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Head and Neck Surgery : Surgical Landmark and Dissection Guide
NorhazaMatLazim ZulIzharMohdIsmail BaharudinAbdullah
123
Head and Neck Surgery : Surgical Landmark and Dissection Guide
Norhaza MatLazim Zul Izhar MohdIsmail Baharudin Abdullah
Editors
Head and Neck Surgery : Surgical Landmark and Dissection Guide
Editors
Norhaza MatLazim Department of Otorhinolaryngology­Head and Neck Surgery School of Medical Sciences, Universiti Sains Malaysia, Health Campus Kubang Kerian, Kelantan, Malaysia
Baharudin Abdullah Department of Otorhinolaryngology­Head and Neck Surgery School of Medical Sciences, Universiti Sains Malaysia, Health Campus Kubang Kerian, Kelantan, Malaysia
Zul Izhar MohdIsmail Department of Anatomy School of Medical Sciences, Universiti Sains Malaysia, Health Campus Kubang Kerian, Kelantan, Malaysia
ISBN 978-981-19-3853-5 ISBN 978-981-19-3854-2 (eBook)
https://doi.org/10.1007/978-981-19-3854-2
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2022 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
I would like to dedicate this book, “Head and Neck Surgery: Surgical Landmarks and Dissection Guide,” to my beloved family members; my loving husband, Associate Professor Dr. Zul Izhar Mohd Ismail; and my three beautiful children, Arieff Iskandar, Adry Zahrin, and Alyssa Yasmin, who have been my great motivation and aspiration throughout the journey of completing this valuable book. The dedication also goes to my mother, Zainun Mat Jusoh, and my father, Mat Lazim Mat Yaakub, who had given their strong support, love, understanding, and perseverance throughout my career years. I am so much grateful and blessed to have my other siblings who have been around and supportive throughout the years. In addition, the dedication also goes to my close colleagues at work especially my great mentor, Professor Dr. Baharudin Abdullah and young trainees in head and neck surgery, who have been my impetus in ensuring the completion of this book that can nally be published.
Associate Professor Dr. Norhaza Mat Lazim
Department of Otorhinolaryngology—Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia

Foreword

The head and neck is one of the most complex anatomical regions of the body and is of great interest to all surgeons regardless of their specialty. Being an area of the body intimately involved in communication, eating, breathing, feeling, and appearance, a lack of knowledge of the relevant surgical anatomy could lead to inadvertent harm during surgeries and be disastrous for both the patient and surgeon. Hence, a clear understanding of this multifaceted maze of vital structures is essential to perform safe and smooth surgery.
The editors are to be commended for taking on a mammoth task of com­piling a reliable resource of surgical landmarks and techniques that can be used by surgeons, especially otolaryngologists and maxillofacial and plastic surgeons. All contributions have been compiled by leading surgeons and phy­sicians that have shared their expertise and experience to provide a valuable reference for the community. The illustrative diagrams and relevant clinical images make this a ready reference of topics regularly encountered in the practice of head and neck surgeons. A thoughtfully balanced inclusion of dif­ferent management philosophies, along with their latest updates, makes this book a much-needed addition to the literature.
In summary, this book brilliantly covers the clinical and surgical approaches to the pathology of the head and neck, including the oral, oropha­ryngeal, laryngeal, and hypopharyngeal lesion; thyroid and parathyroid; skull base tumors; and cervical lymphadenopathy. Each chapter presents an evidence- based, practical, and user-friendly approach to investigate and man­age these patients. I expect this clear, concise, and comprehensive compila­tion to be very useful to trainees and practicing surgeons dealing with head and neck pathology.
PankajChaturvedi
Center for Cancer Epidemiology, Tata Memorial Center
Tata Memorial Hospital
Mumbai, India
Department of Head and Neck Surgery, Tata Memorial Center
Tata Memorial Hospital
Mumbai, India
International Federation of Head and Neck Oncologic Societies
Tata Memorial Hospital
Mumbai, India
vii

Foreword

With this textbook, Head and Neck Surgery: Surgical Landmarks and Dissection Guide, in front of you, Associate Professor Norhaza Mat Lazim and team have made an excellent contribution to the need to acquire the nec­essary skills to perform surgery in this complex area.
With her exceptional motivation, Associate Professor Norhaza Mat Lazim has visited many clinics abroad and has been a clinical fellow among others at the Department of Head and Neck Surgery of the Free University Hospital and at the Netherlands Cancer Institute in Amsterdam, where I met her for the rst time. Dr. Norhaza Mat Lazim has impressed me with her tireless motivation and eagerness to absorb all possible knowledge and to improve her surgical skills continuously, even when she had to stay abroad for 1year without her young family.
During the last decades, head and neck surgery has grown into a dedicated specialism with clearly dened requirements for the surgeons involved. International societies like the International Federation of Head and Neck Oncologic Societies (IFHNOS) have set standards for theoretical knowledge and operative skills. An important part of the training in head and neck sur­gery is the fellowships abroad where young surgeons can familiarize them­selves with treatment of head and neck cancer according to the international protocols and learn tips and tricks to improve the outcome after surgery. A crucial part of the treatment is the decision regarding which therapy will be optimal for a specic patient, especially in the case of major, mutilating surgery.
In order to achieve this, a multidisciplinary approach is critical, which warrants in-depth discussions within so-called tumor boards.
Since we, as doctors, all have acknowledged the Oath of Hippocrates, we always have to act in the best interest of our patients. This implies sometimes that we have to take the difcult decision not to treat, which is often even more difcult than to simply adhere to the protocols.
Treating head and neck cancer in a multidisciplinary team warrants from each member to be up to date with the current treatment protocols and aware of the most recent innovations within their respective specialties.
The head and neck surgeon should have proper knowledge of the anatomy and the most up-to-date surgical procedures and be familiar with the post-op care, rehabilitation, and management of complications. For this, dedicated literature and textbooks are indispensable.
ix
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My outspoken wish is that, thanks to the contribution of all the co-authors, this book will become a valuable tool to improve the outcome of our patients affected with head and neck cancer.
IngBingTan
Head and Neck Surgery
Maastricht University Medical Center
The Netherlands Cancer Institute
Amsterdam, The Netherlands
Gadjah Mada University
Yogyakarta, Indonesia
Foreword

Foreword

This book, edited and for a large part written by Norhaza Mat Lazim, “Head and Neck Surgery: Surgical Landmarks and Dissection Guide,” is a great addition to the surgical textbooks on head and neck surgery. Surgery in this area is performed by dedicated head and neck surgeons, otolaryngologists, maxillofacial surgeons, plastic surgeons, and general surgeons. The reason for all this attention is that it is a challenging eld with complex anatomy. Because the head and neck area is a complex anatomical region, anatomical knowledge, with “tips and tricks” to perform the surgery, and knowledge on landmarks are crucial. In fact, each surgeon in this eld should be able to approach regions from all different angles and have knowledge on 3D anat­omy and correlation with imaging. Especially the impact of surgery on func­tional outcome is crucial in this eld. This is not only the case for residents and junior staff, but also more experienced colleagues run into rare diseases and infrequent surgeries. Reading this book has also taught me new approaches and techniques.
The illustrations in the book are of high quality and clearly show the surgi-
cal anatomy, and the descriptions are clear and very practical.
Fiza told me that she found time to accomplish this work partly because of the Covid-related lockdowns that diminished routine work in the clinic. That might be one of the only.
In summary, this book gives a great overview on many aspects of head and neck surgery. It is practical and user friendly for surgeons to use.
I would like to congratulate Professor Norhaza Mat Lazim, Professor Zul Izhar Mohd Ismail, and Professor Baharudin Abdullah for their tremendous work.
Michielvan den Brekel
Department of Head and Neck
Surgery and Oncology, The Netherlands
Cancer Institute
Amsterdam, The Netherlands
xi

Preface

This book “Head and Neck Surgery: Surgical Landmarks and Dissection Guide” is a great book, comprising each type of head and neck surgery that is commonly practiced at otorhinolaryngology—head and neck surgery depart­ments and head and neck surgical oncology centers, globally. This book is intended for budding junior head and neck surgeons who have main passion and interest in head and neck surgery and wish to pursue their career in head and neck surgical oncology.
Head and neck surgery entails critical surgery to structures and organs that are vital for human daily functioning. Thus, this surgery deserves special attention and requires meticulous techniques and performance by a surgeon, for a safe conduct of every surgery. This ensures the best treatment outcomes for head and neck oncology patients postoperatively and preserves their qual­ity of life. Each chapter of this book is accompanied by many intraoperative live surgery photos, and some of the gures are redrawn to emphasize on the anatomical detail of related structures that are vital to be addressed suf­ciently during each type of surgery. My deepest appreciation goes to Mr. Muhamad Nor Firdaus Ab Rahman from the Department of Anatomy, who had been the main illustrator for this book, and the two esteemed co-editors, Associate Professor Dr. Zul Izhar Mohd Ismail and Professor Dr. Baharudin Abdullah, for their strong support.
My fellowship experience at Antoni van Leeuwenhoek-Netherlands Cancer Institute (NKIAVL), and Vrije University (VUMC), Amsterdam, Netherlands, as well as experience and exposure at Chris O’Brien Lifehouse, Sydney, Australia, have been my true aspiration and main focus for the pro­duction of this head and neck surgery book. Head and neck surgical oncology is my main passion and interest, and this book epitomizes the great adventure and experiences that I have gained and learnt from all my esteemed teachers, both locally and internationally.
I would like to take this opportunity to express my deepest gratitude to everyone, especially all the authors, who had contributed and given their strong commitment to ensure the completion of this book according to the timeline given. I hope this book will be a great addition to the current collec­tion of head and neck surgery books in the world.
Kubang Kerian, Kelantan, Malaysia NorhazaMat Lazim
xiii