By Nirav Trivedi
Surgical procedure for head neck melanoma has advanced drastically within the fresh years. applicable surgical resection with unfavourable margins nonetheless stay corner-stone in attaining strong oncological consequence. This atlas proposes a brand new inspiration of " The Compartment surgical procedure " to accomplish unfavourable margins in 3rd dimensions that's the matter region in majority of situations. Reconstructive suggestions have advanced enormously within the contemporary years with use of microvascular unfastened flaps and this has considerably enhanced the useful consequence. appearing every one step in acceptable demeanour cumulatively permits us to accomplish extra advanced techniques. subject matter of this atlas revolves round this fact.
This atlas on head and neck cancers takes a clean stylistic procedure the place each one surgery is defined in a step-wise demeanour via categorized high-resolution photographs with minimum incorporation of textual content. this permits the surgeons to speedily revise the operative steps of a approach inside mins earlier than they begin a surgical procedure. Head and neck has multidimensional anatomy and surgery calls for particular method for every subsite. This operative atlas covers the whole spectrum of universal, unusual and infrequent cancers of the pinnacle and neck zone. each one subsite is addressed in a separate bankruptcy with additional subdivisions for surgical procedure of tumors with various volume. each one process is tested with photos of every surgical step and line diagrams. everyday flaps (regional and loose flaps) are established in separate bankruptcy for reconstruction. With over one thousand photos, and assurance of either the ablative and reconstructive surgeries, this can be a technique-focused atlas compared to the on hand complete texts. There are chapters on very complicated cancers, and surgical procedure in source restricted surgical devices making the booklet suitable to quite a lot of melanoma surgeons and fellows-in-training in assorted medical settings.
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Additional resources for Atlas of Head and Neck Cancer Surgery: The Compartment Surgery for Resection in 3-D
14 Flap being raised 44 4 Tumors of the Parotid Fig. 17 In the case of recurrent parotid lesions where it is difficult to identify main trunk due to fibrosis, identification of peripheral branches of facial nerve serves as a good guide in tracing main trunk Fig. 19 The superficial lobe is separated completely to expose the nerve branches and lesion underneath. One should plan to remove this tumor between two branches of the facial nerve that is located farthest apart Fig. 18 The peripheral nerve is traced proximally in retrograde manner.
Both ends should be mobilized enough to have tension-free repair Figs. 32 Demonstrates technical concepts in suturing of the trachea. Stay sutures with prolene are taken on the lateral aspect of the trachea. The posterior wall of the trachea is sutured first. It is preferable to keep the knots outside of the tracheal lumen to prevent granulation tissue. If a separate endotracheal tube was inserted through the lower tracheal stoma earlier, it needs to come out now. The tube which was kept at the level of the vocal cord can be guided into the lower trachea.
2 Algorithm for management of thyroid diseases >1 cm • total • Central comp (Neck for node positive) (Level 2 to 5) Thyroid 19 Thyroidectomy Fig. 3 Demonstrates the position of the patient for any thyroid procedure. It is essential to achieve as much neck extension as possible with the use of a shoulder bag and head ring Fig. 4 Demonstrates surface marking for the incision. Transverse lower cervical incision about 2 cm above the suprasternal notch is preferred for thyroid surgeries. This gives better exposure, avoids the need for retraction of the lower flap, and provides better cosmesis.