Surgery of the Larynx, Trachea, Esophagus and Neck

Focusing mainly on benign conditions, this new resource provides step-by-step guidelines for the diagnosis and surgical treatment of a wide range of conditions in the upper respiratory system. World-renowned, pioneering otolaryngologist William W. Montgomery, MD offers readers the benefit of his extensive clinical and teaching experience at the Harvard Medical School and the Massachusetts Eye and Ear Infirmary. He describes all of today's best approaches and presents a wealth of valuable tips for achieving optimal results, including those procedures that bear his name.
Reviews

"The specific focus of this textbook is on the senior author's multiple areas of expertise.... Most of the text provides an excellent overview of many procedures that have not been published in a comprehensive atlas and represents unique information not covered elsewhere.... Overall, this textbook provides detailed descriptions of a variety of unique procedures and reflects the expertise and practice of the senior author. It may appeal to the beginning and the senior otolaryngologist." --Head & Neck, July 2004

Table of Contents

I. Examination and Diagnosis - oral cavity - oropharynx - laryngopharynx - cervical esophagus - neck - radiology
II. Surgery of the Neck - diagnosis of a cervical mass - lymph nodes of the neck - block dissection of the neck - carotid artery replacement and ligation - congenital cysts and sinuses - pedicled skin flaps - local - distant
III. Surgery of the Salivary Glands - parotid - submandibular - facial nerve paralysis
IV. Surgery of the Cervical Esophagus - cervical esophagotomy and esophagostomy - cricopharyngeal myotomy for dysphagia - hypopharyngeal diverticulum - reconstruction of the cervical esophagus
V. Salivary Bypass Tube - indications for use - method for insertion
VI. Surgery of the Trachea - history of tracheotomy - early tracheotomy tubes - indications for tracheotomy - management of airway obstruction - cricothyrotomy - emergency tracheotomy - orderly tracheotomy - stenosis of tracheostoma
VII. Tracheotomy and Tracheostomy Tubes - care following tracheotomy - home care of tracheotomy or laryngeal tubes - complications of tracheotomy operation - tracheotomy tubes - tracheostomy tubes (laryngectomy)
VIII. Silicone Tracheal Cannula - advantages - method of insertion - postoperative care - selection of long term cannula - valve or cannula
IX. Tracheal Stenosis - classification and etiology - stenosis above the tracheotomy level - at - below - at the end - complete tracheal stenosis - tracheal stenosis with laryngeal paralysis - reconstruction of the cervical trachea
X. Tracheal T-tube - historical - features - insertion - care - removal - anesthesia with t-tube in place - speaking valve
XI. Surgery of the Larynx - external approach for benign lesions - carcinoma of the laryngopharynx - TMN classification - treatment of laryngeal cancer (general rules) - total laryngectomy - subtotal laryngectomy
XII. Alaryngeal Speech - electronic voice devices - esophageal speech - one stage post laryngectomy voice rehabilitation operation - tracheoesophageal shunt
XIII. Laryngeal Paralysis - related anatomy and function - classification - etiology - signs and symptoms - diagnosis - injection techniques - endoscopic techniques - vocal cord lateralization - laser Kashima procedure - external techniques - medialization thyroplasty - valved tracheotomy tubes - reinervation procedure - external arytenoidectomy
XIV. Surgery for Aspiration - epiglottis sew down - laryngeal closure - diversion - conforming laryngeal stent
XV. Laryngeal Stenosis - acute laryngeal stenosis - laryngeal inlet stenosis - anterior glottic stenosis - posterior glottic stenosis - complete glottic stenosis - with paralysis
XVI. Subglottic Stenosis - etiology - signs and symptoms - diagnosis - treatment
XVII. Snoring and Sleep Apnea - Diagnosis - somnoplasty - uvulopalatophryngoplasty
XVIII. Thyroid Gland - anatomy - diagnosis of thyroid disease - indications for thyroid surgery - technique thyroidectomy