By Charles Staley (Editor), John E. Skandalakis (Editor), Sean Moore William C. Wood (Editor)

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Additional resources for Anatomic Basis of Tumor Surgery, 2nd Edition

Sample text

31 41 42 Chapter 1 Oral Cavity and Oropharynx Medial pterygoid m. Carotid a. Line of resection Ramus of mandible Masseter m. 32 of the pterygoid musculature. After the tumor resection is completed, the tissues are oriented for the pathologist and frozen-section margins are obtained. Good hemostasis, especially in the area of the pterygoid muscles, is then obtained with cautery and suture ligation. Occasionally, dissolvable hemostatic packing is necessary to control persistent oozing from the pterygoid venous plexus.

The base of tongue extends posteriorly into paired concavities called the valleculae along the base of the lingual surface of the epiglottis. The valleculae are separated in the midline by a median glossoepiglottic fold and are bounded laterally by lateral glossoepiglottic folds, which attach the epiglottis to the base of tongue. The remainder of the oropharynx consists of the posterior pharyngeal wall and the lateral pharyngeal wall posterior to the posterior tonsillar pillar. Pharyngeal Relationship to Deep Neck Spaces The oropharynx has important relationships to surrounding potential deep neck spaces, including the retrovisceral spaces and the parapharyngeal space (lateral pharyngeal space).

Although squamous cell carcinoma is the most common malignancy found in the hard palate, minor salivary gland tumors are nearly as frequent. Adenoid cystic carcinomas are the most common lesions, followed by mucoepidermoid carcinomas. These tumors have a higher likelihood of neural spread. Treatment of hard palate and upper alveolar ridge malignancies, except in small tumors or those superficial tumors limited to the mucosa, may require partial or total maxillectomy. This results in communication of the oral and sinonasal cavities.

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