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Complications
in Neck
Dissection
AComprehensive, Illustrated
Guide
ThomasSchlieve
WaleedZaid
Editors
Complications in Neck Dissection
Thomas Schlieve • Waleed Zaid
Editors
Complications in Neck
Dissection
A Comprehensive, Illustrated Guide
Editors
Thomas Schlieve
Division of Oral and Maxillofacial Surgery
University of Texas Southwestern
Medical Center, Texas Health Presbyterian
Hospital
Dallas, TX
USA
Waleed Zaid
Oral and Maxillofacial Surgery Department
Louisiana State University Health sciences
center– New Orleans, Our Lady of the
Lake Regional Medical center–
Baton Rouge
Baton Rouge, LA
USA
ISBN 978-3-030-62738-6 ISBN 978-3-030-62739-3 (eBook)
https://doi.org/10.1007/978-3-030-62739-3
© Springer Nature Switzerland AG 2021
This work is subject to copyright. All rights are reserved 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 Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
This book is dedicated to Cristina Bartis, my
wife and partner in life. She is my best
friend, my biggest supporter, my kindest
critic, and my greatest love. Thank you to my
mentors who encouraged me and have
always supported me. “If I have seen further
it is by standing on the shoulders of giants.”
—Thomas Schlieve
https://t.me/medicina_free
vii
Preface
As head and neck fellows learning the art of neck dissection, we realized an abun-
dant number of textbooks and review articles discussing the indications for neck
dissection and types of neck dissections but only short sections discussing possible
complications that might arise in association with a neck dissection procedure.
We thought of creating a textbook that might shed light on these complications
in greater detail and elaborate on their management. Rather than depending only on
our own experience, we were fortunate to secure signicant input and contribution
from our distinguished authors. We made sure that the following text reects on
common and rare complications encountered in our practices and elaborated on
how to prevent them.
We surely hope you enjoy reading this textbook.
Dallas, TX, USA ThomasSchlieve
Baton Rouge, LA, USA WaleedZaid
https://t.me/medicina_free
ix
Acknowledgment
First, I would like to thank my family, especially my wife Manal for the tremendous
support she has shown across the years, starting from my residency carrying through
fellowship and as an attending surgeon, along with our kids Yaseen and Mohammad.
Also, I must thank all my faculty who contributed in my education and training,
from my Canadian faculty at McGill University to my fellowship director at Boston
University, Dr. Andrew Salama, and I am honored to co-author with him in one of
the chapters in this textbook. Finally, I have to thank my LSUHSC family for their
endless support that nourished me as faculty and allowed me to progress in my career.
New Orleans, LA, USA WaleedZaid
https://t.me/medicina_free
xi
Contents
1 Neck Dissections: History, Classification, and Indications . . . . . . . . . . 1
Eric R. Carlson
2 Complications Related to Skin Incisions, Design, and Skin Flaps . . . . 23
Waleed Zaid, Travis Williams, Rushil Dang, and Andrew Salama
3 Infectious Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Lindsay L. Graves and Thomas Schlieve
4 Complications Related to Lymphatics and Chyle Leak . . . . . . . . . . . . 59
Waleed Zaid, Peter Park, Beomjune Kim, and Rob Laughlin
5 Vascular Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Anastasiya Quimby, Yoram Fleissig, and Rui Fernandes
6 Neural Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Moo Hyun Kim and Antonia Kolokythas
7 Complications Related to Radical Neck Dissections
and Management of Recurrent Neck Disease. . . . . . . . . . . . . . . . . . . . . 111
Fawaz Alotaibi, Ricardo Lugo, D. David Kim, and Ghali E. Ghali
8 Other Complications Related to Neck Dissection . . . . . . . . . . . . . . . . . 143
Roderick Y. Kim, Todd R. Wentland, Daniel A. Hammer, and
Fayette C. Williams
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
https://t.me/medicina_free
xiii
Contributors
FawazAlotaibi, DDS Department of Oral and Maxillofacial Surgery, Head and
Neck Oncology/Microvascular Reconstruction, Louisiana State University Health
Sciences Center at Shreveport, Shreveport, LA, USA
EricR.Carlson, DMD, MD, EdM, FACS Department of Oral and Maxillofacial
Surgery, The University of Tennessee Graduate School of Medicine, University of
Tennessee Medical Center, Knoxville, TN, USA
University of Tennessee Cancer Institute, Knoxville, TN, USA
Rushil Dang, DMD Oral and Maxillofacial Surgery Department, Boston
University– School of Dentistry, Boston, MA, USA
Rui Fernandes, MD, DMD, FACS, FRCS(ed) Department of Oral and
Maxillofacial Surgery, Division of Head and Neck Oncologic and Microvascular
Surgery, University of Florida, Jacksonville, FL, USA
YoramFleissig, MD, DMD, MSc Department of Oral and Maxillofacial Surgery,
Division of Head and Neck Oncologic and Microvascular Surgery, University of
Florida, Jacksonville, FL, USA
Ghali E. Ghali, DDS, MD, FACS, FRCS(Ed)
Department of Oral and
Maxillofacial Surgery, Head and Neck Oncology, Louisiana State University Health
Sciences Center at Shreveport, Shreveport, LA, USA
Lindsay L. Graves, DDS, MD
Department of Oral and Maxillofacial Surgery,
Parkland Memorial Hospital, Dallas, TX, USA
DanielA.Hammer, DDS John Peter Smith Health Network, Department of Oral
and Maxillofacial Surgery, Division of Maxillofacial Oncology and Reconstructive
Surgery, Fort Worth, TX, USA
BeomjuneKim, DDS, MD Oral and Maxillofacial Surgery Department, Louisiana
State University Health Sciences Center, New Orleans, LA, USA
MooHyunKim, DDS Department of Oral and Maxillofacial Surgery, University
of Rochester – Strong Memorial Hospital, Eastman Institute for Oral Health,
Rochester, NY, USA
https://t.me/medicina_free
xiv
D.DavidKim, DMD, MD, FACS Department of Oral and Maxillofacial Surgery,
Head and Neck Oncology/Microvascular Reconstruction, Louisiana State University
Health Sciences Center at Shreveport, Shreveport, LA, USA
Roderick Y.Kim, DDS MD John Peter Smith Health Network, Department of
Oral and Maxillofacial Surgery, Division of Maxillofacial Oncology and
Reconstructive Surgery, Fort Worth, TX, USA
Department of Surgery, Texas Christian University, Fort Worth, TX, USA
Antonia Kolokythas, DDS, MSc, MSed, FACS
Department of Oral and
Maxillofacial Surgery, University of Rochester – Strong Memorial Hospital,
Eastman Institute for Oral Health, Rochester, NY, USA
RobLaughlin, DDS Oral and Maxillofacial Surgery Department, Louisiana State
University Health Sciences Center, New Orleans, LA, USA
RicardoLugo, DDS, MD Department of Oral and Maxillofacial Surgery, Head
and Neck Oncology/Microvascular Reconstruction, Louisiana State University
Health Sciences Center at Shreveport, Shreveport, LA, USA
Peter Park, DDS, MD Oral and Maxillofacial Surgery Department, Louisiana
State University Health Sciences Center, New Orleans, LA, USA
AnastasiyaQuimby, MD, DDS Department of Oral and Maxillofacial Surgery,
Division of Head and Neck Oncologic and Microvascular Surgery, University of
Florida, Jacksonville, FL, USA
AndrewSalama, DDS, MD, FACS Oral and Maxillofacial Surgery Department,
Boston University– School of Dentistry, Boston, MA, USA
ThomasSchlieve, DDS, MD, FACS Department of Surgery, Division of Oral and
Maxillofacial Surgery, UT Southwestern Medical Center, Parkland Memorial
Hospital, Texas Health– Dallas Presbyterian, Dallas, TX, USA
ToddR.Wentland, DDS MD John Peter Smith Health Network, Department of
Oral and Maxillofacial Surgery, Division of Maxillofacial Oncology and
Reconstructive Surgery, Fort Worth, TX, USA
Travis Williams, DMD, MD Oral and Maxillofacial Surgery Department,
Louisiana State University Surgery Department, New Orleans, LA, USA
Fayette C. Williams, DDS MD FACS John Peter Smith Health Network,
Department of Oral and Maxillofacial Surgery, Division of Maxillofacial Oncology
and Reconstructive Surgery, Fort Worth, TX, USA
Department of Surgery, Texas Christian University, Fort Worth, TX, USA
WaleedZaid, DDS, MSc, FRCD(c) Oral and Maxillofacial Surgery Department,
Louisiana State University Health Sciences Center, New Orleans, LA, USA
Contributors
https://t.me/medicina_free
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