P. Montgomery – Principles and Practice of Head and Neck Surgery and Oncology (Second edition)

Автор: P. Montgomery
Название книги: Principles and Practice of Head and Neck Surgery and Oncology
Формат: PDF
Жанр: Медицина
Страницы: 673
Качество: Изначально компьютерное, E-book

This second edition of an award winning title has been thoroughly updated by a team of world leading head and neck surgeons, oncologists and allied healthcare professionals. Principles and Practice of Head & Neck Surgery and Oncology, 2nd edition is a comprehensive evidence-based account of the current scientific knowledge about head and neck tumors and their management. This book, with over 570 colour images, will provide a valuable source of knowledge and reference for all established specialists and trainees entrusted with the care of patients with head and neck tumors.
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.