Difficult Decisions in Head and Neck Oncologic Surgery (Difficult Decisions in Surgery: An Evidence-Based Approach)

Description:

This book provides a practical guide to decision making in head and neck oncologic surgery. As new technology is introduced, there is increasing knowledge regarding the efficacy of traditional head and neck surgical therapies and how to select among these varied and complex approaches is becoming increasingly difficult. Concise easy to follow chapters are devoted to one or two specific questions or decisions in head and neck oncologic surgery, aiding the reader to develop their decision making skills. Difficult Decisions in Head and Neck Oncologic Surgery is a timely reference source for practicing surgeons, surgeons in training, and educators on the recommended ideal approaches in selected clinical situation

Table of Contents:

Part I. Oral Cavity

1. Elective Versus Therapeutic Neck Dissection for Clinically Node Negative Early Oral Cancer

2. Management of Moderate Dysplasia of the Oral Cavity

3. Ideal Resection Margins in Oral Cavity Cancer

4. Should Margin Sampling Be Obtained from the Specimen or from the Resection Bed in Oral Cavity Cancer?

5. Should Level IIb Be Addressed Routinely in Clinically Node Negative Oral Cancers?

6. Role and Efficacy of Sentinel Lymph Node Biopsy in Oral Cavity Squamous Cell Carcinoma

7. Surgical or Non-surgical Treatment for Advanced Oral Cavity Cancer

Part II. Oropharynx

8. Surgical Versus Non-surgical Management of Early T-Stage Oropharyngeal Cancer

9. Management of Unknown Primary Cancer of the Head and Neck

Part III. Larynx

10. Early Oral Feeding Following Primary Total Laryngectomy

11. Primary Surgery Versus Organ Preservation in Advanced Laryngeal Cancer

12. Surgery or Radiation Therapy for Early Stage Glottic Cancer

Part IV. Thyroid/Parathyroid

13. How Should Well Differentiated Thyroid Cancer with Distant Metastatic Disease Be Managed?

14. Should Routine (Prophylactic) Central Neck Dissection Be Performed for Clinically Node Negative Well-Differentiated Thyroid Carcinoma?

15. Management of the Clinically Negative Lateral Neck in Medullary Thyroid Cancer

Part V. Soft Tissue

16. Should Pre-operative Embolization Be Utilized Routinely for Carotid Body Tumors Prior to Surgical Excision?

17. Vagal Paraganglioma and Schwannoma—Surgical or Non-surgical Management

Part VI. Salivary

18. Parotid Malignancy with Facial Weakness: Should the Facial Nerve Be Sacrificed?

19. Adjuvant Management of Advanced High-Risk Salivary Gland Malignancy

Part VII. Cutaneous

20. Management of the Parotid Gland in Cutaneous External Auditory Canal Skin Cancer

21. What Is the Ideal Resection Margin in Head and Neck Merkel Cell Carcinoma?

22. Does Recurrent Cutaneous Squamous Cell Carcinoma of the Head and Neck Warrant Adjuvant Treatment After Surgical Resection?

23. Management of the Parotid/Neck Following a Positive Sentinel Node Biopsy in Patients with Cutaneous Melanoma of the Head and Neck

Part VIII. Reconstruction

24. Is Routine Anticoagulation Warranted Following Free Flap Reconstruction?

25. Does Two Venous Anastomoses Lead to Better Outcomes in Free Flap Reconstruction of the Head and Neck?

26. Reconstruction for Early Oral Cavity Cancer

Part IX. Multidisciplinary

27. Prophylactic Versus Reactive Gastrostomy Tube Placement for Advanced Head and Neck Cancer Patients

28. Is Antibiotic Therapy Warranted in Clean-Contaminated Head and Neck Surgery Beyond 24 h?

29. What Is the Best Imaging Modality to Predict Extracapsular Nodal Extension?

30. Is There a Role for Triple Endoscopy in the Staging of Head and Neck Cancer?

31. Is There a Role for Induction Chemotherapy in the Treatment of Advanced Head and Neck Cancer?

32. Is Routine Carotid Imaging Warranted Following Radiation Treatment of Head and Neck Cancer

33. Should Perineural Invasion Warrant Adjuvant Therapy in Surgically Treated Head and Neck Cancer

Back Matter