Category: General Surgery

This book represents the first interdisciplinary text on the emerging field of rehabilitative surgery, in which state of the art procedures from multiple surgical specialties are combined. It proposes a completely new framework for understanding, coordinating, and providing treatment for paralyzed or severely neurologically impaired patients and explains the potentially critical impact of surgery in creating a new baseline of functional status, thereby improving the patient’s daily life. Every major aspect of reconstructive surgical treatment is considered, including anesthesia, orthopedic surgery, plastic surgery, neurosurgery, general surgery, vascular surgery, and otolaryngology. The most up-to-date and evidence-based surgeries are clearly described and evaluated, with coverage of treatment of pressure sores, placement of feeding tubes, and upper extremity interventions to improve function and hygiene. Cutting-edge protocols are presented for the surgical treatment of severe nerve injuries, spinal cord injuries, and stroke or cerebrovascular accidents, and a first description and evaluation of phrenic nerve repair to assist weaning of paralyzed patients from ventilators is provided. Both surgical and nonsurgical readers will find this book to be an ideal guide and reference.

Andrew I. Elkwood, MD, FACS, practices at The Plastic Surgery Center and Institute for Advanced Reconstruction, Shrewsbury, NJ, and is Associate Clinical Professor in Surgery at Drexel University College of Medicine, Philadelphia. He is also Chairman Emeritus, Department of Plastic & Reconstructive Surgery, Monmouth Medical Center, Long Branch, NJ; Founder and Medical Director of the Institute of Advanced Reconstruction, Shrewsbury, NJ; Medical Director of the Center for Treatment of Paralysis & Reconstructive Nerve Surgery, Jersey Shore Medical Center, Neptune, NJ; and Director of the Institute for Advanced Hernia Repair, Monmouth Medical Center, Long Branch, NJ. Dr. Elkwood is double board certified by the American Board of Plastic Surgery and the American Board of Surgery and is a Fellow of the American College of Surgeons. He is an expert in not only cosmetic surgery but also nerve reconstruction surgery. He has been a member of the Review Committee of The Journal of Spinal Cord Medicine and the Journal Committee of the American Spinal Injury Association. He has published numerous articles in leading medical journals and has been featured on CNN, Good Morning America, The Oprah Winfrey Show, 20/20, The Learning Channel, and The Discovery Channel.

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This book offers an essential guide to treating trismus due to oral submucous fibrosis (OSMF) – a specific condition involving the mouth that is common in geographical areas where chewing of betel nut and tobacco is prevalent, particularly in Central India.

Based on the editors’ more than two decades of experience employing techniques such as platysma flap and mandibular mucoperiosteal flaps to treat trismus of OSMF, the book will help surgeons who encounter these disorders to create their own management protocols. The initial chapters detail how the authors themselves have dealt with this disorder; the following chapters consist of separate entries, each of which contains clinical photographs and a brief description. Readers can either read the atlas as a textbook, or as a reference work.

The book will benefit practitioners of ENT, head and neck, maxillofacial, dental and plastic surgeries, as well as general surgeons and postgraduate students.

MADAN KAPRE, FRCS, DLO, is a Consultant ENT and Head Neck Surgeon and former president of the Foundation of Head & Neck Oncology (FNHO), India. He is currently the Managing Director, Neeti Clinics and Nursing Home, Nagpur in Central India. He was trained in the UK and specializes in the surgery for trismus in OSMF. He is also an advisor to the Asia Pacific Thyroid Society, Okinawa, Japan.  (email: madankapre@gmail.com)

SUDHANSHU KOTHE, MS, MCh, DNB, is a Consultant Plastic and Reconstructive Surgeon at various clinics including Neeti Clinics and Nursing Home, Nagpur in Central India. He has a keen interest in reconstructive head and neck cancer microsurgery. His concept of using platysma myocutaneous flap has revolutionized the surgery for trismus in OSMF

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All laryngologists, especially general ENT doctors for patients with paralytic dysphonia, as well as speech pathologists, will benefit from this book’s coverage of basic and clinical aspects of reinnervation in retrieving patients’ normal voices.

Phonosurgical treatment for paralytic dysphonia was established in the late 1970s as arytenoid adduction and medialization laryngoplasty. It has recently been established that immediate reconstruction of the recurrent laryngeal nerve during tumor extirpation is effective in recovery of original voices in patients with unilateral vocal fold paralysis (VFP). The activity of the thyroarytenoid muscle is needed to recover normal voices. Nerve–muscle pedicle (NMP) flap implantation with a refined technique to the thyroarytenoid muscle is a novel method for that purpose. NMP flap implantation with arytenoid adduction was applied by the author to patients with dysphonia, and most of them recovered their nearly normal voices after surgery.

This book provides readers with (1) currently prevalent surgical procedures, (2) unsatisfactory results of conventional procedures, (3) results of immediate recurrent laryngeal nerve reconstruction during tumor extirpation, (4) outcomes of delayed reinnervation combined with arytenoid adduction in patients with VFP, and (5) the scientific basis explaining why the author’s method is effective in the recovery of patients’ own pre-paralysis, normal voices.

Eiji Yumoto, MD Professor and Chairman Department of Otolaryngology – Head and Neck Surgery Graduate School of Medical Sciences, Kumamoto University 1-1-1 Honjo, Chuo-ku, Kumamoto-shi, 860-8556, Japan Phone +81-96-373-5255, Fax +81-96-373-5256 e-mail: yu6167@gpo.kumamoto-u.ac.jp

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