Technical Issues in the High-Risk Patient

Lateral craniofacial resections and reconstructions are typically long and complex surgeries. Patient selection is important in planning the most appropriate reconstruction. In addition to medically optimizing patients with significant comorbidities, the

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Principles of Lateral Craniofacial Reconstruction

Steven J Wang  •  Kevin Fung Editors

Principles of Lateral Craniofacial Reconstruction

Editors Steven J Wang Otolaryngology – Head and Neck Surgery University of Arizona Tucson, AZ USA

Kevin Fung Otolaryngology – Head and Neck Surgery Schulich School of Medicine and Dentistry London, ON Canada

ISBN 978-3-030-50290-4    ISBN 978-3-030-50291-1 (eBook) https://doi.org/10.1007/978-3-030-50291-1 © Springer Nature Switzerland AG 2021 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Preface

Aims Extirpation of tumors of the lateral craniofacial region can be associated with many important and challenging reconstructive issues. Patients may suffer major functional and cosmetic consequences associated with facial nerve paralysis, facial contour deformity, and soft tissue loss (i.e., skin, ear, temporal bone, mandible, orbit, cranial base). Scope This textbook will provide an overview of reconstructive principles ranging from facial nerve and facial contour problems to complex defects of the lateral craniofacial region. The scope of this textbook will include basic concepts, a practical anatomical defect-based approach, and will highlight specific technical challenges that are commonly encountered in the contemporary era of intensive chemoradiation therapy, the aging population, and global health. Tucson, AZ, USA  Steven J Wang London, ON, Canada  Kevin Fung

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Contents

Part I Basic Concepts/Principles 1 Lateral Craniofacial Anatomy��������������������������������������������������������   3 Marjorie Johnson and Atson Carlos de Souza Fernandes 2 Principles of Lateral Craniofacial Reconstruction: Anatomic Defect-­Based Approach to