BookZhen Gooi, Nishanr Agrawal, editors.
Summary: 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 situations. .
Contents:
Intro; Foreword; Preface; Acknowledgments; Contents; Part I: Oral Cavity; 1: Elective Versus Therapeutic Neck Dissection for Clinically Node Negative Early Oral Cancer; Introduction; Literature Search; Results; Outcomes of Elective Neck Dis
section Versus a Wait and Watch Approach; Follow Up and Its Role in Effective Nodal Salvage; Personal View of the Data; References; 2: Management of Moderate Dysplasia of the Oral Cavity; Introduction; Literature Search Strategy; Results; Observation; Surgery; A Personal View of the Data; References; 3: Ideal Resection Margins in Oral Cavity Cancer IntroductionSearch Strategy; Results; Intraoperative Resection Margins; Assessment of Intraoperative Margins; Postoperative Surgical Margins; A Personal View of the Data; References; 4: Should Margin Sampling Be Obtained from the Specimen or from the Resection Bed in Oral Cavity Cancer?; Introduction; Literature Search Strategy; Defect-Driven Approach; Specimen-Driven Approach; Specimen-Driven vs Defect-Driven Approaches; Recommendations Based on the Data; A Personal View of the Data; References; 5: Should Level IIb Be Addressed Routinely in Clinically Node Negative Oral Cancers?; Background Search StrategyResults; Incidence of Nodal Metastasis at Level IIb in cN0 Oral Cavity Cancers; Association with Positive Nodes at Other Levels; Association with Sub-Site; Accessory Nerve Dysfunction; Personal View; References; 6: Role and Efficacy of Sentinel Lymph Node Biopsy in Oral Cavity Squamous Cell Carcinoma; Introduction; SLNB Background; Literature Search Strategy; Results; Head and Neck Sentinel Lymph Node Biopsy; Efficacy and Survival Outcomes; Functional Outcomes; Technical Advances; Comparison to Sulfur Colloid; Personal View of the Data; References 7: Surgical or Non-surgical Treatment for Advanced Oral Cavity CancerIntroduction; Literature Search Strategy; Results; Randomized Controlled Trial; Database Reviews; Retrospective Cohort Reviews; Personal View of the Data; References; Part II: Oropharynx; 8: Surgical Versus Non-surgical Management of Early T-Stage Oropharyngeal Cancer; Introduction; Literature Search Strategy; Oncologic Outcomes; Transoral Surgical Approach vs IMRT: Concepts; Transoral Surgical Approach vs IMRT: Outcomes of Single Modality Therapy; Functional Outcomes; Complications; Transoral Surgery; Radiotherapy Cost-EffectivenessOur Personal View; References; 9: Management of Unknown Primary Cancer of the Head and Neck; Introduction; Search Strategy; Results; Imaging Modalities in the Evaluation of CUP; Molecular Testing; Surgical Management of the Neck and Nodal Assessment; Role of Transoral Surgery for Diagnosis and Oncologic Treatment; Role of Radiotherapy to the Neck and Mucosal Sites; Dysphagia After Treatment; Recommendations Based on the Data; Personal View of Data in the Management of CUP; References; Part III: Larynx; 10: Early Oral Feeding Following Primary Total Laryngectomy; Introduction