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Summary 153 References 153

9. Reconstruction of the Buccal Mucosa and Salivary Ducts 157

Timothy M. McCulloch and D. Gregory Farwell Introduction 157 Evaluation and Planning 158 Reconstructive Options 159 Summary 173 References . . . . 173

10. Ventral Tongue and Floor of Mouth 177

Brian B. Burkey and C. W. David Chang Introduction 177 Evaluation and Planning 177 Reconstructive Options 178 Conclusion 198 Problem-Based Discussion 199 References 200

11. Reconstruction of Partial Glossectomy Defects 205

Judith M. Skoner, Joshua Hornig, and Terry A. Day Introduction 205 Reconstructive Options 206 References 219

12. Reconstruction of the Base of Tongue and Total

Glossectomy Defects 223

Mark K. Wax and Dana S. Smith Introduction . . . . 223 Evaluation and Planning . . . . 225 Reconstructive Options . . . . 227 Conclusion 249 References . . . . 250

13. Hard Palate Reconstruction 253

J. Trad Wadsworth and Neal Futran Introduction . . . . 253 Evaluation and Planning . . . . 253 Reconstructive Options . . . . 254 Decision Making Tips . . . . 263 Preoperative Considerations . . . . 269 Special Surgical Requirements 269 Conclusion . . . . 270 References . . . . 270

14. Reconstruction of the Soft Palate and Velopharyngeal Complex . . 273

Craig W. Senders Introduction 273 Evaluation and Planning 274 Reconstructive Options 275 Conclusion 281 References 281

15. Cleft Lip and Palate 283

Jonathan M. Sykes and Travis T. Tollefson Introduction 283 Evaluation and Planning 286 Reconstructive Options 292 Conclusion 305 References 305

16. Dental and Prosthetic Reconstruction of the Oral Cavity 307

Betsy K. Davis and Eleni Roumanas Introduction . . . . 307 Evaluation and Planning . . . . 308 Reconstruction Options . . . . 309 Conclusion . . . . 325 References . . . . 325

17. Mandibular Reconstruction 327

Deepak Gurushanthaiah and Jeffrey R. Haller Introduction . . . . 327 Evaluation and Planning . . . . 327 Reconstructive Options . . . . 328 Location of Mandibular Defects . . . . 337 Conclusion . . . . 343 References . . . . 344

18. Composite Defects of the Oromandibular Complex 347

Douglas A. Girod and Terance T. Tsue Introduction . . . . 347 Relevant Anatomy . . . . 348 Evaluation and Planning . . . . 348 Reconstructive Options for the Oromandibular

Complex 350 Multiple Flaps for the Reconstruction of

Oromandibular Defects . . . . 371 Implants and Biomaterials . . . . 373 Decision-Making Tips . . . . 376 References . . . . 378

19. Secondary Oral Cavity Reconstruction 383

Theodoros N. Teknos, Douglas B. Chepeha, and Steven J. Wang

Introduction 383

Evaluation and Planning 383

Reconstructive Options 384

Conclusion 389

References 389

SECTION III: POST-RECONSTRUCTIVE ISSUES

20. Speech and Swallowing Rehabilitation 391

Bonnie Martin-Harris and Julie Blair Introduction 391 Vocal Subsystems 391 Swallowing . . . . 393

Evaluation Methods and Observations 396

Voice, Resonance, and Speech Disorders . . . . 399

Swallowing Disorders 401

Swallowing Treatment Strategies 403

References 415

21. Outcomes Research in Oral Cavity Reconstruction 421

Michael G. Stewart

Introduction 421

Global QOL Instruments 423

Head and Neck Instruments 423

Functional Status After Reconstruction 425

QOL After Reconstruction 426

Cost-Effectiveness Issues 426

Summary 428

References 428

22. New Horizons in Oral Cavity Reconstruction 431

Ahmed S. Ismail, Peter D. Costantino, David H. Hiltzik, Jason Moche, and Craig D. Friedman

Introduction 431

Distraction Osteogenesis . . . . 432

Tissue Engineered Oral Mucosal Lining 440

References 443

Index 449

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