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Principles and New Approaches in Surgical Reconstruction

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Head and Neck Cancer

Abstract

The reconstruction of oncologic defects remains a critical element in the surgical treatment of head and neck cancer. Goals of reconstruction are wound healing, vital structure protection, function, and cosmesis. In this chapter, we discuss the reconstructive ladder as it applies to defects of the oral cavity, oropharynx, nose, orbit, midface, hypopharynx, larynx, and cervical esophagus. Patient cases are shown to illustrate outlined principles. New approaches in surgical reconstruction are discussed, including salvage surgery after failed chemoradiotherapy, the use of perforator flaps, and the frontier of transoral laser microsurgery defects that require flap reconstruction.

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  1. Department of Otolaryngology, Head and Neck Surgery, Washington University School of Medicine, 3819 Juniata St., St. Louis, MO, 63116, USA

    Christina Kenney Magill

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  1. Christina Kenney Magill
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  2. Bruce H. Haughey
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Correspondence to Christina Kenney Magill .

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  1. , Dept of Radio-Oncology, Genolier Swiss Medical Network, 4 Route du Muids, Genolier, CH-1272, Switzerland

    Jacques Bernier

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Magill, C.K., Haughey, B.H. (2011). Principles and New Approaches in Surgical Reconstruction. In: Bernier, J. (eds) Head and Neck Cancer. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9464-6_33

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