By Siba P. Dubey, Charles P. Molumi

This surgical atlas, that includes a wealth of colour pictures, offers certain step by step descriptions of quite a lot of open head and neck tactics, together with radical and conservative (organ protection, sensible) techniques, aesthetic and reconstructive surgical procedures with using axial and unfastened flaps, and surgical procedure in the slender confines of the cranium base. person chapters are devoted to surgical procedure of the nostril and paranasal sinuses,larynx and trachea, thyroid, salivary glands, mandible, face and lips, and neck, the fix of exterior nostril defects, using axial and loose flaps, and surgical procedure of temporal bone malignancy. The atlas might be a accomplished useful reference for clinicians within the quite a few specialties keen on head and neck surgical procedure, together with otolaryngologists, head and neck surgeons, plastic surgeons, maxillofacial surgeons and surgical oncologists. it's going to support practitioners achieve the excessive point of competence that's crucial due to the massive variety of important constructions within the head and neck region.

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8 The muscular attachments are removed and the laryngeal mucosa is reflected from the arytenoid cartilage with finer instruments and microscopic vision. The cricoarytenoid joint is disarticulated and the arytenoid cartilage is carefully retracted laterally to facilitate further separation of the remaining soft tissues from the arytenoid cartilage. The medialward dissection is done carefully to avoid accidental entry into the larynx 34 Fig. 9 A gentle lateral traction on the arytenoid cartilage exposes the vocal process and the vocal ligament.

At this stage the final refinement of the tracheotomy is made. 4 2 Larynx and Trachea Supraglottic Horizontal Partial Laryngectomy Fig. 36 Following a ‘U’ incision, the flap is raised in the subplatysmal plane, exposing the underlying strap muscles and hyoid bone Fig. 4 Supraglottic Horizontal Partial Laryngectomy 43 Fig. 38 The superior horn of the thyroid cartilage is dissected out on both sides. This is done to preserve the pyriform sinus mucosa during removal of the specimen Fig. 39 The sternohyoid, omohyoid, and thyrohyoid muscles are sectioned at their insertion along the margin of the hyoid bone and the hyoid bone is removed 44 2 Larynx and Trachea Fig.

10 A small knot is placed and the wound is closed in layers after placing a drain b Fig. 2 Frontolateral Vertical Partial Laryngectomy 35 Frontolateral Vertical Partial Laryngectomy Fig. 12 The incision could be a small or a big apron-flap; it depends on the necessity of neck dissection. The tracheostomy could be performed at the beginning or at the end of the procedure Fig. 14 The membrane and the perichondrium attached on the superior and the inferior border of the exposed thyroid cartilage is incised by a scarpal.

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