Basic Surgical Principles and Techniques

  • Richard J. ShawEmail author
  • John Edward O’Connell
  • Mandeep Bajwa
Part of the Textbooks in Contemporary Dentistry book series (TECD)


The surgical management of oral cavity squamous cell carcinoma (OSCC) has evolved considerably over the last century. While the desire to achieve surgical cure has remained the highest priority, the emphasis of surgery has “de-escalated” from being radical toward more function-sparing approaches that confer greater importance to reconstruction and rehabilitation. This evolution has been aided by a number of scientific and technological advances including an improved understanding of disease behavior, more accurate imaging and staging techniques, safer and more advanced anesthesia, and the reliability of microvascular reconstructive techniques. The biological aggression of the tumor, represented by features such as nodal involvement with extracapsular spread (ECS), has the greatest influence on survival in patients with surgically resectable disease [1]. Despite recent advances, the ability to favorably influence biological aggression has not been proven. Therefore, in the current era of surgical oncology, surgeons may optimize the outcomes of patients with OSCC by focusing on the following principles:


Airway  Access surgery  Ablative techniques  Microvascular reconstruction  Surgical complications 


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Further Readings

  1. Cohen JI, Clayman GL, editors. Atlas of Head & Neck Surgery. 1st ed. Philadelphia: Elsevier/Saunders; 2011.Google Scholar
  2. Eisele DW, Smith RV, editors. Complications in head and neck surgery. 2nd ed. Philadelphia: Mosby. Elsevier; 2009.Google Scholar
  3. Cernea CR, Dias FL, Fliss D, Lima RA, Myers EN, Wei WI, editors. Pearls and pitfalls in head and neck surgery: practical tips to minimize complications. 2nd ed. Basel: Karger; 2012.Google Scholar
  4. Urken ML, Cheney ML, Blackwell KE, Harris JR, Hadlock TA, Futran N. Atlas of regional and free flaps for head and neck reconstruction: flap harvest and insetting. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2012.Google Scholar
  5. Cohen JI, Clayman GL. Atlas of head & neck surgery. Philadelphia: Elsevier/Saunders; 2011.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Richard J. Shaw
    • 1
    • 2
    Email author
  • John Edward O’Connell
    • 2
  • Mandeep Bajwa
    • 1
    • 2
  1. 1.Department of Molecular and Clinical Cancer MedicineUniversity of LiverpoolLiverpoolUK
  2. 2.Department of Maxillofacial/Head and Neck SurgeryAintree University HospitalLiverpoolUK

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