Functional and selective neck dissection by Javier Gavilan, Lawrence W. De Santo

By Javier Gavilan, Lawrence W. De Santo

For all surgeons who deal with sufferers with head and neck melanoma, this
information-packed booklet deals either a brand new procedure and a brand new philosophy of
treatment-one that rejects radical methods other than in complicated illness and
focuses on a mixed sensible and selective procedure for optimum final result. You
will locate the reason, symptoms, surgical steps, and result of those
procedures, and be greater outfitted to deal with a variety of advanced scientific
situations.

Functional and Selective Neck Dissection starts with a whole
explanation of the fascial compartmentalization of the neck, and is going directly to
explain and illustrate the tactics. step by step descriptions of useful
dissection surgical procedures, confirmed with greater than 2 hundred fine quality, sequential
operative pictures and drawings, spotlight and make clear all issues.

Special positive aspects:

  • A thorough description of the fascial anatomy
    of the neck, important for facilitating an efficient surgical method in head and
    neck melanoma sufferers
  • Step-by-step surgical descriptions of sensible
    neck dissections, augmented by means of hundreds and hundreds of sequential operative photos
  • A complete checklist of technical tricks and pitfalls bought
    via decades of scientific adventure
  • a distinct bankruptcy answering the main commonly asked questions
    about to be had surgical ideas
  • A synthesis of the yankee and Latin viewpoints on
    neck dissection, key to knowing the evolution of the sector and integrating
    the top facets of either

All head and neck surgeons, otolaryngologists, maxillofacial surgeons,
plastic surgeons, and citizens will locate this synthesis of neck dissection
techniques either informative and useful for powerful decision-making.

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Extra resources for Functional and selective neck dissection

Sample text

As for any other human activity, approaching perfection requires a balanced combination of ideas and skills. This is achieved only by putting together the technical details with the spirit of the procedure. This is what we call functional neck dissection. Evolution of Functional Neck Dissection Osvaldo Sua´ rez did a fine job with functional neck dissection. He had a thorough knowledge of neck anatomy, was a great surgeon, and designed a new approach to the lymphatic system of the neck for patients with head and neck cancer.

This update of the original classification includes a subzone separation for some of the original levels and uses anatomical structures depicted radiologically to define boundaries between various neck levels to accurately designate image-depicted nodes (Figs. 2-7A, 2-7B). Level I is subdivided into   IA: submental lymph nodes IB: submandibular lymph nodes Black plate (31,1) RATIONALE AND ANATOMICAL BASIS FOR FUNCTIONAL AND SELECTIVE NECK DISSECTION 31 Figure 2-7 Division of nodal groups by subzones.

With this modification, each side of the neck actually has nine different lymphatic regions. Their combination with the various T and N stages results in a huge number of different possibilities, which seem impractical, at least, for teaching purposes. A Final Comment on the Nodal Group Classification The main use of the nodal group classification is to support the worthiness of selective neck dissections. However, the artificial nature of the division creates some inconsistencies that must be kept in mind to avoid falling into a ‘‘nodal group fundamentalism,’’ which often happens nowadays.

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