Table of Contents
Foreword v
Preface vii
Acknowledgment ix
Contributors xvii
Section I Pre-Treatment Evaluation
1 Principles and History of Oral Cavity Reconstruction Carsten E. Palme Patrick J. Gullane 1
Introduction 1
Evaluation and Planning 2
Reconstructive Options 3
Conclusion 7
References 7
2 Anatomy of the Oral Cavity and Related Structures Jeffrey H. Spiegel Daniel G. Deschler 11
Introduction 11
Importance of Structure and Function 11
Conclusion 22
References 22
3 Functional Aspects and Physiology of the Oral Cavity Gregory K. Hartig 23
Introduction 23
Embryology 23
Oral Competence 25
Salivation 27
Mastication 28
Bolus Formation and Propulsion 32
Taste 35
Conclusion 36
References 36
4 Pathology of Neoplastic Diseases of the Oral Cavity Mary Richardson 39
Introduction 39
Oral Squamous Malignancy by Anatomic Site 40
Oral Lichen Planus (OLP) 52
Osteoradionecrosis 52
Melanoma 52
Sarcoma 53
Tissue Procurement 54
Conclusion 54
References 54
5 Benign Lesions and Tumors of the Oral Cavity Charles L. Dunlap 59
Introduction 59
References 74
6 Planning and Diagnostic Evaluation in Oral Cavity Reconstruction Terance T. Tsue David J. Kriet Derrick I. Wallace Douglas A. Girod 79
Introduction 79
Evaluation and Planning 80
Reconstructive Options 87
Conclusion 91
References 91
Section II Technical Considerations
7 Surgical Approaches to the Oral Cavity J. David Osguthorpe Judith M. Skoner 95
Introduction 95
Evaluation and Planning 98
Reconstructive Options 102
Conclusion 116
References 117
8 Lip Reconstruction Gregory Renner 119
Introduction 119
Pertinent Anatomy 119
Evaluation and Planning 122
Reconstructive Options 124
Lip Repair Techniques 129
Simple Lip Advancement Flaps 132
Summary 153
References 153
9 Reconstruction of the Buccal Mucosa and Salivary Ducts Timothy M. McCulloch D. Gregory Farwell 157
Introduction 157
Evaluation and Planning 158
Reconstructive Options 159
Summary 173
References 173
10 Ventral Tongue and Floor of Mouth Brian B. Burkey C. W. David Chang 177
Introduction 177
Evaluation and Planning 177
Reconstructive Options 178
Conclusion 198
Problem-Based Discussion 199
References 200
11 Reconstruction of Partial Glossectomy Defects Judith M. Skoner Joshua Hornig Terry A. Day 205
Introduction 205
Reconstructive Options 206
References 219
12 Reconstruction of the Base of Tongue and Total Glossectomy Defects Mark K. Wax Dana S. Smith 223
Introduction 223
Evaluation and Planning 225
Reconstructive Options 227
Conclusion 249
References 250
13 Hard Palate Reconstruction J. Trad Wadsworth Neal Futran 253
Introduction 253
Evaluation and Planning 253
Reconstructive Options 254
Decision Making Tips 263
Preoperative Considerations 269
Special Surgical Requirements 269
Conclusion 270
References 270
14 Reconstruction of the Soft Palate and Velopharyngeal Complex Craig W. Senders 273
Introduction 273
Evaluation and Planning 274
Reconstructive Options 275
Conclusion 281
References 281
15 Cleft Up and Palate Jonathan M. Sykes Travis T. Tollefson 283
Introduction 283
Evaluation and Planning 286
Reconstructive Options 292
Conclusion 305
References 305
16 Dental and Prosthetic Reconstruction of the Oral Cavity Betsy K. Davis Eleni Roumanas 307
Introduction 307
Evaluation and Planning 308
Reconstruction Options 309
Conclusion 325
References 325
17 Mandibular Reconstruction Deepak Gurushanthaiah Jeffrey F. Haller 327
Introduction 327
Evaluation and Planning 327
Reconstructive Options 328
Location of Mandibular Defects 337
Conclusion 343
References 344
18 Composite Defects of the Oromandibular Complex Douglas A. Girod Terance T. Tsue 347
Introduction 347
Relevant Anatomy 348
Evaluation and Planning 348
Reconstructive Options for the Oromandibular Complex 350
Multiple Flaps for the Reconstruction of Oromandibular Defects 371
Implants and Biomaterials 373
Decision-Making Tips 376
References 378
19 Secondary Oral Cavity Reconstruction Theodoros N. Teknos Douglas B. Chepeha Steven J. Wang 383
Introduction 383
Evaluation and Planning 383
Reconstructive Options 384
Decision-Making Tips 388
Conclusion 389
References 389
Section III Post-Reconstructive Issues
20 Speech and Swallowing Rehabilitation Bonnie Martin-Harris Julie Blair 391
Introduction 391
Vocal Subsystems 391
Swallowing 393
Evaluation Methods and Observations 396
Voice, Resonance, and Speech Disorders 399
Swallowing Disorders 401
Swallowing Treatment Strategies 403
Summary 409
Appendix A 411
References 415
21 Outcomes Research in Oral Cavity Reconstruction Michael G. Stewart 421
Introduction 421
Global QOL Instruments 423
Head and Neck Instruments 423
Functional Status After Reconstruction 425
QOL After Reconstruction 426
Cost-Effectiveness Issues 426
Summary 428
References 428
22 New Horizons in Oral Cavity Reconstruction Ahmed S. Ismail Peter D. Costantino David H. Hiltzik Jason Moche Craig D. Friedman 431
Introduction 431
Distraction Osteogenesis 432
Bone Growth Factors 436
Tissue Engineered Oral Mucosal Lining 440
Conclusion 443
References 443
Index 449
