TY  - CHAP
M1  - Book, Section
TI  - Reconstructive Head and Neck Surgery
A1  - Chan, Yvonne
A1  - Goddard, John C.
PY  - 2019
T2  - K.J. Lee’s Essential Otolaryngology: Head and Neck Surgery, 12e
AB  - In  the  past,  ablative  surgery  for  head  and  neck  cancer,  major  facial  trauma,  and  infections  or  inflammatory  disorders  resulted  in  significant  functional  and  aesthetic  problems  that  severely  impacted  patients’  quality  of  life,  often  leading  to  social  isolation.  Our  ability  to  communicate  via  speech  and  facial  expression  is  the  basis  for  human  connectedness.  The  number  of  tools  the  head  and  neck  surgeon  has  in  his  or  her  armamentarium  to  address  many  reconstructive  problems  continues  to  grow.  Achievement  of  the  ideal  reconstruction—tissue  replacement  that  matches  the  quality  and  function  of  the  resected  tissue—has  prompted  the  evolution  of  time-tested  techniques  and  the  development  of  new  approaches  based  on  these  techniques.  Reconstructive  plans  that  took  months  and  several  operative  procedures  decades  ago  can  now  be  accomplished  at  the  time  of  resection  with  microvascular  free  tissue  transfer.  Chronic  facial  nerve  paralysis  may  be  addressed  with  nerve  grafting,  substitution  techniques,  or  muscle  substitutions  that  allow  more  natural  movements  of  the  face.  The  reconstructive  plan  follows  a  comprehensive  defect  analysis.  This  chapter  will  begin  with  a  discussion  of  the  important  considerations  and  requirements  for  tissue  replacement  followed  by  descriptions  of  the  multiple  head  and  neck  reconstructive  techniques  ranging  from  simple  to  complex.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/20
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1172372879
ER  -