Download e-book for kindle: Anatomic Basis of Tumor Surgery by John M. DelGaudio, Amy Y. Chen (auth.), William C. Wood,

By John M. DelGaudio, Amy Y. Chen (auth.), William C. Wood, Charles A. Staley, John E. Skandalakis (eds.)

Modern organic figuring out is the foundation for a multimodality remedy of a tumor. 'Anatomic foundation of Tumor surgical procedure' is the one ebook that offers an anatomic foundation and outline of tumor surgical procedure in accordance with an knowing of either the anatomy and biology of tumor development. It provides the nearby anatomy to permit tailoring of the operation as demanded.

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It averts the need for facial incisions and can be combined with a lateral mandibulotomy for further superior exposure. Inferior exposure can be extended to the level of the pyriform sinuses. The incision can also be extended anteriorly to allow complete oral tongue exposure. Tracheotomy and selective or modified neck dissection are performed through standard incisions. After this, the lateral pharyngotomy is initiated. The hypoglossal nerve is identified and followed anteriorly to its entrance into the floor of mouth lateral to the hyoglossus muscle.

Its function is to elevate the soft palate. The tensor veli palatini muscle is the only soft palate muscle innervated by the mandibular branch of the trigeminal nerve and not the vagus nerve. It arises from the medial pterygoid plate, spine of the sphenoid bone and lateral portion of the cartilaginous eustachian tube, lateral to the pharyngobasilar fascia. It descends inferiorly to hook around the hamulus on the pterygoid bone and extends medially as a narrow tendon to insert on the posterior hard palate as the palatine aponeurosis.

Piecrusting of the graft is performed to allow drainage areas for serum and blood. 17 A bolster of Xeroform gauze is placed over the graft and sutured with 3–0 silk tieover sutures. This places pressure on the graft to increase the chances of graft take. The bolster should be left in place for 5 days and then removed. Healing of the defect by secondary intention is possible, but attempts should be made to cover the exposed mandible with advancement of mucosa. Full-thickness defects that communicate with the neck may require flap closure with a platysma flap, sternocleidomastoid flap, or free tissue transfer.

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