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Surgical Optimization

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Complex Head and Neck Microvascular Surgery

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Abstract

Reconstruction of head and neck defects is challenging for numerous reasons, including patient-related and disease-related factors. As the consequences of poor surgical outcomes are often devastating to patients, ranging from increased morbidity from additional surgery to increased mortality due to delay of adjuvant therapy in oncologic cases, thorough surgical planning is of utmost importance. Nonetheless, with patients who have systemic comorbidities and/or prior surgeries or radiation therapy, unexpected intraoperative findings are almost a rule, not an exception. This chapter focuses on reviewing generalized concepts of surgical optimization, specific sets of circumstances commonly present in head and neck patients, and preoperative considerations for flap selection, evaluation, design, and utilization. It focuses on describing practical steps, recognizing patterns, as well as pearls and pitfalls of patients who present with multiple challenges.

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Author information

Authors and Affiliations

  1. Department of Head and Neck, Beth Israel Deaconess Medical Center (BIDMC), Harvard Medical School, Boston, MA, USA

    Laurent Ganry

  2. AQ Surgery: Head and Neck, Microvascular Institute, West Palm Beach, FL, USA

    Anastasiya Quimby

  3. Department of Surgery, Good Samaritan Hospital, West Palm Beach, FL, USA

    Anastasiya Quimby

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  1. Laurent Ganry
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  2. Anastasiya Quimby
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Editors and Affiliations

  1. Department of Surgery, Good Samaritan Hospital, AQ Surgery: Head and Neck, Microvascular Institute, West Palm Beach, FL, USA

    Anastasiya Quimby

  2. Department of Oral and Maxillofacial Surg, Queen Elizabeth Hospital Birmingham, Birmingham, UK

    Sat Parmar

  3. College of Medicine, University of Florida, Jacksonville, FL, USA

    Rui Fernandes

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Ganry, L., Quimby, A. (2023). Surgical Optimization. In: Quimby, A., Parmar, S., Fernandes, R. (eds) Complex Head and Neck Microvascular Surgery . Springer, Cham. https://doi.org/10.1007/978-3-031-38898-9_5

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  • DOI: https://doi.org/10.1007/978-3-031-38898-9_5

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