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Contemporary Transoral Surgery for Primary Head and Neck Cancer

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Table of Contents

Foreword 1. History of Transoral Surgery Zeitels, Lott 2. Transoral Endoscopic (Inside Out) Anatomy Hinni, Lott, Moore 3. Instrumentation and General Techniques Nussenbaum, Lott, Hin 4. Margin Analysis and Pathologic Considerations Hinni, Moore 5. Transoral Surgery for Oral Cavity Cancer Haughey, Hinni 6. Transoral Surgery for Tonsil and Palatal Carcinoma Howard, Haughey, Hin 7. Transoral Surgery for Base of Tongue Carcinoma Moore, Haughey, Hin 8. Transoral Surgery for Supraglottic Larynx Cancer Nussenbaum, Lott, Hin 9. Transoral Surgery for Glottic and Subglottic Larynx Cancer Lott, Rigby, Taylor 10. Transoral Surgery for Hypopharyngeal Cancer Nagel, Lott, Haughey 11. Complications of Transoral Surgery for Head and Neck Cancer Hinni, Moore 12. Transoral Surgery in the Multidisciplinary Setting Patel, Hinni 13. Transoral Surgery for Chemoradiation Failures Nussenbaum, Lott 14. Oncologic Outcomes Comparing Transoral Laser Microsurgery, Open Surgery, and Chemoradiation Rich, Haughey 15. Functional Outcomes of Transoral Surgery Lott, Crujido, Nussen 16. Reconstruction Techniques for Transoral Surgery Defects Moore, Lott

About the Author

Michael Hinni, MD, is professor at the Mayo Clinic College of Medicine. Dr. Hinni is a consultant in the Department of Otolaryngology-Head and Neck Surgery and program director of the ENT residency program at the Mayo Clinic in Phoenix, Arizona. He received his medical degree from the University of Missouri in Kansas City and completed his residency at the Mayo Clinic in Rochester, Minnesota. He then completed a fellowship in Head, Neck and Base of Skull Surgery at the Johannes Gutenberg University Hospital in Mainz, Germany. Dr. Hinni has been an active member of several societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Head and Neck Society, Triological Society, and the American Bronchoesophagological Association. He has been director of more than 20 head and neck surgical educational courses and has invented surgical tools and laryngoscopes. In addition, he serves on the editorial staff of multiple journals. Dr. Hinni's clinical and research activities focus mainly on endoscopic transoral surgery for cancer and endocrine surgery. He has authored or coauthored 66 papers in peer-reviewed journals as well as seven book chapters, and has delivered more than 200 national and international lectures and proffered papers. David G. Lott, MD, is an assistant professor of otolaryngology at Mayo Clinic College of Medicine. Dr. Lott is a consultant in the Department of Otolaryngology-Head and Neck Surgery, and also serves as the director of the Voice Program and director of the Larynx and Trachea Regeneration Laboratory at the Mayo Clinic in Arizona. He also serves as medical director of the Arizona State University/Mayo Clinic Speech Pathology Voice Internship. Dr. Lott received his medical degree from the University of Iowa Carver College of Medicine and completed a residency in Otolaryngology-Head and Neck Surgery at the Cleveland Clinic Head and Neck Institute. He received further fellowship training in laryngeal surgery and professional voice at Harvard Medical School-Massachusetts General Hospital. Dr. Lott's practice and areas of interest include voice and swallowing restoration, laryngeal cancer, laryngotracheal reconstruction, and laryngeal regenerative techniques - including laryngeal transplantation and larynx bioengineering. He has given more than 40 national and international presentations, and authored or co-authored several publications on those topics.


This is a useful book on the increasingly important transoral approach to tumours of the head and neck. The authors, who are well known US experts in the field, have produced a colourful textbook with current, well-illustrated, information on all aspects of transoral surgery... Excellent artistic illustrations and intraoperative pictures provide a great perspective and appreciation of the inside-out anatomical concept. The importance of instrumentation, including laser microsurgery and robotic surgery, is heavily emphasised throughout... The applications of transoral surgery to all sites of the upper aerodigestive tract are presented in an evidence-based manner with an adequate number of references for further reading... The print quality is good... and the interior boasts fine glossy paper, with high resolution pictures throughout. Readers can access a companion website, with video footage of transoral surgery techniques for various head and neck primary cancer sites. Overall, this is a good textbook on the technical aspects of transoral surgery. It is easy to read with a good explanation of the anatomical and functional aspects of this increasingly popular approach. -- Mr. Panos Asimakopoulos MRCS, ST5 ENT and Mr. Kim Ah-See MD FRCS FRCS(ORL-HNS), ENT Consultant, Aberdeen Royal infirmary, in Journal of Laryngology and Otology, (Spring 2015); "This excellent book focuses on the technical aspects of transoral surgery with a particular emphasis on transoral laser microsurgery.The authors are highly accomplished surgeons and authoritative figures in transoral surgery with experience in thousands of cases. The book has excellent illustrations and operative images that should be useful to those relearning inside-out anatomy. Overall, this is an excellent resource on transoral surgical techniques, and it should quickly become the definitive resource on transoral laser microsurgery. 4 Stars!" -- John David Cramer, M.D. Doody's Review Service

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