By Nirav Trivedi
Surgical procedure for head neck melanoma has developed drastically within the fresh years. applicable surgical resection with damaging margins nonetheless stay corner-stone in attaining reliable oncological final result. This atlas proposes a brand new proposal of " The Compartment surgical procedure " to accomplish unfavorable margins in 3rd dimensions that's the matter zone in majority of circumstances. Reconstructive concepts have advanced greatly within the contemporary years with use of microvascular unfastened flaps and this has considerably more desirable the useful end result. acting 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 process the place every 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 quickly revise the operative steps of a process inside mins earlier than they begin a surgical procedure. Head and neck has multidimensional anatomy and surgical procedure calls for particular procedure for every subsite. This operative atlas covers the full spectrum of universal, unusual and infrequent cancers of the top and neck zone. each one subsite is addressed in a separate bankruptcy with extra subdivisions for surgical procedure of tumors with various quantity. each one approach is validated with images of every surgical step and line diagrams. popular flaps (regional and loose flaps) are established in separate bankruptcy for reconstruction. With over a thousand photos, and insurance of either the ablative and reconstructive surgeries, this can be a technique-focused atlas compared to the to be had entire texts. There are chapters on very complex cancers, and surgical procedure in source restricted surgical devices making the publication correct to quite a lot of melanoma surgeons and fellows-in-training in different medical settings.
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Additional info for Atlas of Head and Neck Cancer Surgery: The Compartment Surgery for Resection in 3-D
It is important for the surgeon to have suspicion with the above findings as extent and approach to surgery with carcinoma is completely different from that of adenoma and recurrence is very difficult to salvage (multifocal). Fig. 52 Shows surface marking for surgery Fig. 54 Shows exposed carotid artery separated from the thyroid and parathyroid Fig. 53 Shows exposed strap muscle. Surgery for carcinoma includes the removal of the parathyroid gland with thyroid lobe and strap muscles if involved.
The pedicle should be ligated as close to the thyroid gland as possible to avoid injury to the external laryngeal nerve. I prefer not to dissect the external laryngeal nerve and stay close to thyroid gland to avoid injuring it (Fig. 11) 22 Figs. 15 Demonstrate the anatomy of the RLN in relation to the inferior thyroid artery and parathyroid glands. Fig. 12 shows the recurrent laryngeal nerve passing below the inferior thyroid artery which is the usual anatomy in this region. Fig. 13 shows variation of this anatomy where the RLN passes above the inferior thyroid artery.
Unilateral benign lesions 2. Well-differentiated malignant thyroids less than 1 cm size • Total Thyroidectomy 1. Bilateral large benign lesions 2. Malignant lesions (>1 cm) Indications for sub-total and near total thyroidectomy are rare in current day practice. This chapter focuses on the technical aspects of performing thyroid surgeries. A. Thyroidectomy B. Thyroidectomy with tracheal resection C. Thyroidectomy with sternotomy for retrosternal goiter N. 1007/978-81-322-2050-3_3, © Springer India 2015 17 18 3 Tumors of the Thyroid and Parathyroid Superior laryngeal nerve Superior thyroid artery Superior parathyroid Inferior thyroid artery Inferior parathyroid RLN Fig.