Introduction The deltopectoral flap (DP), introduced by Bakamjian in 1965, dramatically changed how defects in the head and neck were reconstructed. For instance, reconstruction following total laryngopharyngectomy was accomplished using a combination of local skin flaps (Wookey procedure); delayed pedicle…
Introduction Chronic sialadenitis is the most common benign disease of the major salivary glands and is usually the result of obstruction of salivary flow due to calculi, strictures, or both. Chronic sialadenitis, particularly in the parotid gland, may also be…
Introduction A mass appearing within the substance of the cheek is unusual and suggests a tumor of the buccal space or the accessory lobe of the parotid gland. The buccal space, first described by Kostrubala in 1945, is a potential…
Introduction Most of the tumors that originate in the poststyloid parapharyngeal space (PPS) are tumors of neural origin. Most of these are paragangliomas (PGLs), the most common of which is the carotid body tumor (CBT). It is usually possible to…
Introduction The transcervical approach to the oropharynx and hypopharynx provides excellent exposure for the removal of a variety of lesions. The lateral pharyngectomy approach was first described by Cheever in 1878 and was popularized later by Trotter in the UK…
Introduction The hard palate is the site of origin of benign and malignant tumors. The most common tumor of minor salivary gland origin in this site is pleomorphic adenoma, a benign tumor that appears as a smooth submucosal mass. Approximately…
Introduction Speech restoration is of great significance for the social and economic welfare of patients who undergo total laryngectomy. As outlined in Chapter 75 , Voice Restoration After Total Laryngectomy, speech restoration is most often accomplished with the use of…
Introduction Stenosis of the tracheostoma following laryngectomy is an infrequent but distressing complication that may occur despite meticulous attention to the construction of the tracheostoma. Stenosis can result from a variety of factors and usually occurs in the early months…
Introduction A tracheocutaneous fistula (TCF) is a sequela of a tracheostomy and is usually associated with an unsightly depressed tracheostomy scar ( Fig. 23.1 ). Formation of this fistula is predicated on squamous epithelium migrating from the skin into the…