Добавил:
Sekretar
kiopkiopkiop18@yandex.ru
t.me/Prokururor I Вовсе не секретарь, но почту проверяю
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз:
Предмет:
Файл:Ординатура / Хирургия / @xirurgi_2025 / @xirurgi_2025 - 678 - файл
.pdf
Matthew P. Lungren
Michael R.B. Evans
Editors
Head and Neck
Clinical Medicine
Surgery for
General Surgeons
Covertemplate
Subtitle for
Bruce Ashford
Clinical Medicine Covers T3_HB
Editor
Second Edition
Foreword by
Jatin P. Shah
123
123

Head and Neck Surgery for General
Surgeons

Bruce Ashford
Editor
Head and Neck Surgery
for General Surgeons

Editor
Bruce Ashford
Department of Medicine
University of Wollongong
Wollongong, Australia
ISBN 978-981-19-7899-9 ISBN 978-981-19-7900-2 (eBook)
https://doi.org/10.1007/978-981-19-7900-2
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature
Singapore Pte Ltd. 2023
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher,
whether the whole or part of the material is concerned, specically the rights of translation,
reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microlms or in any
other physical way, and transmission or information storage and retrieval, electronic adaptation,
computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this
publication does not imply, even in the absence of a specic statement, that such names are
exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors, and the editors are safe to assume that the advice and information in
this book are believed to be true and accurate at the date of publication. Neither the publisher nor
the authors or the editors give a warranty, expressed or implied, with respect to the material
contained herein or for any errors or omissions that may have been made. The publisher remains
neutral with regard to jurisdictional claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd.
The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore
189721, Singapore
Paper in this product is recyclable.

Foreword
https://t.me/medicina_free
Head and neck surgery has evolved as a specialty with contributions from
reconstructive surgeons, otolaryngologists, general surgeons, maxillofacial
surgeons, and other allied surgical specialties, such as neurosurgery, thoracic
surgery, and vascular surgery. Thus, it is not possible for a trainee in any one
of the above specialties to have a grasp on the diseases and disorders occurring in this part of the body. In addition, the complex anatomy and the expression of higher senses such as smell, vision, hearing, taste, speech, and
swallowing and expression of emotions are all clustered in this compact
region of human anatomy that any trauma, disease, disorder, or deformity and
its treatment can have serious esthetic, emotional, and functional consequences. Clearly, there are numerous textbooks and monographs on each of
the above topics and on all of the abovementioned specialties available in the
literature.
Head and neck surgery forms only a small but important and essential
component of the curriculum of training in general surgery. It is, however,
impossible for a trainee in general surgery to peruse the vast sea of literature
on a variety of topics and issues in the head and neck and have enough practical knowledge on the etiology, pathology, diagnosis, workup, and management of these conditions. In addition, surgical nuances, and the role of
multidisciplinary teams, continue to evolve. While survival from cancer
remains the ultimate goal, advances in surgical techniques and management
of esthetic and functional sequela of surgery are an important component of
the treatment algorithm.
Dr. Bruce Ashford and his colleagues have taken a bold step to distill the
essential information from a vast body of literature, in a single textbook
geared for the general surgical trainee, to acquaint him/her with the commonly encountered clinical problems and give the fundamental information
on anatomy, clinical diagnosis, workup, and management, including special
tips for surgery in an up-to-date, easy-to-understand, and succinct overview.
This book should be of tremendous value to trainees and practitioners of general surgery, to arm them with a quick understanding of the diagnostic and
management issues in patients who may need head and neck surgery. The
authors of each chapter are established experts in their areas of contribution
who have emphasized and highlighted important points to remember in each
clinical scenario. Further, this book would be a very valuable resource for
v

vi
https://t.me/medicina_free
candidates preparing for their board or fellowship examinations. Clearly, this
book lls a void and fullls an unmet demand for a quick compendium of
head and neck surgery for the general surgeon.
Memorial Sloan Kettering Cancer Center JatinP.Shah
New York, NY, USA
Foreword

Acknowledgments
https://t.me/medicina_free
To the editorial team who have ushered this project from inception to completion, I would apologize for my deciencies and thank for their patience.
I would like to give special thanks to Prof. Julio Mayol of Madrid and the
late Prof. Sherif Hanna of Toronto. Both were instrumental in the genesis of
this text. Without their encouragement, this project would not have
proceeded.
To all my colleagues who provided their wisdom and insights to the writing of this book, I am so grateful. This book again represents your commitment to training and the future of high-quality head and neck surgery.
And nally, as for all surgeons, for their love and support, I would wish to
acknowledge and thank my family.
vii

Introduction
https://t.me/medicina_free
The surgical management of diseases of the head and neck demands much of
the surgeon. The interplay between complex anatomy and lethal disease is
unforgiving, with complications and the unexpected the order of the day. But
just like other elds of surgery, sound practice delivering optimal outcomes
for our patients is based on knowledge and a dedication to medical and technical excellence.
General surgery is the parent of all surgical specialties. Some of the most
renowned head and neck surgeons have been general surgeons, including
George Crile, Hayes Martin, and more recently Jatin Shah. In many parts of
the world, general surgeons provide a very high standard of care in head and
neck surgery.
Within general surgery training programs, the teaching of head and neck
surgery for both benign and malignant disease can be patchy. The coverage of
key topics is often left to others, and unsatisfying gaps in the syllabus leave
our junior colleagues to pursue other training or to abandon the eld as too
difcult to even begin to master. The provision of graduating surgeons with a
rm handle on the topic is generally incomplete.
We have therefore compiled a collection covering key topics in head and
neck surgery, written by an international multidisciplinary and multispecialty
group of surgeons, each an expert in their eld. Our aim has been to distill the
essence of each topic, with applicable workup and both operative and nonoperative approaches to management, with key takeaways and limited but
essential references for further reading. Relevant anatomy is reviewed as this
is the basis for safe surgery in a mineeld of critical structures. We have tried
to cover technical pearls of the pertinent operations, but to not serve as a stepby- step operative surgery manual.
My hope is that this book provides a context and a template for the syllabus of head and neck surgery topics to be adequately taught, studied, and
revisited by both trainees and surgeons alike. And by concisely dealing with
the complex and demanding, I hope the gaps in training can be demystied,
shedding light on the path and making sense of the obscure and opaque.
ix

Contents
https://t.me/medicina_free
1 Imaging in Head and Neck Surgery . . . . . . . . . . . . . . . . . . . . . . . 1
Grace Aw and Jennifer Gillespie
2 Thyroid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Steven Craig
3 Parathyroid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Tamara Preda, Peter Campbell, and Yeow Chun Tee
4 Parotid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Laurent Fradet and Jonathan R. Clark
5 Submandibular and Sublingual Gland . . . . . . . . . . . . . . . . . . . . . 73
Mirko Manojlovic-Kolarski and Timothy Eviston
6 Advanced Skin Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Bruce Ashford and Matthew Beck
7 Local Flaps of the Head and Neck . . . . . . . . . . . . . . . . . . . . . . . . . 91
Tam Quinn and Sydney Ch’ng
8 Neck Dissection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Timothy Manzie and James Wykes
9 Neck Cysts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
Rajith Mendis and Bruce Ashford
10 Tracheal Surgery and Tracheostomy . . . . . . . . . . . . . . . . . . . . . . 139
Michael Zhang, Faruque Riffat, and Carsten Palme
11 Carotid Body Tumours and Paragangliomas . . . . . . . . . . . . . . . . 161
Timothy Eviston and Kevin Higgins
12 Mucosal Malignancy: Management of the Oral Cavity
and Facial Skeleton . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
Szymon Mikulski and N. Gopalakrishna Iyer
13 Mucosal Malignancy: Cancers of the Oropharynx . . . . . . . . . . . 189
Joel C. Davies, Susannah C. Orzell, and Danny J. Enepekides
14 The Larynx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
Avital Fellner and Daniel Novakovic
xi

xii
https://t.me/medicina_free
15 Vascular Access and Control in Trauma of the Neck. . . . . . . . . . 211
Paul Ghaly, Jim Iliopoulos, and Mehtab Ahmad
16 Maxillofacial Trauma for the General Surgeon . . . . . . . . . . . . . . 221
Peter Aquilina
17 Odontogenic Infections and Deep Neck Collections . . . . . . . . . . 231
Gary R. Hoffman, Ashim N. Adhikari,
and Olivia G. I. Hoffman
18 Regional Flaps for Head and Neck Reconstruction . . . . . . . . . . . 245
Nitisha Narayan and Sinclair Gore
19 Free Tissue Transfer for Head and Neck Reconstruction . . . . . . 259
Takako Eva Yabe and Rahul Jayaram
Contents
Соседние файлы в папке @xirurgi_2025
