DOI: 10.1055/b-002-41835
Gavilán, Javier; Herranz, Jesús; DeSanto, Lawrence W.; et al.: 2002

Functional and Selective Neck Dissection

Print ISBN 9781588900166 · Online ISBN 9781604060683
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Herausgeber: Gavilán, Javier; Herranz, Jesús; DeSanto, Lawrence W.; Gavilán, César

Titel: Functional and Selective Neck Dissection

Print ISBN: 9781588900166; Online ISBN: 9781604060683; Buch-DOI: 10.1055/b-002-41835

2002 © 2002 Georg Thieme Verlag KG
Georg Thieme Verlag KG, Stuttgart

Fachgebiete: HNO-Heilkunde, Phoniatrie, Audiologie;Kopf- & Halschirurgie

Thieme Clinical Collections (English Language)



Einführung
CHAPTER 1 Historical Outlook
THE AMERICAN PERSPECTIVE
THE LATIN PERSPECTIVE
CHAPTER 2 Rationale and Anatomical Basis for Functional and Selective Neck Dissection
Introduction
RATIONALE FOR FUNCTIONAL AND SELECTIVE NECK DISSECTION
ANATOMICAL BASIS FOR FUNCTIONAL AND SELECTIVE NECK DISSECTION
CHAPTER 3 Conceptual Approach to Functional and Selective Neck Dissection
Introduction
PRESERVING STRUCTURES
DISSECTING THROUGH FASCIAL SPACES
FUNCTIONAL AS A CONCEPT
FUNCTIONAL AND SELECTIVE NECK DISSECTIONS: SO CLOSE AND YET SO FAR
REASONS FOR THE ONCOLOGICAL SAFETY OF SELECTIVE NECK DISSECTIONS
THE ROLE OF SELECTIVE NECK DISSECTIONS IN THE FUNCTIONAL APPROACH
INDICATIONS AND LIMITATIONS OF THE FUNCTIONAL APPROACH
CHAPTER 4 Surgical Technique
Introduction
PREOPERATIVE PREPARATION AND OPERATING ROOM SETUP
INCISION AND FLAPS
DISSECTION OF THE STERNOCLEIDOMASTOID MUSCLE
MANAGEMENT OF THE STERNOCLEIDOMASTOID MUSCLE
IDENTIFICATION OF THE SPINAL ACCESSORY NERVE
DISSECTION OF THE SUBMANDIBULAR FOSSA
DISSECTION OF THE SPINAL ACCESSORY NERVE
DISSECTION OF THE POSTERIOR TRIANGLE OF THE NECK
DISSECTION OF THE DEEP CERVICAL MUSCLES
DISSECTION OF THE CAROTID SHEATH
DISSECTION OF THE STRAP MUSCLES
DISSECTION OF THE CENTRAL COMPARTMENT
CLOSURE OF THE WOUND
CHAPTER 5 Hints and Pitfalls
KNIFE DISSECTION AND THE FUNCTIONAL APPROACH
WASHING THE FIELD REGULARLY
RAISING THE FLAPS
IDENTIFICATION OF THE GREAT AURICULAR NERVE
MANAGEMENT OF THE EXTERNAL JUGULAR VEIN
INCISION OF THE FASCIA OVER THE STERNOCLEIDOMASTOID MUSCLE
THE MARGINAL MANDIBULAR BRANCH OF THE FACIAL NERVE
PRESERVING THE SUBMANDIBULAR GLAND
THE LINGUAL VEINS AND THE HYPOGLOSSAL NERVE
IDENTIFICATION OF THE SPINAL ACCESSORY NERVE
THE SPINAL ACCESSORY MANEUVER
THE TRANSVERSE CERVICAL VESSELS
PRESERVING THE BRANCHES OF THE CERVICAL PLEXUS
PRESERVING THE PHRENIC NERVE
THE SYMPATHETIC TRUNK
DANGER POINTS IN THE DISSECTION OF THE INTERNAL JUGULAR VEIN
THE THORACIC DUCT
CHAPTER 6 Complications
Introduction
CERVICAL COMPLICATIONS
GENERAL COMPLICATIONS
CHAPTER 7 Frequently Asked Questions
Introduction
DOES THE SITE OF THE PRIMARY TUMOR INFLUENCE THE TYPE OF DISSECTION (I.E., FUNCTIONAL VS. RADICAL)?
DOES THE NUMBER OF NODES DICTATE THE TYPE OF DISSECTION?
DO YOU ALWAYS USE POSTOPERATIVE RADIATION THERAPY AFTER FUNCTIONAL NECK DISSECTION IN PN+ PATIENTS?
IS FUNCTIONAL NECK DISSECTION STILL POSSIBLE IN PREVIOUSLY IRRADIATED PATIENTS?
MAY FUNCTIONAL NECK DISSECTION BE USED AS A SALVAGE OPERATION FOR TREATMENT FAILURES?
IS FUNCTIONAL NECK DISSECTION STILL POSSIBLE AFTER OPEN NODAL BIOPSY?
HOW DO YOU APPROACH A PATIENT WITH SMALL BILATERAL NODES SUITABLE FOR BILATERAL FUNCTIONAL NECK DISSECTION?
WHEN BILATERAL FUNCTIONAL NECK DISSECTION IS INDICATED AND THE INTERNAL JUGULAR VEIN IS DAMAGED DURING THE DISSECTION OF THE FIRST SIDE, WILL YOU CONTINUE THE OPERATION, OR DO YOU PREFER TO STAGE THE SECOND SIDE?
WHICH IS YOUR APPROACH TO BORDERLINE INDICATIONS: FUNCTIONAL OR RADICAL?
WHAT WILL YOU DO WITH A LYMPH NODE CONTACTING THE INTERNAL JUGULAR VEIN?
Anhang