paul O’Neill, Jatin P. Shah ;
associate editors, Ian Ganly, Luc G.T. Morris, Snehal Patel, Ashok Shaha, Bhuvanesh Singh.
p.; cm.
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Includes bibliographical references and index. Kickass Torrents | TPB | ET | h33t
ISBN 978-0-323-26003-9 (pbk. : alk. paper)
I. O’Neill, James Paul, editor of compilation. II. Shah, Jatin P., editor of compilation. III. Ganly, Ian,
editor of compilation.
[DNLM: 1. Head and Neck Neoplasms--surgery--Examination Questions. 2. Head--surgery--
Examination Questions. 3. Neck--surgery--Examination Questions. WE 18.2]
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To our families, for their love and support
To our patients, for their bravery enduring the burden of head and neck disease
Preface
The term “cancer of the head and neck” generally includes neoplasms arising from the mucosa
of the upper aerodigestive tract, including the nasal cavity and paranasal sinuses, as well as
tumors of the salivary glands, thyroid and parathyroid glands, and neoplasms arising from
the skin, soft tissues, and bones of the craniofacial skeleton. Tumors of neurovascular origin
and those arising in the ear canal, temporal bone, orbit, and skull base are also included in
this list. Over the course of the past century, the specialty treating these tumors has evolved
into a very complex multidisciplinary field requiring the expertise of head and neck surgeons,
radiation oncologists, medical oncologists, maxillofacial/dental surgeons, reconstructive
microsurgeons, and other allied specialists. The training programs for specializing in this
complex specialty have also evolved over the course of the past 30 years, with the need to
incorporate training in increasingly complex technologies, development of new skill sets, and
integration of exposure to nonsurgical disciplines. An increasing number of textbooks have
been published over the past 20 years, as well as a plethora of published journal articles, with
emphasis on multidisciplinary treatments. Ample literature is available for the trainee and the
practitioner to remain abreast of the advances made in the field.
However, no specialty or board certification examination is available in this
complex field, and thus there is no measure of one’s competency in the specialty. The graduates
of the senior fellowship program in head and neck surgery and oncology and the faculty of the
head and neck program at Memorial Sloan Kettering Cancer Center in New York have created
this self-assessment compendium to measure the fundamental basic knowledge required of an
individual engaged in the specialty of head and neck surgery and oncology. This book by no
means is sufficient to measure competency in the specialty, nor is it intended to be sufficient
to gain certification in the specialty. On the other hand, it certainly introduces the reader to the
process of self-assessment of knowledge, judgment, an algorithmic thinking process, and the
decision-making ability in dealing with day-to-day problems in patients with neoplasms aris-
ing in the head and neck.
Each chapter contains a topic, following the sequence of the chapters in Jatin Shah’s Head
and Neck Surgery and Oncology, Fourth Edition. The questions are presented in three categories:
(1) True or False, (2) Single Best Answer, and (3) Multiple Choice combinations. Each chapter
includes the basic Core Knowledge required and has a Suggested Reading list. The answers to
the questions are provided at the end of each chapter. It is our hope that the reader will benefit
from initially taking the examination, pursue the topic further by reviewing the Core Knowl-
edge, and then gain further knowledge from reading the recommended textbooks. We also
hope that this initial attempt at self-assessment will stimulate the reader to remain engaged in
continuing medical education in order to remain current with this rapidly advancing specialty.
Acknowledgment
We would like to express our sincere appreciation and special thanks to the faculty of the
head and neck service of Memorial Sloan Kettering Cancer Center for their advice, input,
guidance, and support throughout this project.
Our special thanks are also due to the editorial staff of the head and neck service who
provided timely help in processing the manuscripts and numerous edits and corrections to
bring about this work.
Finally, we want to thank each and every one of the contributors to this book, the faculty
members of the head and neck service, former fellows of the head and neck program, and
the current fellows on the service for their hard and ingenious work in developing the ques-
tions, which truly test the knowledge of the reader. We are grateful for their support.
James Paul O’Neill, MD, MB, FRCSI, MMSc, MBA, ORL-HNS
Jatin P. Shah, MD, PhD (Hon), FACS, FRCS (Hon), FDSRCS (Hon), FRACS (Hon)
vi
Contributors
George C. Bohle III, DDS Ian Ganly, MD, PhD, FRCS
Clinical Assistant Professor Associate Professor of Otolaryngology and
University of Oklahoma College of Head and Neck Surgery
Dentistry; Weill Cornell Medical College of Cornell
Private Practice University;
Implant and Prosthodontic Associates Associate Attending Surgeon
Oklahoma City, Oklahoma Memorial Sloan Kettering Cancer Center
United States New York, New York
Oncological Dentistry: Maxillofacial Pros- United States
thetics and Implants Lips and Oral Cavity
Jeffrey Chang-Jen Liu, MD Babak Givi, MD
Assistant Professor of Otolaryngology and Assistant Professor of Otolaryngology,
Head and Neck Surgery Head and Neck Surgery
Temple University School of Medicine; New York University School of Medicine
Assistant Professor of Head and Neck Surgery NYU Langone Medical Center
Fox Chase Cancer Center New York, New York
Philadelphia, Pennsylvania United States
United States Reconstructive Surgery
Larynx and Trachea
Allen S. Ho, MD
Natalya Chernichenko, MD Assistant Professor of Surgery
Assistant Professor of Otolaryngology Cedars-Sinai Medical Center
Chief of Head and Neck Surgery Los Angeles, California
SUNY Downstate Medical Center United States
Brooklyn, New York Nutrition
United States
Neurogenic Tumors and Paragangliomas Nora Katabi, MD
Assistant Attending
Mark D. DeLacure, MD, FACS Department of Pathology
Chief, Division of Head and Neck Surgery Memorial Sloan Kettering Cancer Center
and Oncology New York, New York
Department of Otolaryngology, Head and United States
Neck Surgery Pathology
Associate Professor of Plastic Surgery
Institute of Reconstructive Plastic Surgery Nancy Lee, MD
Department of Plastic Surgery Attending
New York University School of Medicine Department of Radiation Oncology
New York University Clinical Cancer Center Memorial Sloan Kettering Cancer Center
New York, New York New York, New York
United States United States
Reconstructive Surgery Radiation Oncology
Matthew Fury, MD, PhD Ellie Maghami, MD, FACS
Assistant Member Associate Professor
Memorial Sloan Kettering Cancer Center; Chief, Division of Otolaryngology and
Assistant Attending Physician Head and Neck Surgery
Memorial Hospital City of Hope National Medical Center
New York, New York Duarte, California
United States United States
Chemotherapy Nasal Cavity and Paranasal Sinuses
vii
viii CONTRIBUTORS
Arash Mohebati, MD Rahmatullah Rahmati, MD
Attending Surgeon Assistant Professor of Otolaryngology,
John Muir Medical Center Head and Neck Surgery
Walnut Creek, California Columbia University Medical Center
United States New York, New York
Pharynx and Esophagus United States
Bone Tumors and Odontogenic Tumors
Luc G.T. Morris, MD, MSc
Assistant Professor of Otolaryngology Nadeem Riaz, MD
Weill Cornell Medical College of Cornell Resident Physician
University; Department of Radiation Oncology
Assistant Attending Surgeon Memorial Sloan Kettering Cancer Center
Memorial Sloan Kettering Cancer Center New York, New York
New York, New York United States
United States Radiation Oncology
Skin
Patrick Sheahan, MD, MB, FRCSI
Iain James Nixon, PhD (ORL-HNS)
Consultant Ear, Nose, and Throat/Head and Clinical Lecturer
Neck Surgeon University College Cork;
East Kent Hospitals University NHS Consultant Otolaryngologist, Head and
Foundation Trust Neck Surgeon
Ashford, Kent South Infirmary Victoria University Hospital
United Kingdom Cork, Ireland
Thyroid and Parathyroid Cervical Lymph Nodes
Caitriona O’Neill, PhD, BSc(Pharm), Andrew G. Shuman, MD
MBA, Dip Stat Department of Otolaryngology, Head and
Trinity College Dublin Surgery
Dublin, Ireland University of Michigan Health System
Epidemiology and Biostatistics Ann Arbor, Michigan
United States
James Paul O’Neill, MD, MB, FRCSI, Eyelids and Orbit
MMSc, MBA, ORL-HNS
Professor of Otolaryngology, Head and Hilda Stambuk, MD
Neck Surgery Attending Radiologist
The Royal College of Surgeons in Ireland Clinical Head of Head and Neck Imaging
St. Stephen’s Green Department of Radiology
Dublin, Ireland; Memorial Sloan Kettering Cancer Center
Consultant Otolaryngology Head and New York, New York
Neck Surgeon United States
Beaumont Hospital Radiology
Dublin, Ireland
Skull Base; Pharynx and Esophagus; Salivary Volkert Wreesmann, MD, PhD
Glands; Soft Tissue Tumors; Surgical Anatomy Head and Neck Surgeon
Department of Otolaryngology, Head and
Daniel Louis Price, MD Neck Surgery
Assistant Professor Netherlands Cancer Institute
Department of Otolaryngology, Head and University Medical Center Utrecht
Neck Surgery Amsterdam and Utrecht
Mayo Clinic The Netherlands
Rochester, Minnesota Molecular Oncology
United States
Salivary Glands