By Charles Staley (Editor), John E. Skandalakis (Editor), Sean Moore William C. Wood (Editor)
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Additional info for Anatomic Basis of Tumor Surgery, 2nd Edition
In patients who have recurrent aspiration after total glossectomy, a laryngeal closure procedure or total laryngectomy is indicated. An alternative to total glossectomy with a lip-splitting incision is the combined intraoral and cervical approach. Bilateral ﬂoor of mouth incisions are performed and the tongue is pulled through the ﬂoor of mouth and the posterior resection performed transcervically. The exposure for this procedure is much more limited than with a midline mandibulotomy, and reconstruction is much more difﬁcult.
The soft palate is a dynamic muscular structure that extends from the level of the hard palate anteriorly and ends posteriorly in a midline protuberance, the uvula. Laterally the soft palate blends with the tonsillar area. The soft palate closes off the oropharynx from the nasopharynx during speech and swallowing to prevent nasopharyngeal reﬂux of air and food. The soft palate is composed of stratiﬁed squamous mucosa covering a muscular framework composed of ﬁve muscles. All of these muscles, with the exception of the tensor vili palatini muscles, are innervated by the vagus nerve contribution to the pharyngeal plexus.
Bernier J, Domenge C, Ozsahin M, Matuszewska K, Lefebvre JL, Greiner RH, et al Postoperative irradiation with or without concomitant chemotherapy for locally advanced head and neck cancer. N Engl J Med. 2004;350(19):1937–44 This article describes the prospective trial to evaluate the efﬁcacy of postoperative radiation and postoperative chemoradiation as well as the indications for postoperative chemoradiation. Bonner JA, Harari PM, Giralt J, Azarnia N, Shin DM, Cohen RB, et al Radiotherapy plus cetuximab for squamous cell carcinoma of the head and neck.
Anatomic Basis of Tumor Surgery, 2nd Edition by Charles Staley (Editor), John E. Skandalakis (Editor), Sean Moore William C. Wood (Editor)