Major Flap Utilization in Head and Neck Reconstruction: A Defect-oriented Approach - Hardcover

Mark L. Urken; Daniel Buchbinder; Peter D. Costantino

9780397518357: Major Flap Utilization in Head and Neck Reconstruction: A Defect-oriented Approach

Hardcover

ISBN 10: 0397518358 ISBN 13: 9780397518357

Publisher: Lippincott Williams and Wilkins, 2009

Illustrated with over 3,400 drawings and full-color photographs, this volume presents a unique multidisciplinary approach to head and neck reconstruction, combining input from otolaryngologists, plastic surgeons, oral and maxillofacial surgeons, maxillofacial prosthodontists, oculoplastic surgeons, speech and swallowing therapists, and metabolic support and nutrition specialists. For each anatomic region of the head and neck, the book defines the various defects from the reconstructive surgeon's point of view and presents actual cases demonstrating how each defect was reconstructed. In-depth discussions by leaders in the field allow the reader to appreciate the basic principles as well as the nuances of restoring each defect to an optimal level using regional flaps, free flaps, and prosthetic rehabilitation. The detailed case presentations show flap design and inset to achieve the final result. One of the key advances emphasized is the combination of implant technology and free tissue transfer to achieve the highest level of functional restoration. The reconstruction of patients following failure of radiation therapy is also extensively discussed.

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Review:

The Journal of Laryngology and Otology, 10-NOV-09, Kim Ah-See, Consultant Head and Neck Surgeon, Aberdeen Royal Infirmary, Foresterhill, Aberdeen, UK -- "This new hardback colour textbook on Head and Neck reconstruction has been written by the well respected Mark Urken from New York. It is over 800 pages long and is crammed full of colour clinical photographs on high quality gloss paper... "It represents the fruits of his considerable clinical experience over the past 20 years or so. The chapters are largely based on site-specific reconstruction techniques. While the majority of defects result from neoplastic disease, there is a chapter at the end dedicated to trauma reconstruction and also a chapter on paediatric cases, both of which would also be of interest to our Maxillo-Facial colleagues. Three initial chapters deal with special topics related to the head and neck patient, including issues around nutrition, vascular access and complications of free tissues transfer. "The format of the chapters is based on a description of basic principles and considerations for reconstruction in particular areas, followed by detailed case studies including descriptions of their clinical course, illustrated with staged clinical photographs. There are some helpful classification systems, largely based on Urken's own experience and they therefore may not be familiar to most readers. "While this textbook eloquently describes the management of dozens of challenging cases, it is not meant as a 'How I do it' type text. If you don't know how to do a free radial forearm flap, then you still won't after reading this book. You will however gain an understanding of the different scenarios in which it can be used...In essence, this is a hugely detailed and colourful descriptive case series."-The Journal of Laryngology and Otology

Synopsis:

Illustrated with 800 drawings and full-color intraoperative photographs, this volume is a complete guide to the use of free flaps in head and neck reconstruction. For each anatomic region, the book reviews relevant anatomy and physiology, presents a classification of defects, and details various techniques for reconstructing each defect. A separate section focuses on free flaps in post-traumatic defects. Coverage includes discussions of outcomes and measures for judging the success of each reconstruction. The book also addresses key aspects of preoperative evaluation and technical issues in free flap transfer

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