Too Late to Ignore

Part I · Larynx and pharynx

1. The dry field Total laryngectomy with stepwise vascular control ▶ Video
2. Taking the cartilage, keeping the voice Supracricoid laryngectomy with cricohyoidopexy and bilateral selective neck dissection ▶ Video
3. Very little pharynx left Total laryngectomy with near-total pharyngectomy ▶ Video
4. Closing the tube Primary neopharyngeal closure with the Connell inverting suture ▶ Video
5. The muscle that fills the gap Pectoralis major myocutaneous flap as onlay cover and as a tubed neopharynx ▶ Video
6. The fourth opinion Total laryngopharyngo-oesophagectomy, total thyroidectomy, bilateral neck dissection and gastric pull-up ▶ Video
7. Through the side door Wide excision through a lateral pharyngotomy, primary closure, bilateral selective neck dissection (II–IV) ▶ Video
8. The apron flap Apron incision, total laryngectomy and neck dissection ▶ Video
9. Two layers to a watertight pharynx Multilayer vertical pharyngeal closure ▶ Video
10. The stoma that breathes Total laryngectomy with partial pharyngectomy and formation of the tracheostome ▶ Video
11. A patch for the pharynx Total laryngectomy with partial pharyngectomy, neck dissection and myocutaneous flap patch ▶ Video
12. Out from the prevertebral plane Laryngopharyngectomy with primary pharyngeal closure ▶ Video
13. Both necks and the larynx Total laryngectomy with bilateral neck dissection ▶ Video
14. The pharynx opened wide Laryngopharyngectomy with bilateral neck dissection ▶ Video
15. Larynx and mouth together Composite laryngopharyngeal and oral resection through a lip split ▶ Video

Part II · Oral cavity

16. The jaw that had to go Composite bite resection with segmental mandibulectomy, near-total glossectomy, radical tonsillectomy, radical neck dissection and PMMC reconstruction ▶ Video
17. No cut on the face Wide excision with segmental mandibulectomy through a combined transoral and transcervical approach, neck dissection and submental artery island flap ▶ Video
18. The gland that became a lining Wide excision with marginal mandibulectomy and upper alveolectomy, selective neck dissection (I–III) and submandibular gland flap ▶ Video
19. Skin from under the chin Wide excision, selective neck dissection and submental artery island flap ▶ Video
20. Five mouths, one flap Nasolabial flap reconstruction: bilateral, unilateral, staged and island ▶ Video
21. The lateral tongue Partial glossectomy with orientation of the specimen and neck dissection ▶ Video
22. The mass in level Ib Composite oral resection with neck dissection including the submandibular gland ▶ Video
23. Through the mouth Transoral wide excision with neck dissection ▶ Video
24. Floor of mouth to mandible Composite floor-of-mouth and mandibular resection ▶ Video
25. The cheek flap Segmental mandibulectomy through a cheek flap ▶ Video
26. The fungating cheek Composite cheek, maxillary and mandibular resection ▶ Video
27. Two nasolabial flaps for one floor of mouth Anterior segmental mandibulectomy with bilateral nasolabial flaps ▶ Video
28. The mandibular swing Lip-split paramedian mandibulotomy
29. Pulled through Pull-through composite resection
30. A forearm for the cheek Radial forearm free flap reconstruction

Part III · The neck

31. Finding the carotid first Radical neck dissection with early delineation of the carotid artery ▶ Video
32. Keeping the vein open Neck dissection with sleeve resection and reconstruction of the internal jugular vein ▶ Video
33. Milk in the wound Intraoperative recognition and repair of chyle leak ▶ Video
34. A neck, slowly Anatomical selective neck dissection ▶ Video
35. Skeletonising the carotid Neck dissection with skeletonisation of the carotid and internal jugular vein ▶ Video
36. Peeling the fascia Fascial neck dissection off the sternocleidomastoid
37. The node that broke through the skin Excision of the node with overlying skin, neck dissection and pectoralis major flap ▶ Video
38. The lobulated neck mass En bloc excision
39. The parapharyngeal mass Transcervical excision
40. Nerves of the upper neck Deep lateral neck dissection with preservation of the lower cranial nerves

Part IV · Thyroid, parathyroid and airway

41. The amyloid in the needle Total thyroidectomy, central neck dissection (VI/VII) and bilateral neck dissection ▶ Video
42. Three centimetres of scar Resection of the stenosed segment with primary crico-tracheal end-to-end anastomosis ▶ Video 📄 Case report
43. Below the cords Partial cricotracheal resection with thyrotracheal anastomosis, single stage ▶ Video
44. Two circles Tracheostomaplasty by the two-circular-incision technique with radial incisions and advancement flaps ▶ Video
45. The gland behind the blood pressure Focused excision with preservation of the thyroid ▶ Video
46. On the capsule Hemithyroidectomy by capsular dissection ▶ Video
47. A voice at eighty Type 1 (medialisation) thyroplasty with a silicone block ▶ Video 📄 Case report
48. A single lobe Thyroid lobectomy through a collar incision
49. The nodular goitre Total thyroidectomy ▶ Video 📄 Case report

Part V · Salivary glands and skin

50. Grade 6 Total radical parotidectomy, extended radical neck dissection, external carotid ligation and PMMC reconstruction ▶ Video 📄 Case report
51. The facial nerve fan Superficial parotidectomy with facial nerve preservation ▶ Video
52. The nerve in its full course Parotidectomy with mapping of the facial nerve from the skull base ▶ Video
53. The pigmented cheek Wide excision with a through-and-through midface defect
54. Around the pinna Excision around the pinna with flap closure ▶ Video
55. The upper lip Wedge excision with local flap reconstruction
56. A nose from the forehead Excision and paramedian forehead flap reconstruction
57. The lower lip and chin Excision through a lip split with neck dissection and cervicofacial flap closure
58. The temple and the forehead Excision with forehead and scalp flap reconstruction ▶ Video
59. The preauricular ulcer Excision and transposition flap reconstruction
60. Beside the orbit Resection through a large facial flap with preservation of the eye ▶ Video

Part VI · Skull base

61. The roof of the nose Transnasal endoscopic anterior craniofacial resection: transcribriform approach ▶ Video
62. The open way Extended maxillectomy through a modified Weber–Fergusson approach with subciliary and vestibular extension ▶ Video
63. The boy who bled Endoscopic transnasal excision ▶ Video
64. One frontal sinus from two Transfrontal approach: Draf III / endoscopic modified Lothrop procedure ▶ Video
65. Plugging the cribriform Endoscopic transnasal repair with fat plug, middle turbinate flap and glue ▶ Video
66. Second time through the sphenoid Revision endoscopic transnasal transsphenoidal excision with multilayer reconstruction ▶ Video
67. Draining the apex Endoscopic transnasal drainage ▶ Video
68. Pinna to petrous Total pinna excision, lateral temporal bone resection, parotidectomy, posterior marginal mandibulectomy, neck dissection and PMMC reconstruction ▶ Video
69. The nerve that was given back Lateral skull base excision with facial nerve grafting ▶ Video 📄 Case report
70. The humming that never stopped Lateral skull base and neck exploration with jugular foramen dissection and carotid skeletonisation ▶ Video 📄 Case report
71. Control at C1 Intraoperative internal carotid artery management at the C1 level ▶ Video
72. The jaw swung open Maxillectomy through a Weber–Fergusson approach with mandibulotomy
73. The cheek that had to go Total maxillectomy with resection of the overlying cheek skin and neck dissection
74. The palate from below Infrastructure maxillectomy ▶ Video
75. The temporal bone from outside Lateral temporal bone resection with upper neck dissection ▶ Video

Part VII · The ear

76. Through the round window Cochlear implant (Nucleus CI632, slim modiolar electrode) through the extended round window approach ▶ Video
77. Square off the edges Cochlear implant through cortical mastoidectomy, posterior tympanotomy and round window ▶ Video
78. It came back Endoscopic clearance with PORP and fascia graft ▶ Video
79. Two ears to reshape Excision with helical advancement; cup-ear correction with a cartilage frame ▶ Video
80. A cartilage cap on the stapes Endoscopic tympanoplasty with tragal cartilage ossiculoplasty ▶ Video
81. Tucked in front Endoscopic tympanoplasty with anterior tucking ▶ Video
82. The missing long process Endoscopic ossiculo-tympanoplasty with cartilage over the stapes head ▶ Video
83. What was left behind Removal of the foreign body and endoscopic tympanoplasty with anterior tucking
84. A piston through the footplate Endoscopic stapedotomy with a piston prosthesis ▶ Video
85. Moving the malleus Tympanoplasty with malleus relocation and PORP ossiculoplasty ▶ Video
86. Freeing the nerve Canal wall down mastoidectomy and facial nerve decompression ▶ Video
87. A drum through the endoscope Transcanal endoscopic tympanoplasty ▶ Video

Part VIII · Nose, sinuses and the endonasal laboratory

88. The polyps Functional endoscopic sinus surgery ▶ Video
89. The map Anatomical landmarks of the anterior skull base ▶ Video
90. Frontal sinus to clivus Draf III, transcribriform, transsellar, retrosellar and retroclival corridors ▶ Video
91. Above the sella Transsellar, transtuberculum and transplanum corridors ▶ Video
92. Learning on the dead Uncinectomy, bulla, posterior ethmoids, sphenoid, frontal recess and skull base ▶ Video
93. The headache that came late Endoscopic sphenoidotomy and follow-up ▶ Video
94. A boy who could not breathe Endoscopic transnasal excision ▶ Video
95. Bone that kept growing Endoscopic skull base surgery with six-month follow-up ▶ Video
96. The axillary flap Endoscopic frontal sinus surgery with axillary flap
97. The fungal ball Endoscopic removal ▶ Video

Part IX · Reconstruction

98. Raising the pectoralis Pectoralis major myocutaneous flap harvest ▶ Video
99. A neopharynx from the shoulder Supraclavicular artery island flap neopharynx ▶ Video
100. Behind the ear and down the neck Postauricular–transcervical approach with PMMC reconstruction