By C.R. Cernea, F.L. Dias, D. Fliss, R.A. Lima, E.N. Myers, W.I. Wei
ISBN-10: 3805584253
ISBN-13: 9783805584258
Now on hand: second, revised and prolonged version (2012) Pearls and Pitfalls in Head and Neck surgical procedure during this certain quantity top foreign specialists percentage their adventure within the administration of head and neck tumors. the aim of this ebook is to supply a guidebook for all surgeons facing head and neck neoplasms. each one bankruptcy presents a concise description of beneficial pearls and, particularly, risky pitfalls which needs to be shunned. Contributions disguise issues from thyroid glands, neck metastases, and oral tumors to laryngeal, pharyngeal, nasopharyngeal tumors and extra to salivary gland tumors, cranium base tumors and likewise reconstructional surgical procedure. as well as widespread ailments that are encountered in daily perform, a few new healing subject matters corresponding to videoassisted thyroidectomy, robot surgical procedure and administration of the neck after organ protection therapy are mentioned. Head and neck surgeons, otolaryngologists, neurosurgeons, maxillofacial surgeons, plastic surgeons, radiation and scientific oncologists, basic surgeons, in addition to scholars and citizens drawn to the administration of head and neck tumors will locate this e-book vital.
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Additional resources for Pearls and Pitfalls in Head and Neck Surgery: Practical Tips to Minimize Complications
Sample text
After the strap muscles, the RLN is the next most commonly invaded structure by WDTC [2]. Complete surgical resec- 30 tion of all gross disease is the cornerstone therapy; however, resection of the RLN may lead to significant long-term sequelae. Thus, the management of the RLN invaded by WDTC is a contentious area. RLN invasion usually occurs either in the region of Berry’s ligament or in the tracheoesophageal groove from tumor in metastatic paratracheal lymph nodes [2]. Male sex, older age, and aggressive histological subtypes of papillary carcinoma are associated with increased risk of RLN invasion [3, 4].
EBRT has become more widely used in treating ITC. There are no controlled trials, although anecdotal results indicate that it may be helpful in selected cases [4]. Conclusion WDTC invading the UADT and LN causes significant morbidity/mortality. Successful treatment is possible while preserving function. PVL, tracheal resections, SR and EBRT eliminate morbidity, preserve function, reduce local recurrence and may improve survival. References 1 McConahey WM, Woolner LB, van Heerden JA, Taylor WF: Papillary thyroid cancer treated at the Mayo Clinic, 1946–1970: initial manifestations, pathological findings, therapy, and outcome.
Conclusion It is my view that a selective ND should be performed in the majority of the N0 necks, which is supported by the literature cited. However, in cases where a sentinel node biopsy was negative, a careful watch and wait approach may be justified. Also, in superficial T1 lesions with a depth ranging to no more than 4–6 mm, or anterior tongue small lesions, a watch and wait policy may be reasonable. References 1 Andersen PE, Cambronero E, Shaha AR, Shah JP: The extent of neck disease after regional failure during observation of the N0 neck.