INTRODUCTION Local flap procedures can offer patients excellent options for the repair of soft tissue defects. After proper design and execution, the long-term results can be very satisfactory. Regardless of the local flap selected, proper soft tissue techniques are vital…
INTRODUCTION Scientific and clinical research in the areas of wound healing and the biomechanics of skin flaps has changed skin flap design from erratic, unsure, and artistic to consistent, scientific, and artistic. Today, skin flap design emphasizes vascular patterns, skin…
INTRODUCTION The creation of a cutaneous flap applies specific stresses to otherwise normal skin. These stresses include local tissue trauma and reduced neurovascular supply to the affected tissue. The extent to which skin can survive these injuries is a reflection…
INTRODUCTION The skin is a complex organ that is essential for all forms of mammalian life. It may be viewed as a double-layered sheath, cushioned by the underlying subcutaneous adipose tissue, that covers the entire surface of the body. The…
Open full size image Open full size image The role of systemic therapy in the treatment of head and neck cancer has increased in recent decades. Randomized clinical studies of integrated chemotherapy/radiotherapy programs have demonstrated improvements in locoregional control, organ…
Open full size image Open full size image The use of ionizing radiation in the treatment of cancer has evolved during the past century since the discovery of x-rays in 1895 by Wilhelm Conrad Roentgen, a German physicist. Professor Wilhelm…
Open full size image Open full size image Open full size image Patients in need of treatment for head and neck or oral tumors, whether benign or malignant, require a multidisciplinary team approach, including the head and neck surgeon, prosthodontist,…
Open full size image Open full size image Open full size image The impact of major ablative surgery for cancer in the head and neck region can be devastating for the patient, aesthetically and often functionally. Reconstruction of oncologic defects…
Open full size image Open full size image Open full size image Bone consists of a solid mineral phase and a matrix of osteoid phase that contains osteoclasts (bone-resorbing cells), osteoblasts (bone-forming cells), and osteocytes (osteoblasts that become incorporated into…
Open full size image Open full size image Open full size image Tumors of the soft somatic tissues form a very small component in the spectrum of tumors requiring surgical treatment in the head and neck region. These tumors may…