This extensively illustrated book aims to systematize the selection of treatment options in patients with parotid tumors that extend beyond the borders of the parotid tissue and therefore present particular problems for the surgeon. Reconstruction of the postoperative defect is especially difficult in such cases because of the complexity and density of the anatomical structures in the lateral region of the head and neck and also the general condition of most patients, who tend to be elderly and to have accompanying disorders. The difficulty in the management of extended parotid tumors is increased by the need to sacrifice the facial nerve, even if only partially. The book provides clear criteria to assist in the choice of treatment, from the simplest options involving use of local flaps to the most sophisticated ones. It will assist the surgeon in ensuring that the patient achieves the best possible quality of life, no matter what the patient’s age or the associated comorbidities.
- First book devoted exclusively to the management of parotid tumors extending beyond the borders of the parotid tissue
- Numerous exquisitely detailed color photos
- Clear criteria for the choice of treatment plan
Anatomical Borders of the Parotid Region.- Extended Parotid Tumors with Origin in the Parotid Tissue.- Extended Parotid Tumors with Origin in the Parotid Lymph Nodes.- Extended Parotid Tumors with Origin in the Skin of the Head and Neck.- Parotid Tumors with Skin Extension.- Parotid Tumors with Muscle Extension.- Parotid Tumors Extended in the Facial Bones.- Parotid Tumors Extended in the Base of Skull.- Pathological Variety of Extended Parotid Tumors.- Clinical Diagnosis of Extended Parotid Tumors.- The Diagnostic Imaging of Extended Parotid Tumors.- Extended Parotidectomy.- Issues on General Anesthesia.- Arising Problems in Extended Parotidectomy.- Closing Postoperative Defects by Direct Suture.- The Use of Local Muscular Flaps.- The Use of Musculo-Cutaneous Platysma Flaps.- The Use of Muscular or Musculo-Cutaneous Pectoralis Major Flap.- The Use of Musculo-Cutaneous Latissimus Dorsi Free Flap.- The Use of Fascial-Cutaneous Radial Flap.- Attitude Toward the Facial Nerve in Extended Parotidectomy.-The Management of Lagophthalmos in Facial Nerve Paralysis.- The Value of Lipostructure in Extended Parotidectomy.- Issues on Radiotherapy.- Chemotherapy in Extended Parotidectomy.
Victor-Vlad Costan gained his MD from the University of Medicine and Pharmacy “Gr. T. Popa”, Iasi, Romania and subsequently acquired a degree in dental medicine (DMD) from the same university. He also obtained a Masters degree from The Claude Bernard University, Lyon in Experimental and Clinical Microsurgery and was awarded his PhD (magna cum laude) by the University of Medicine and Pharmacy “Gr. T. Popa” in 2007 for a thesis on the value of temporoparietal fasciocutaneous flaps in reconstruction of cutaneous defects in the oral and maxillofacial region. He has been an Associate Professor of Oral and Maxillofacial Surgery, College of Dental Medicine, University of Medicine and Pharmacy “Gr. T. Popa” since 2003 and was appointed a Consultant in Oral and Maxillofacial Surgery in 2009. Dr. Costan is a member of the European Association of Cranio-Maxillo-Facial Surgery and the International Association of Oral and Maxillo-Facial Surgeons. He has published almost 30 articles in national and international journals.