Oral cavity reconstruction

Foreword......Page 8
Preface......Page 10
Acknowledgment......Page 12
Contents......Page 14
Contributors......Page 20
INTRODUCTION......Page 24
EVALUATION AND PLANNING......Page 25
Non-vascularized Grafts......Page 26
Regional Flap Transfer......Page 27
Distant Tissue Transfer......Page 28
Implants and Biomaterials......Page 29
REFERENCES......Page 30
IMPORTANCE OF STRUCTURE AND FUNCTION......Page 34
Lips......Page 35
Buccal Mucosa and Cheek......Page 36
Retromolar Trigone......Page 37
Hard Palate......Page 38
Oral Tongue......Page 42
Function......Page 43
REFERENCES......Page 45
EMBRYOLOGY......Page 46
Normal......Page 48
Abnormal......Page 49
Normal......Page 50
Normal......Page 51
Abnormal......Page 53
Normal......Page 55
Abnormal......Page 56
Normal......Page 58
REFERENCES......Page 59
INTRODUCTION......Page 62
Lips......Page 63
Buccal Mucosa......Page 65
Gingiva and Alveolar Mucosa......Page 66
Retromolar Trigone......Page 67
Floor of Mouth......Page 68
Tongue......Page 69
Palate......Page 70
Salivary Gland......Page 72
MELANOMA......Page 75
SARCOMA......Page 76
REFERENCES......Page 77
Mucosa and Soft Tissue Traumatic Fibroma (Irritation Fibroma)......Page 82
Peripheral Ossifying Fibroma (Fibroid Epulis)......Page 83
Mucocele......Page 84
Cheilitis Granulomatosa (Miescher\'s Cheilitis)......Page 85
Drug-Induced Gingival Hyperplasia......Page 86
Florid Osseous Dysplasia (FOD)......Page 87
Cherubism......Page 88
Fibrous Dysplasia (FD)......Page 89
Langerhans Cell Granulomatosis [Langerhans Cell Histocytosis (LCH)]......Page 90
Exostosis......Page 91
Cysts......Page 92
Traumatic Bone Cyst......Page 93
Ameloblastoma......Page 94
Ameloblastic Fibroma......Page 95
Myxoma......Page 96
REFERENCES......Page 97
INTRODUCTION......Page 102
History and Physical Examination......Page 103
Laboratory and Radiologic Studies......Page 105
Treatment Planning......Page 106
Surgical Planning - Incisions......Page 107
Primary and Neck Resection......Page 108
RECONSTRUCTIVE OPTIONS......Page 110
REFERENCES......Page 114
INTRODUCTION......Page 118
EVALUATION AND PLANNING......Page 121
RECONSTRUCTIVE OPTIONS......Page 125
Transoral Approach......Page 127
Midline Glossotomy......Page 130
Lip Split with Cheek Flap and Mandibulotomy......Page 131
Degloving Approach to the Oral Cavity......Page 134
Midface Degloving Approach......Page 137
Lingual Release Approach......Page 138
CONCLUSION......Page 139
REFERENCES......Page 140
PERTINENT ANATOMY......Page 142
EVALUATION AND PLANNING......Page 145
Skin Grafts......Page 147
Vermilion Repair......Page 148
Technique......Page 152
Advantages/Disadvantages......Page 153
Limitations......Page 154
SIMPLE LIP ADVANCEMENT FLAPS......Page 155
Circumoral (Karapandzic) Advancement Flaps......Page 159
Cross-Lip Flaps......Page 161
Gillies \"Fan\" Flap......Page 164
Melolabial (Nasolabial)......Page 165
Cheek Advancement (Von Burow-Bernard) Flaps......Page 167
Island Flaps......Page 170
Temporoparietal Scalp Flap......Page 171
Laterally-Based Forehead Flap......Page 172
Deltopectoral Chest Flap......Page 173
Microvascular Free Flap Lip Reconstruction......Page 174
REFERENCES......Page 176
INTRODUCTION......Page 180
EVALUATION AND PLANNING......Page 181
Split Thickness Skin Grafts and Acellular Human Collagen Matrix......Page 182
Local Tissue Flaps......Page 185
Buccal Fat Pad Grafts......Page 186
Temporalis and Temporoparietal Fascia Flaps......Page 188
Cervical Pedicled Flaps (Sternocleidomastoid, Platysma, and Infrahyoid Myocutaneous Flaps)......Page 189
Regional Myocutaneous Flaps......Page 191
Free Tissue Transfer and Buccal Mucosal Reconstruction......Page 192
Lateral Arm, Latissimus Dorsi, Rectus Abdominus, and Lateral Thigh Flaps......Page 193
Reconstruction of the Parotid (Stensen\'s) Duct......Page 194
REFERENCES......Page 196
EVALUATION AND PLANNING......Page 200
Split-Thickness Skin Graft......Page 201
Platysma Myocutaneous Flap......Page 204
Submental Island Flap......Page 209
Random Cutaneous Nasolabial Flap, Staged Repair......Page 213
Myocutaneous Nasolabial Flap......Page 215
Radial Forearm Free Flap......Page 217
Lateral Arm Free Flap......Page 219
CONCLUSION......Page 221
PROBLEM-BASED DISCUSSION......Page 222
REFERENCES......Page 223
INTRODUCTION......Page 228
RECONSTRUCTIVE OPTIONS......Page 229
Partial Glossectomy Defects (Less Than 25% of the Anterior Mobile Tongue)......Page 230
Hemiglossectomy Defects (Less Than 50% of the Anterior Mobile Tongue)......Page 236
Subtotal Glossectomy Defects (50-100% of the Anterior Mobile Tongue)......Page 241
REFERENCES......Page 242
INTRODUCTION......Page 246
Anatomy and Physiology of the Tongue......Page 247
EVALUATION AND PLANNING......Page 248
RECONSTRUCTIVE OPTIONS......Page 250
Small Tongue Base Defects......Page 252
Partial Tongue Base Defects......Page 256
Subtotal or Total Tongue Base Defects......Page 257
Subtotal or Total Glossectomy Defects......Page 258
Pedicled Myocutaneous and Muscular Flaps......Page 260
Pedicled Latissimus Dorsi Myocutaneous Flap......Page 261
Fasciocutaneous Free Flaps - Radial Forearm Free Flap......Page 263
Ulnar Forearm Free Flap......Page 264
Lateral Arm Free Flap......Page 266
Scapular and Parascapular Free Flaps......Page 267
Lateral Thigh Free Flap......Page 268
Myocutaneous and Muscular Free Flaps - Rectus Abdominis Free Flap......Page 269
Gracilis Free Flap......Page 270
Adjunctive Measures in Tongue Base and Glossectomy Reconstruction......Page 271
CONCLUSION The Future of Base-of-Tongue and Total Glossectomy Reconstruction......Page 272
REFERENCES......Page 273
EVALUATION AND PLANNING......Page 276
RECONSTRUCTIVE OPTIONS......Page 277
DECISION MAKING TIPS......Page 286
SPECIAL SURGICAL REQUIREMENTS......Page 292
REFERENCES......Page 293
INTRODUCTION......Page 296
EVALUATION AND PLANNING......Page 297
RECONSTRUCTIVE OPTIONS Prosthetic Therapy......Page 298
The Dynamic Pharyngoplasty......Page 299
Asymmetrical Pharyngeal Flap......Page 302
REFERENCES......Page 304
Epidemiology......Page 306
Embryology......Page 308
Cleft Lip and Palate Classification......Page 309
Secondary Palate......Page 310
Timing of Cleft Repair......Page 312
The Unilateral Cleft Lip Deformity - Pathologic Anatomy......Page 314
RECONSTRUCTIVE OPTIONS Unilateral Cleft Lip Repair......Page 315
Measurement and Flap Design......Page 316
The Bilateral Cleft Lip Deformity - Pathologic Anatomy......Page 319
Bilateral Cleft Lip Repair......Page 320
Palatoplasty......Page 321
von Langenbeck Palatoplasty......Page 322
Three-Flap Palatoplasty......Page 323
Furlow Palatoplasty......Page 324
REFERENCES......Page 328
INTRODUCTION......Page 330
EVALUATION AND PLANNING......Page 331
Chemotherapy/Radiation Therapy (Tables 1 and 2)......Page 332
Maxillary Defects: Hard Palate (Table 3)......Page 334
Maxillary Defects: Soft Palate (Table 4)......Page 337
Mandible/Tongue Defects (Table 5)......Page 342
Complex Midface Defects......Page 346
Decision Making Tips......Page 347
REFERENCES......Page 348
EVALUATION AND PLANNING......Page 350
Non-Vascularized Grafts......Page 351
Vascularized Grafts......Page 354
Anterior Defects......Page 360
Lateral Defects......Page 361
CONCLUSION......Page 366
REFERENCES......Page 367
INTRODUCTION......Page 370
EVALUATION AND PLANNING......Page 371
Regional Tissue Transfer......Page 373
Pectoralis Major Myocutaneous Pedicled Flap (PMMF) Combined With a Reconstruction Plate......Page 374
Fasciocutaneous Radial Forearm Free Flap Combined with a Reconstruction Plate......Page 380
Osteocutaneous Fibula Free Flap......Page 383
Osteocutaneous RFFF......Page 386
Scapula Osteocutaneous Free Flap......Page 392
MULTIPLE FLAPS FOR THE RECONSTRUCTION OF OROMANDIBULAR DEFECTS......Page 394
Mandible Substitutes......Page 396
DECISION-MAKING TIPS......Page 399
REFERENCES......Page 401
EVALUATION AND PLANNING......Page 406
RECONSTRUCTIVE OPTIONS......Page 407
Reconstructive Options for Secondary Composite Defects......Page 409
DECISION-MAKING TIPS......Page 411
REFERENCES......Page 412
VOCAL SUBSYSTEMS......Page 414
SWALLOWING......Page 416
EVALUATION METHODS AND OBSERVATIONS......Page 419
Instrumental Examination of Voice, Speech, and Swallowing......Page 420
VOICE, RESONANCE, AND SPEECH DISORDERS......Page 422
Treatments for Disorders of Voice, Resonance, and Articulation......Page 423
SWALLOWING DISORDERS......Page 424
Paretic/Paralytic/Partial Intrinsic Laryngeal Valving......Page 425
Cognitive Stimulation......Page 426
Compensatory Postures/Positions......Page 427
Sensitization Techniques......Page 429
Isometric Exercise......Page 430
SUMMARY......Page 432
APPENDIX A Swallowing Abnormalities Commonly Associated with Oral and Pharyngeal Cancer Resections......Page 434
REFERENCES......Page 438
INTRODUCTION......Page 444
HEAD AND NECK INSTRUMENTS......Page 446
FUNCTIONAL STATUS AFTER RECONSTRUCTION......Page 448
COST-EFFECTIVENESS ISSUES......Page 449
REFERENCES......Page 451
INTRODUCTION......Page 454
DISTRACTION OSTEOGENESIS......Page 455
BONE GROWTH FACTORS......Page 459
Resorbable Implants......Page 461
TISSUE ENGINEERED ORAL MUCOSAL LINING......Page 463
REFERENCES......Page 466
Index......Page 472
Back cover......Page 480