Learning how to do an operation can be a daunting task, whether as a first-year resident preparing the night before a case never previously encountered or as a surgeon in a busy practice faced with incorporating a new technique or technology into his or her surgical repertoire. This book acknowledges the realities of how this process occurs. Initially, “rote” learning of the steps involved may be all that can be expected. Over time, it is hoped that an increased understanding of the logic behind these steps and their sequence will be acquired, and this is where most surgical atlases stop. We know, however, that different surgeons perform the same operations in different ways, and these different techniques can work equally well. Although this can be confusing and disconcerting to early trainees as they work with different attending staff or preceptors, ultimately, being able to reconcile the success of these different approaches requires a firm grasp of the unifying concepts behind any procedure. Helping the reader reach this level while still supporting the early phases of learning is the goal of this book.
The book is designed to be read in the same way it is assembled. We selected authors with a known expertise in given procedures and asked them to break down the operations into their component steps, much as they would direct an early learner the first time through the procedures in the operating room. We then asked the authors to provide their logic, for both their technique and the sequence of these steps. This information was interposed into the initial “step sequence” in a separately identifiable way. Key references are provided, where needed.
With the chapters assembled with their artwork, each chapter was then sent to two to four surgeons with known expertise in the subject matter. They were asked to interject commentary into the chapter wherever they thought appropriate, whether to provide emphasis, clarification, or alternate strategies. This commentary is provided in essentially unedited form, interposed in the original author's text, because we thought that this would best simulate a “virtual conversation” taking place around an operation, such as one that would occur at a surgical technique meeting session where a panel is asked to discuss a given operation. We were surprised and gratified to see the enthusiasm with which the commentators approached the task. Finally, at the end of many of the chapters, we have provided summary comments, when applicable, that seek to clarify common themes, reconcile significant conflicts, or emphasize critical issues.
Through the use of different fonts, color schemes, and paragraph structure, the publisher has preserved the concept of the sequence of the writing process. This allows the reader, depending on his or her knowledge base or time constraints, to read (or reread) the operation at the most appropriate level for his or her need at that point in time. We think that it allows a logical sequence of knowledge acquisition, whether it be rudimentary memorization, review of the steps, a more in-depth understanding of the logic of these steps, or an analysis of the guiding principles that underpin the operation as a whole, through the commentary.
We hope the reader enjoys this approach as much as we have enjoyed assembling it. We think that the discipline of the framework it provides is valid not only for the operations outlined here but also for a lifelong learning process that will allow for the newer techniques and technology that we all will and must confront over the course of our professional lives.
- James I. Cohen, Gary L. Clayman
Key Features
- Understand how to proceed thanks to an abundance of explicit illustrations and detailed text that take you from one step to the next.
- Quickly find the information you need to make confident decisions. Relevant indications/contraindications, pre-operative considerations, and post operative management are presented in an easily accessible format.
- Discern the nuances and understand the differences between standard operations and alternate techniques.
- Experts debate each procedure offering insightful explanations, rationale, and tips for avoiding complications.
- Master new procedures such as video-assisted thyroid and parathyroid surgeries; transoral laser surgeries; and robotic surgeries. Section editor F. Christopher Holsinger, MD, FACS, is at the forefront of many of these techniques, some of which are being illustrated for the first time here.
- Learn from some of the very best - Experts from the MD Anderson Cancer Center and the Oregon Health & Science University (OHSU) share their innovative approaches to the surgical techniques and complications management most frequently seen in practice.
- Understand specific variations in anatomy as they apply to each procedure.
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
- Instantly locate the answers to your clinical questions via a simple search query.
- Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
Contents
Unit I - Benign Upper Aerodigestive Disease
Section A - Adult Endoscopy
- CHAPTER 1 - Clinical Diagnostic Nasopharyngoscopy
- CHAPTER 2 - Diagnostic Clinical Pharyngoscopy and Laryngoscopy
- CHAPTER 3 - Operative Pharyngoscopy and Laryngoscopy
- CHAPTER 4 - Operative Esophagoscopy and Percutaneous Gastrostomy
- CHAPTER 5 - Operative Bronchoscopy
Section B - Airway Operations
- CHAPTER 6 - Tracheotomy
- CHAPTER 7 - Laryngotracheal Reconstruction for Subglottic and Proximal Tracheal Stenosis
- CHAPTER 8 - Cricotracheal Resection for Subglottic Stenosis
- CHAPTER 9 - Surgery for Unilateral Vocal Fold Paralysis
- CHAPTER 10 - Excision of Saccular Cysts and Laryngoceles
Section C - Neck
- CHAPTER 11 - Drainage of Deep Space Neck Infections
- CHAPTER 12 - Thyroglossal Duct Cyst Excision (Sistrunk Procedure)
- CHAPTER 13 - Branchial Cleft Cyst Excision
Section D - Pharyngeal Operations
- CHAPTER 14 - Operations on the Cervical Esophagus and Cervical Spine
- CHAPTER 15 - Cricopharyngeal Myotomy and Surgical Management of Zenker's Diverticulum
- CHAPTER 16 - Defatting Tracheotomy
Unit II - Neck and Salivary Gland
Section A - Neck Dissection
- CHAPTER 17 - Radical Neck Dissection
- CHAPTER 18 - Modified Radical Neck Dissection
- CHAPTER 19 - Selective Neck Dissection, Levels I-III (Supraomohyoid Neck Dissection)
- CHAPTER 20 - Selective Neck Dissection, Levels I-IV and II-IV (Anterolateral and Lateral Neck Dissection)
- CHAPTER 21 - Posterolateral Neck Dissection
- CHAPTER 22 - Retropharyngeal Lymph Node Dissection
- CHAPTER 23 - Sentinel Lymph Node Biopsy
Section B - Salivary Gland Operations
- CHAPTER 24 - Superficial Parotidectomy
- CHAPTER 25 - Submandibular Gland Excision
- CHAPTER 26 - Excision of Ranula
- CHAPTER 27 - Parapharyngeal Space Tumor
- CHAPTER 28 - Resection of Carotid Body Tumor
Unit III - Oral Cavity and Oropharyngeal Operations
Section A - Transoral
- CHAPTER 29 - Transoral Resections
- CHAPTER 30 - Extended Approaches to the Oropharynx
- CHAPTER 31 - Transoral Robotic Surgery
Section B - Operations on the Mandible and Maxilla
- CHAPTER 32 - Composite Resection with Segmental Mandibulectomy
- CHAPTER 33 - Transhyoid and Lateral Pharyngotomy
Unit IV - Laryngopharyngeal Operations
Section A - Laryngectomy
- CHAPTER 34 - Exam Under Anesthesia for the Patient with Cancer
- CHAPTER 35 - Horizontal Supraglottic Laryngectomy
- CHAPTER 36 - Supracricoid Partial Laryngectomy with Cricohyoidopexy or Cricohyoidoepiglottopexy
- CHAPTER 37 - Total Laryngectomy
- CHAPTER 38 - Stomaplasty for Hands-Free Voice with Tracheoesophageal Puncture
- CHAPTER 39 - Tracheoesophageal Puncture in the Clinic via Transnasal Esophagoscopy
Section B - Transoral Endoscopic Head and Neck Surgery
- CHAPTER 40 - Transoral Laser Microsurgery
- CHAPTER 41 - Transoral Laser Resection of Glottic Tumors
Unit V - Skull Base
Section A - Paranasal Sinus Operations
- CHAPTER 42 - Transfacial Approaches
- CHAPTER 43 - Maxillectomy
- CHAPTER 44 - Craniofacial Resection
- CHAPTER 45 - Lateral and Subtotal Temporal Bone Resection
Unit VI - Thyroid and Parathyroid
Section A - Thyroid Operations
- CHAPTER 46 - Thyroid Lobectomy and Isthmusectomy
- CHAPTER 47 - Subtotal and Total Thyroidectomy
- CHAPTER 48 - Video-Assisted Thyroidectomy
- CHAPTER 49 - Robotic Thyroidectomy
- CHAPTER 50 - Paratracheal and Superior Mediastinal Dissection (Transcervical)
- CHAPTER 51 - Transcervical Thymectomy and Superior Mediastinal Dissection
Section B - Parathyroid Operations
- CHAPTER 52 - Targeted Parathyroidectomy
- CHAPTER 53 - Open Parathyroidectomy
- CHAPTER 54 - Video-Assisted Parathyroidectomy
Unit VII - Basic Reconstructive Flaps
Section A - Skin Grafts
- CHAPTER 55 - Split-Thickness Skin Graft
Section B - Pedicled Flaps
- CHAPTER 56 - Cervicofacial Rotation Flap
- CHAPTER 57 - Deltopectoral Flap
- CHAPTER 58 - Pectoralis Major Myocutaneous Flap
- CHAPTER 59 - Trapezius Flap
- CHAPTER 60 - Latissimus Dorsi Myocutaneous Flap
Section C - Neural Reconstruction
- CHAPTER 61 - Neural Reconstruction
About the Authors
- James I. Cohen, MD, PhD, FACS, Professor, Department of Otolaryngology/Head and Neck Surgery; Chief Otolaryngology/Assistant Chief Surgery, Portland VA Medical Center; Oregon Health and Science University, Portland, Oregon.
- Gary L. Clayman, MD, DMD, FACS, Alando J. Ballantyne Distinguished Chair of Head and Neck Surgery; Professor of Surgery and Cancer Biology; Director of Interdisciplinary Program in Head and Neck Oncology; Chief, Section of Head and Neck Endocrine Surgery; Deputy Head Division of Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.
Product Details
- Hardcover: 640 pages
- Publisher: Saunders; 1 edition (July 14, 2011)
- Language: English
- ISBN-10: 1416033688
- ISBN-13: 978-1416033684
- Product Dimensions: 11.1 x 8.6 x 1.3 inches
List Price: $249.00