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

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

Modern organic figuring out is the root for a multimodality remedy of a tumor. 'Anatomic foundation of Tumor surgical procedure' is the one booklet that offers an anatomic foundation and outline of tumor surgical procedure in accordance with an realizing of either the anatomy and biology of tumor development. It offers the nearby anatomy to permit tailoring of the operation as demanded.

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Margins then are obtained for frozen-section analysis. A scalpel or sharp scissors is used to obtain circumferential mucosal margins and deep margins from the remaining defect, not from the specimen. Hemostasis is obtained. , communicating to the neck), several reconstructive options are available. 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.

30 Surgical Applications in the dentulous patient. Mucosal incisions are performed through the gingiva at the proposed osteotomy site. Elevation of the mucoperiosteum is performed only on the distal side of the proposed osteotomy site (on the mandible to remain). Mucoperiosteum should be minimally elevated on the portion of the mandible to be resected. An oscillating saw is used to perform the osteotomies. In segmental resections of the mandible, a stair-step incision is not necessary and a cut that is perpendicular to the long axis of that particular portion of the mandible is preferred.

Removal of tumors in the parapharyngeal space should be performed by external approaches to ensure control of the great vessels and major nerves in the retrostyloid compartment, especially in the case of tumors that may be displacing the neurovascular structures. Surgical Applications The most important aspects of surgical resection of oral cavity and oropharynx tumors are adequate preoperative assessment of tumor extent and reconstructive needs, and good intraoperative exposure. Adequate tumor resection with a 1–2-cm margin of normal tissue and frozen-section control of margins requires appropriate exposure.

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