Principles and Practice of Head and Neck Surgery and Oncology PDF

Preface

On a worldwide scale head and neck malignancy represents the 5th most common cancer and nowhere in the field of human oncology are the effects of progression of disease more readily apparent, more cosmetically deforming, and more functionally and psychologically disturbing than in this region. Unlike cancer at other sites in the body it is not a disease of one organ but it includes a wide variety of tumors affecting not only the diversity of upper aerodigestive tract organs such as the tongue, pharynx, larynx, nose, and ear, but also other related structures including the thyroid, salivary glands, skull base, skin, and lymphatics of the head and neck.

During the last 30 years progress in head and neck cancer therapy has not only benefited from an increased understanding of the molecular genetics of tumor growth and lymphatic metastatic spread, but also from a better knowledge of epidemiological and etiological factors. At the same time, cohort and accurate population-based studies have helped to identify more precisely the incidence and changing trends in head and neck cancer. Great progress has also been made in the field of diagnosis with refinement of computerized tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET), as well as greater use of cytology and endoscopic techniques. A greater understanding of the clinico-pathological correlation of tumor types, tumor invasion, and patterns of spread have allowed clinicians to plan combined management for each individual patient in a more practical and objective fashion.

We have also seen a fundamental change in attitude and philosophy of patient management in the last two decades from one of prescriptive tumor treatment to a much more considered and holistic approach taking greater account of quality of life issues. This has been made possible by increased use of conservation laser and other surgical techniques as well as chemo-radiotherapeutic regimes in appropriate settings. Early patient rehabilitation following surgery has been greatly enhanced by developments in one-stage reconstructive techniques and a better understanding of the functional requirements and limitations of speech and swallowing rehabilitation.

We are indebted to the contributors to this 2nd edition which has been substantially rewritten and updated with many new authors. The combined experience and multidisciplinary philosophy is reflected in giving a broad, comprehensive and balanced view of current approaches to management of head and neck neoplasms. We hope that the book will be of value to established head & neck specialists and provide a knowledge base for trainees.