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TitleOral Cavity Reconstruction
Author
LanguageEnglish
File Size10.7 MB
Total Pages480
Table of Contents
                            Foreword
Preface
Acknowledgment
Contents
Contributors
1
	Principles and History of Oral Cavity Reconstruction
		INTRODUCTION
		EVALUATION AND PLANNING
		RECONSTRUCTIVE OPTIONS
			Non-vascularized Grafts
			Local Tissue Rearrangement
			Regional Flap Transfer
			Distant Tissue Transfer
			Implants and Biomaterials
		CONCLUSION
		REFERENCES
2
	Anatomy of the Oral Cavity and Related Structures
		INTRODUCTION
		IMPORTANCE OF STRUCTURE AND FUNCTION
			Lips
			Buccal Mucosa and Cheek
			Alveolar Ridges
			Retromolar Trigone
			Floor of Mouth
			Hard Palate
			Oral Tongue
			Mandible
			Function
		CONCLUSION
		REFERENCES
3
	Functional Aspects and Physiology of the Oral Cavity
		INTRODUCTION
		EMBRYOLOGY
		ORAL COMPETENCE
			Normal
			Abnormal
		SALIVATION
			Normal
			Abnormal
		MASTICATION
			Normal
			Abnormal
		BOLUS FORMATION AND PROPULSION
			Normal
			Abnormal
		TASTE
			Normal
			Abnormal
		CONCLUSION
		ACKNOWLEDGMENT
		REFERENCES
4
	Pathology of Neoplastic Diseases of the Oral Cavity
		INTRODUCTION
		ORAL SQUAMOUS MALIGNANCY BY ANATOMIC SITE
			Anatomic Sites
			Lips
			Buccal Mucosa
			Gingiva and Alveolar Mucosa
			Retromolar Trigone
			Floor of Mouth
			Tongue
			Palate
			Salivary Gland
		ORAL LICHEN PLANUS (OLP)
		OSTEORADIONECROSIS
		MELANOMA
		SARCOMA
		TISSUE PROCUREMENT
		CONCLUSION
		REFERENCES
5
	Benign Lesions and Tumors of the Oral Cavity
		INTRODUCTION
		Mucosa and Soft Tissue Traumatic Fibroma (Irritation Fibroma)
		Pyogenic Granuloma (Pregnancy Tumor, Lobular Capillary Hemangioma)
		Peripheral Giant Cell Granuloma (Giant Cell Epulis)
		Peripheral Ossifying Fibroma (Fibroid Epulis)
		Squamous Papilloma
		Mucocele
		Granular Cell Tumor
		Cheilitis Granulomatosa (Miescher's Cheilitis)
		Epulis Fissuratum
		Drug-Induced Gingival Hyperplasia
		Bone Central Giant Cell Lesion (Giant Cell Reparative Granuloma, Giant Cell Tumor)
		Florid Osseous Dysplasia (FOD)
		Cherubism
		Fibrous Dysplasia (FD)
		Langerhans Cell Granulomatosis [Langerhans Cell Histocytosis (LCH)]
		Osteosclerosis
		Exostosis
		Cysts
		OKC and the Nevoid Basal Cell Carcinoma Syndrome
		Traumatic Bone Cyst
		Odontogenic Tumor
		Ameloblastoma
		Adenomatoid Odontogenic Tumor
		Ameloblastic Fibroma
		Myxoma
		Odontoma
		REFERENCES
6
	Planning and Diagnostic Evaluation in Oral Cavity Reconstruction
		INTRODUCTION
		EVALUATION AND PLANNING
			History and Physical Examination
			Laboratory and Radiologic Studies
			Treatment Planning
			Surgical Planning - Incisions
			Primary and Neck Resection
		RECONSTRUCTIVE OPTIONS
		CONCLUSION
		REFERENCES
7
	Surgical Approaches to the Oral Cavity
		INTRODUCTION
		EVALUATION AND PLANNING
		RECONSTRUCTIVE OPTIONS
			Transoral Approach
			Midline Glossotomy
			Lip Split with Cheek Flap and Mandibulotomy
			Degloving Approach to the Oral Cavity
			Midface Degloving Approach
			Lingual Release Approach
			Transhyoid Approach
		CONCLUSION
		REFERENCES
8
	Lip Reconstruction
		INTRODUCTION
		PERTINENT ANATOMY
		EVALUATION AND PLANNING
		RECONSTRUCTIVE OPTIONS
			Primary Cutaneous Lip Repair
			Skin Grafts
			Vermilion Repair
		LIP REPAIR TECHNIQUES
			Technique
			Advantages/Disadvantages
			Limitations
		SIMPLE LIP ADVANCEMENT FLAPS
			Circumoral (Karapandzic) Advancement Flaps
			Cross-Lip Flaps
			Gillies "Fan" Flap
			Melolabial (Nasolabial)
			Cheek Advancement (Von Burow-Bernard) Flaps
			Island Flaps
			Other Cervical-Based Flaps
			Temporoparietal Scalp Flap
			Laterally-Based Forehead Flap
			Deltopectoral Chest Flap
			Microvascular Free Flap Lip Reconstruction
		SUMMARY
		REFERENCES
9
	Reconstruction of the Buccal Mucosa and Salivary Ducts
		INTRODUCTION
		EVALUATION AND PLANNING
		RECONSTRUCTIVE OPTIONS (TABLE 1)
			Split Thickness Skin Grafts and Acellular Human Collagen Matrix
			Local Tissue Flaps
			Buccal Fat Pad Grafts
			Temporalis and Temporoparietal Fascia Flaps
			Cervical Pedicled Flaps (Sternocleidomastoid, Platysma, and Infrahyoid Myocutaneous Flaps)
			Regional Myocutaneous Flaps
			Free Tissue Transfer and Buccal Mucosal Reconstruction
			Lateral Arm, Latissimus Dorsi, Rectus Abdominus, and Lateral Thigh Flaps
			Combined Flaps
			Reconstruction of the Parotid (Stensen's) Duct
		SUMMARY
		REFERENCES
10
	Ventral Tongue and Floor of Mouth
		INTRODUCTION
		EVALUATION AND PLANNING
		RECONSTRUCTIVE OPTIONS
			Split-Thickness Skin Graft
			Acellular Allograft Dermal Matrix (Table 3)
			Platysma Myocutaneous Flap
			Submental Island Flap
			Nasolabial Flap
			Random Cutaneous Nasolabial Flap, Staged Repair
			One-Stage Cutaneous Nasolabial "Island" Flap
			Myocutaneous Nasolabial Flap
			Radial Forearm Free Flap
			Lateral Arm Free Flap
		CONCLUSION
		PROBLEM-BASED DISCUSSION
		REFERENCES
11
	Reconstruction of Partial Glossectomy Defects
		INTRODUCTION
		RECONSTRUCTIVE OPTIONS
			Partial Glossectomy Defects (Less Than 25% of the Anterior Mobile Tongue)
			Hemiglossectomy Defects (Less Than 50% of the Anterior Mobile Tongue)
			Subtotal Glossectomy Defects (50-100% of the Anterior Mobile Tongue)
		Other Defects
		REFERENCES
12
	Reconstruction of the Base of Tongue and Total Glossectomy Defects
		INTRODUCTION
		Anatomy and Physiology of the Tongue
		EVALUATION AND PLANNING
		RECONSTRUCTIVE OPTIONS
			Small Tongue Base Defects
			Partial Tongue Base Defects
			Subtotal or Total Tongue Base Defects
			Subtotal or Total Glossectomy Defects
			Pedicled Myocutaneous and Muscular Flaps
			Pedicled Latissimus Dorsi Myocutaneous Flap
			Pedicled Infrahyoid Flap
			Fasciocutaneous Free Flaps - Radial Forearm Free Flap
			Ulnar Forearm Free Flap
			Lateral Arm Free Flap
			Scapular and Parascapular Free Flaps
			Anterolateral Thigh Free Flap
			Lateral Thigh Free Flap
			Omental Free Flap
			Myocutaneous and Muscular Free Flaps - Rectus Abdominis Free Flap
			Latissimus Dorsi Free Flap
			Gracilis Free Flap
			Tensor Fascia Lata Free Flap
			Adjunctive Measures in Tongue Base and Glossectomy Reconstruction
		CONCLUSION The Future of Base-of-Tongue and Total Glossectomy Reconstruction
		REFERENCES
13
	Hard Palate Reconstruction
		INTRODUCTION
		EVALUATION AND PLANNING
		RECONSTRUCTIVE OPTIONS
		DECISION MAKING TIPS
		PREOPERATIVE CONSIDERATIONS
		SPECIAL SURGICAL REQUIREMENTS
		CONCLUSION
		REFERENCES
14
	Reconstruction of the Soft Palate and Velopharyngeal Complex
		INTRODUCTION
		EVALUATION AND PLANNING
		RECONSTRUCTIVE OPTIONS Prosthetic Therapy
			The Dynamic Pharyngoplasty
			Asymmetrical Pharyngeal Flap
		CONCLUSION
		REFERENCES
15
	Cleft Lip and Palate
		INTRODUCTION
		Epidemiology
		Embryology
		EVALUATION AND PLANNING
			Cleft Lip and Palate Classification
			Secondary Palate
			Timing of Cleft Repair
			The Unilateral Cleft Lip Deformity - Pathologic Anatomy
		RECONSTRUCTIVE OPTIONS Unilateral Cleft Lip Repair
			Rotation-Advancement Repair of the Unilateral Cleft Lip Deformity
			Measurement and Flap Design
			The Bilateral Cleft Lip Deformity - Pathologic Anatomy
			Bilateral Cleft Lip Repair
			Palatoplasty
			Timing of Cleft Palate Repair
			von Langenbeck Palatoplasty
			Three-Flap Palatoplasty
			Two-Flap Palatoplasty
			Furlow Palatoplasty
			Preferred Techniques
		CONCLUSION
		REFERENCES
16
	Dental and Prosthetic Reconstruction of the Oral Cavity
		INTRODUCTION
		EVALUATION AND PLANNING
		RECONSTRUCTION OPTIONS
			Chemotherapy/Radiation Therapy (Tables 1 and 2)
			Maxillary Defects: Hard Palate (Table 3)
			Maxillary Defects: Soft Palate (Table 4)
			Mandible/Tongue Defects (Table 5)
			Complex Midface Defects
			Decision Making Tips
		CONCLUSION
		REFERENCES
17
	Mandibular Reconstruction
		INTRODUCTION
		EVALUATION AND PLANNING
		RECONSTRUCTIVE OPTIONS
			Non-Vascularized Grafts
			Vascularized Grafts
		LOCATION OF MANDIBULAR DEFECTS
			Anterior Defects
			Lateral Defects
			Posterior Defects (Condylar)
		CONCLUSION
		REFERENCES
18
	Composite Defects of the Oromandibular Complex
		INTRODUCTION
		RELEVANT ANATOMY
		EVALUATION AND PLANNING
		RECONSTRUCTIVE OPTIONS FOR THE OROMANDIBULAR COMPLEX
			Regional Tissue Transfer
			Pectoralis Major Myocutaneous Pedicled Flap (PMMF) Combined With a Reconstruction Plate
			Distant Tissue Transfer
			Fasciocutaneous Radial Forearm Free Flap Combined with a Reconstruction Plate
			Osteocutaneous Fibula Free Flap
			Osteocutaneous RFFF
			Scapula Osteocutaneous Free Flap
		MULTIPLE FLAPS FOR THE RECONSTRUCTION OF OROMANDIBULAR DEFECTS
		IMPLANTS AND BIOMATERIALS
			Mandible Substitutes
		DECISION-MAKING TIPS
		REFERENCES
19
	Secondary Oral Cavity Reconstruction
		INTRODUCTION
		EVALUATION AND PLANNING
		RECONSTRUCTIVE OPTIONS
			Reconstructive Options for Secondary Composite Defects
		DECISION-MAKING TIPS
		CONCLUSION
		REFERENCES
20
	Speech and Swallowing Rehabilitation
		INTRODUCTION
		VOCAL SUBSYSTEMS
		SWALLOWING
		EVALUATION METHODS AND OBSERVATIONS
			Instrumental Examination of Voice, Speech, and Swallowing
		VOICE, RESONANCE, AND SPEECH DISORDERS
			Treatments for Disorders of Voice, Resonance, and Articulation
		SWALLOWING DISORDERS
			Disturbed Lingual Motility
			Delayed Initiation of the Pharyngeal Swallow
			Incomplete Hyolaryngeal Excursion
			Paretic/Paralytic/Partial Intrinsic Laryngeal Valving
			Pharyngeal Paresis/Paralysis
		SWALLOWING TREATMENT STRATEGIES
			Cognitive Stimulation
			Modification of Bolus Variables
			Compensatory Postures/Positions
			Sensitization Techniques
			Compensatory Maneuvers
			Isometric Exercise
		SUMMARY
		APPENDIX A Swallowing Abnormalities Commonly Associated with Oral and Pharyngeal Cancer Resections
		REFERENCES
21
	Outcomes Research in Oral Cavity Reconstruction
		INTRODUCTION
		GLOBAL QOL INSTRUMENTS
		HEAD AND NECK INSTRUMENTS
		FUNCTIONAL STATUS AFTER RECONSTRUCTION
		QOL AFTER RECONSTRUCTION
		COST-EFFECTIVENESS ISSUES
		SUMMARY
		REFERENCES
22
	New Horizons in Oral Cavity Reconstruction
		INTRODUCTION
		DISTRACTION OSTEOGENESIS
		BONE GROWTH FACTORS
		Resorbable Implants
		TISSUE ENGINEERED ORAL MUCOSAL LINING
		CONCLUSION
		REFERENCES
Index
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