Matrix Head and Neck Reconstruction: Scalable Reconstructive Approaches Organized by Defect Location

Head  and neck reconstruction can be challenging due to the anatomical  complexity of the area, its impact upon function, and the common need  for adjuvant treatment postoperatively in cases of malignancy.  Furthermore, the results are very visible and may significantly affect  the patient’s ability to reintegrate socially. This unique surgical  atlas is organized as a matrix of options, from simple to complex,  covering all described anatomical areas of the head and neck. The  organization of defects and reconstructive options, combined with  illustrations and high-resolution intraoperative photography, make this  the premier reconstructive reference that will be accessible when  difficult reconstructive situations arise.  
The matrix concept is a  unique approach to organizing and presenting facial, head and neck  defects. Most clinical cases present as a defect or as the potential for  a defect after a resection. The matrix approach is a human cognitive  approach to problem solving. This atlas allows the reader to search out  their potential defects and study the possible reconstructive options  available to them. This spectrum of possibilities may help the surgeon  to decide whether to manage on the case on their own or refer it for  more expertise. It is also a visible tool to assist surgeons in  reviewing options and making decisions with patients in the informed  consent process.
The matrix presents defects with internal  consistency throughout the text and is organized in an anatomic order.  Each anatomic sub-site is further subdivided into recognized clinical  sub-units, and each potential defect is then illustrated in a  standardized fashion to promote clarity and uniformity for easy  reference. Commonly associated defects are linked. Each specific defect  is then addressed, presenting reconstructive options of increasing  complexity, with photography to show a staged approach to  pre-reconstruction, site preparation, flap selection, flap inset, and  final results acutely post-operatively and at a delayed time point.
Matrix Head and Neck Reconstruction combines and distills the work of major head and neck reconstruction  and facial plastic surgery to provide a broad and deep resource that is  highly pictorial and practical in providing a scalable approach to  reconstruction.