Contents

Foreword . . . . v Preface . . . . vii Acknowledgment ix Contributors xvii

SECTION I: PRE-TREATMENT EVALUATION

1. Principles and History of Oral Cavity Reconstruction 1

Carsten E. Palme and Patrick J. Gullane Introduction 1 Evaluation and Planning 2 Reconstructive Options 3 Conclusion 7 References 7

2. Anatomy of the Oral Cavity and Related Structures 11

Jeffrey H. Spiegel and Daniel G. Deschler Introduction . . . . 11

Importance of Structure and Function 11 Conclusion . . . . 22 References . . . . 22

3. Functional Aspects and Physiology of the Oral Cavity 23

Gregory K. Hartig

Embryology 23

Oral Competence 25

Mastication 28

Bolus Formation and Propulsion 32

Taste 35

Conclusion 36

References 36

4. Pathology of Neoplastic Diseases of the Oral Cavity 39

Mary Richardson Introduction 39

Oral Squamous Malignancy by Anatomic Site 40

Oral Lichen Planus (OLP) 52

Osteoradionecrosis 52

5. Benign Lesions and Tumors of the Oral Cavity 59

Charles L. Dunlap Introduction . . . . 59 References 74

6. Planning and Diagnostic Evaluation in Oral

Cavity Reconstruction 79

Terance T. Tsue, David J. Kriet, Derrick I. Wallace, and

Douglas A. Girod

Evaluation and Planning 80

Reconstructive Options 87

Conclusion 91

References 91

SECTION II: TECHNICAL CONSIDERATIONS

7. Surgical Approaches to the Oral Cavity 95

J. David Osguthorpe and Judith M. Skoner Introduction . . . . 95 Evaluation and Planning . . . . 98 Reconstructive Options 102 Conclusion 116 References 117

8. Lip Reconstruction

Gregory Renner Introduction . . . . 119 Pertinent Anatomy 119 Evaluation and Planning 122 Reconstructive Options 124 Lip Repair Techniques 129 Simple Lip Advancement Flaps . . . .

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