Download PDF by John M. DelGaudio, Amy Y. Chen (auth.), William C. Wood,: Anatomic Basis of Tumor Surgery

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

ISBN-10: 3540741763

ISBN-13: 9783540741763

ISBN-10: 3540741771

ISBN-13: 9783540741770

Modern organic knowing is the foundation for a multimodality therapy of a tumor. 'Anatomic foundation of Tumor surgical procedure' is the single ebook that gives an anatomic foundation and outline of tumor surgical procedure in accordance with an figuring out 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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Sample text

This muscle surrounds the oropharynx. Between the overlapping layers of pharyngeal constrictor muscles are intervals through which structures enter the pharynx. The interval between the superior and middle constrictor muscles is traversed by the stylopharyngeus muscle, which extends from the styloid process and extends inferiorly and anteriorly in an oblique fashion to attach to the medial aspect of the middle constrictor muscle. The glossopharyngeal nerve, which supplies sensory innervation to the base of tongue and the pharynx, also traverses this interspace and, along with the lingual artery, runs deep to the hyoglossus muscle.

When possible, primary closure of the mucosa is preferred, and this is performed with 3–0 chromic or Vicryl sutures. When primary closure is not possible or results in excess tethering of the tongue, healing by secondary intention is preferred. Split-thickness skin grafting may also be performed. For anterior floor of mouth tumors approaching or involving the periosteum of the anterior mandibular arch without gross bony involvement, a marginal mandibulectomy can be performed periorally, removing the alveolar process of the mandible, after exposure is obtained as previously described.

Care is taken to make the mucosal and muscular cuts through the soft palate perpendicular to the plane of the soft palate to avoid beveling, which can result in a closer margin than planned. Frozen-section control is performed, as with all head and neck tumors. If necessary, the resection can extend laterally to include one or both tonsils and tonsillar fossae. Hemostasis is obtained with cautery. Soft Palate Resection 29 30 Chapter 1 Oral Cavity and Oropharynx The mucosa is closed in a single layer with 3–0 Vicryl or chromic sutures when possible, or the wound can be left to granulate.

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Anatomic Basis of Tumor Surgery by John M. DelGaudio, Amy Y. Chen (auth.), William C. Wood, Charles A. Staley, John E. Skandalakis (eds.)

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