Добавил:
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
Скачиваний:
0
Добавлен:
29.08.2026
Размер:
17 Мб
Скачать
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, specically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microlms 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 specic 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 afliations.
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 fullls an unmet demand for a quick compendium of head and neck surgery for the general surgeon.
Memorial Sloan Kettering Cancer Center JatinP.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 deciencies 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 difcult 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 mineeld 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 demystied, 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