About Book
The point out of “head and neck cancer” immediately connotes the sobering realities and potentials of oral squamous phone carcinoma. Left to secondary recollection and attention is the significance of salivary gland malignancy. The equal can be stated for the prevalent grasp of benign salivary neoplasia.
In this top notch new textbook, authors Carl-son and Ord right these notions, focusing suited emphasis on the team of ailments that, in their malignant form, symbolize some 3% of all North American head and neck tumors, affecting a mini-mum of 2500 victims per year.
One marvels at the dedication, energies, and sources – to say nothing of the expertise – mustered to produce a extent of this depth and expanse. While nearly 40% of the effort is directed towards the vitally significant factors of classification, diagnosis, and medical care of neoplasia, there is greater – tons extra – here, for each the education and practising readerships.
The total array of salivary gland dysfunctions is marvelously displayed in significant medical color, in without difficulty grasped sketches and graphs, and in well-chosen descriptive imaging. From the mandatory fundaments for such an venture – John Langdon’s discourse on macro- and microanatomy, Pradeep Jacob’s presentation on imaging diagnostics (45 pages!), John Sauk’s explanations of modern classification and staging of tumors – to the surgical demonstrations of pathology, anatomy, and technique, the visible fabric is extraordinary.
What are the vagaries in defining the SMAS layer? Can phone kind be amazing on the groundwork of imaging alone? What influence do genomics and biomarkers have in medical classification? Does modern appreciation give an explanation for the etiology of mucous get away phenomena? Up-to-date propositions on such subjects occupy these chapters.
Clinical challenges, typical and new, for example, transection of ducts and nerves, intraductal micro-manipulations, salivary diagnostics – they’re all here, introduced in clear, expansive, prose (28 pages of statistics on sialolithiasis alone!).
The detriments of age and metabolic sickness on gland function, the genesis of non-salivary tumors interior the glands, and the lodging of metastatic disorder inside their confines get hold of emphasis in these pages. So do the presence of aberrant glands and the esoteric transplantation of salivary tissue in the administration of xerophthalmia.
The Textbook and Color Atlas of Salivary Gland Pathology is authoritative. Its authors do no longer write anecdotally, however from the mixed journey of decades, which has accelerated them each to worldwide consciousness in the field of head and neck neoplasia.
Their scientific cloth right here introduced represents volumes in the running room, and the complete bibliographies in every of the text’s chapters testify to the authors’ recognition of their theme and their world-views. Eric Carlson shows the fruits of his until now endeavors in Pittsburgh, Detroit, and Miami, and speaks now from his function as Professor and Chairman in the Department of Oral and Maxillofacial Surgery at the University of Tennessee Graduate School of Medicine in Knoxville. Robert Ord hooked up his priceless popularity in Britain earlier than resettling himself in Baltimore on the western shores of the Atlantic some 20 years ago, the place he now serves as Professor and Chairman of the Department of Oral and Maxillofacial Surgery at the University of Maryland.
Theirs is the first tome in this area engineered authoritatively by way of oral and maxillofacial surgeons, and does honor to their colleagues and forebears in the strong point who have toiled in the vineyards of salivary gland pathology. Neither in layout nor execution, however, is their astonishing fulfillment directed to a parochial audience. Rather, surgeons or clinicians of what-ever ilk will provide the authors a nod of perception in benefitting from this text.
Probably, one day, an growth of this work will be written; and, undoubtedly, Carlson and Ord will write it.
Casual college students of surgical procedure or pathology would possibly be inclined to ask what can perhaps have transpired over the previous seven years to warrant a new edition of a textual content regarding salivary gland dysfunction solely first posted in 2008.
The occurrence of salivary gland neoplasia in contrast to different oral tumors is very small, and to total physique most cancers even smaller; significant trauma to the glands ranks low in incidence in contrast to the relaxation of maxillo-facial injuries; no one dies from inflammatory or immune sickness of the glands; don’t these statistics mitigate towards the want for a new textbook on the salivary glands each and every few years?
Quite the contrary! Because the 2008 Carlson-Ord extent was once one of the very few works – and in reality the most comprehensive – devoted completely to their topic, it is nearly obligatory that it be reviewed and up-dated on a normal foundation to furnish clinicians and educators an authoritative repository of new records in this specialised field of interest.
And, indeed, there is new information! The complexity, variety, and heterogeneity in the origins of salivary gland tumors (as mentioned in the new Chapter 8) makes these lesions an best find out about crew for the improvement of all malignant neoplasia; they provide credence to the concept that all disease, especially malignant, is in the end individualized and no longer to be boxed into presently identified classifications.
Senior readers will properly take note the educating axiom that salivary gland malignancies are impenetrable to radiation therapy; this new edition’s Chapter 12 efficaciously disassembles that contention.
Concurrently with the burgeoning grasp of mobile pathology at the subcellular and molecular levels, the idea of systemic chemotherapy, even centered therapy, for salivary gland cancers has demanded re-assessment over the previous decade; this is illuminated in the new Chapter thirteen Further, the authors have mixed their first-hand information with a compilation of all pertinent literature to provide a special meeting of pediatric salivary gland pathology in Chapter 15, every other addition.
While new understanding – most excitingly pro-vided in Chapters 8, 12 and thirteen – and up-dated bibliographies, sketches, highlighted algorithms, and investigational research are aspects of the new text, the focal point of these factors and the common emphasis of the work stays the surgical treatment of patients.
Illustrative surgical procedures from the first version have been retained, and new instances brought to exhibit concepts and extra techniques. Management of the greater frequent salivary tumors, injuries, and infections is nicely exhibited, however room is furnished for illustration of rarer entities (Primary desmoid melanoma of the parotid?! Central (osseous) mucoepidermoid carcinoma of the mandibular ramus?!).
Mundane or rare, the vary of these maladies, plus the scope and depth of their confirmed knowledge, attest to the wide experiences of Carlson and Ord in the field of salivary gland abnormality, and deservedly function them in the top echelons of American salivary gland surgeons.
One may want to count on in 2008 that Carlson-Ord would apprehend the abiding need for pertinence and forex in their text; certainly they have, and have delivered again.
The idea of this e book dedicated to the analysis and administration of salivary gland pathology arose from our longstanding friendship and expert relationship the place we first collaborated in the early 1990s. This led to a day out to India with the Health Volunteers Overseas in 1996, the place we operated several complicated cancer cases, together with many salivary gland malignancies.
Dr. Carlson’s interest in benign and malignant tumor surgical procedure used to be fostered by way of the specialist surgical tutelage of Dr. Robert E. Marx at the University of Miami Miller School of Medicine/Jackson Memorial Hospital in Miami, Florida. It used to be the coaching by way of Professor John Langdon that nurtured Dr. Ord’s love of the parotidectomy.
Over the years, following the booklet of a number of papers and e book chapters dedicated to salivary gland surgery, we realized that a textbook and atlas associated to this self-discipline must be produced. It used to be believed that a work written via two surgeons who shared comparable surgical philosophies would be a special addition to the modern literature. This has been a mission that we have approached with power and enthusiasm which with a bit of luck is evident to the reader.
The prognosis and administration of salivary gland pathology is an interesting and concept provoking self-discipline in medicine, dentistry and surgery. It is incumbent on the clinician inspecting a affected person with a suspected developmental, neoplastic or non-neoplastic lesion of the fundamental or minor salivary glands to acquire a complete records and bodily examination, after which time a differential analysis is established.
A definitive prognosis is furnished with both an excisional or incisional biopsy relying on the gland concerned and the differential prognosis set up pre-operatively. A entire grasp of the anatomic boundaries surrounding a salivary gland lesion is paramount when performing surgical procedure for a salivary gland neoplasm.
It is the motive of this Textbook and Color Atlas of Salivary Gland Pathology to furnish each textual content and medical images, thereby making this a sin-gular work. The reader involved in the science and proof based totally remedy related with the administration of salivary gland pathology will be attracted to our text.
The reader fascinated in how to operate salivary gland surgical operation as a feature of analysis and anatomic web page will find the real-time pictures useful. To that end, artist sketches are limited in this book. Where appropriate, algorithms have been protected as a information for prognosis and management.
It is our hope that this textual content and atlas will find a domestic on the bookshelves of these surgeons who share our fascination with the analysis and administration of salivary gland disease.
