Illuminating neck dissection resource presents innovative techniques and insightful clinical pearls! This updated second edition of Functional and Selective Neck Dissection by Javier Gavilán, Alejandro Castro, Laura Rodrigáńez, and Jesús Herranz presents a unique point of view based on fascial dissection techniques developed by several generations of renowned surgeons at La Paz University Hospital. The book lays a foundation with in-depth discussion of fascial compartmentalization of the neck. The text covers the evolution of modern neck dissection, from George Crile in 1906 to current cutting-edge procedures, and details the transition from radical neck dissection to a less aggressive, equally effective approach for treating lymph node metastases in head and neck cancer. The relationship between functional and selective neck dissection is discussed from a pragmatic and nonconventional perspective, elucidating the connection from historical, anatomic, and surgical standpoints. The authors differentiate conceptual approaches, keystones in the evolution of scientific knowledge from surgical techniques, technical variations of a standard procedure designed to most effectively resolve a problem. The primary goal is providing the reader with expert guidance on a full spectrum of fundamental surgical techniques. Key Highlights This is an indispensable resource for practicing head and neck surgeons who treat patients with malignant tumors. Otorhinolaryngology, general surgery, and plastic surgery residents will also find it an invaluable source of information.
For all surgeons who manage patients with head and neck cancer, this information-packed book offers both a new approach and a new philosophy of treatment-one that rejects radical procedures except in advanced disease and focuses on a combined functional and selective approach for optimal outcome. You will find the rationale, indications, surgical steps, and results of these procedures, and be better equipped to handle a wide range of complex clinical situations.
"Functional and Selective Neck Dissection" begins with a full explanation of the fascial compartmentalization of the neck, and goes on to explain and illustrate the procedures. Step-by-step descriptions of functional dissection surgeries, demonstrated with more than 200 high-quality, sequential operative photographs and drawings, highlight and clarify all points.
Special features:
A thorough description of the fascial anatomy of the neck, vital for facilitating an effective surgical approach in head and neck cancer patients Step-by-step surgical descriptions of functional neck dissections, augmented by hundreds of sequential operative photographs A full list of technical hints and pitfalls acquired through many years of clinical experience A unique chapter answering the most frequently asked questions about available surgical techniques A synthesis of the American and Latin viewpoints on neck dissection, key to understanding the evolution of the field and integrating the best aspects of both
All head and neck surgeons, otolaryngologists, maxillofacial surgeons, plastic surgeons, and residents will find this synthesis of neck dissection techniques both informative and necessary for effective decision-making.