The goal of this book is to provide an up-to-date guide to every aspect of head and neck reconstruction. We felt the need to fll a void since few recent texts are devoted solely to this broad and complicated feld that is rich enough to be its own surgical specialty. We made every effort to make this book practical and complete. We believe trainees and young surgeons, as well as seasoned veterans, will beneft from the material presented, as both basic concepts and advanced techniques are discussed. Without a doubt, the coming years will see even more advances in head and neck reconstruction as surgeons continue to strive toward perfect and total restoration. We welcome such advances and hope that you, our readers, will be inspired by this book to contribute to them.

This book is divided into two parts. The frst part is dedicated to various topics pertinent to modern head and neck reconstruction. Our goal in these chapters is to provide anatomic, functional, and oncologic information for a specifc head and neck region and to present a reconstructive algorithm for that region based on our experience with the many thousands of head and neck reconstructions performed at MD Anderson Cancer Center over the past three decades. However, we set out to do much more than write a “how we do it” book. To give a balanced view, we invited many of the top reconstructive surgeons in the world to comment and expand upon our text. In many instances, these commentaries demonstrate that there is often more than one way to achieve excellent outcomes. In others, it shows that, as far as we have come, there is much yet to discover and learn.

Reconstructive Plastic Surgery of the Head and Neck describes the current state-of-the-art techniques used in head and neck reconstruction.  Residents, fellows and attendings can follow the up-to-date, step-by-step instructions and images in this book to perform reconstructive surgical techniques for head and neck cancer patients. The cutting-edge descriptions of computer modeling, robotic surgery, and composite tissue allotransplantation lay the foundation for continued innovation.

Key Features:

• • Algorithms for each head and neck sub-region to guide clinical decision-making

• • Step-by-step technical descriptions of the most commonly used flaps in head and neck reconstruction

• • “Pearls and Pitfalls” sections outline key concepts and critical nuances in surgical technique or patient management

Edited by surgeons from the renowned MD Anderson Cancer Center in Houston, Texas, with commentaries from master surgeons around the world, this book is an essential resource for residents, fellows, and attendings to find the best surgical solutions when they are faced with challenging head and neck cancer cases.

Contents

۱ Lip Reconstruction
۲ Oral Cavity Reconstruction
۳ Mandibular Reconstruction
۴ Pharyngoesophageal Reconstruction
۵ Reconstruction of Tracheal Defects
۶ Laryngotracheal Reconstruction with Prefabricated Free Flaps and Tracheal Allotransplantation
۷ Midfacial Reconstruction
۸ Skull Base Reconstruction
۹ Scalp and Calvarial Reconstruction
۱۰ Facial Nerve Reconstruction
۱۱ Principles of Multidisciplinary Care in Head and Neck Cancer Treatment
۱۲ Recipient Vessel Dissection
۱۳ Postoperative Care and Management of Surgical Complications
۱۴ Management of Osteoradionecrosis of the Mandible
۱۵ Dental and Facial Prosthetic Rehabilitation
۱۶ Robotic Reconstructive Surgery
۱۷ Composite Tissue Allotransplantation of the Face
۱۸ Imaging and Computer Modeling in Head and Neck Reconstruction
۱۹ Anterolateral and Anteromedial Thigh Flaps
۲۰ Radial Forearm Free Flap
۲۱ Ulnar Artery Perforator Flap
۲۲ Rectus Abdominis Flap
۲۳ Fibular Flap
۲۴ Iliac Crest Flap
۲۵ Latissimus Dorsi Flap/Thoracodorsal Artery Perforator Flap
۲۶ Scapular and Parascapular Flaps
۲۷ Free Jejunal and Supercharged Jejunal Flaps
۲۸ Pectoralis Major Flap
۲۹ Supraclavicular Artery Island Flap
۳۰ Internal Mammary Artery Perforator Flap
۳۱ Local Flaps in Head and Neck Reconstruction