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December 1961

Rehabilitative Functional Surgery in the Head and Neck

Arch Otolaryngol. 1961;74(6):710-711. doi:10.1001/archotol.1961.00740030723019

The extension of the principles of excisional surgery in the head and neck has demanded increased efforts in the rehabilitation of these wounds. Today the perimeters in extirpative surgery are bounded by the deterrents of excessive mutilation, unreasonable interference with function, and the destruction of vital structures. Modification of these perimeters has come through an awareness of the essential aspects of reconstituting the wound to a maximum degree of normalcy. The most propitious time for reconstruction is during the excisional phase of the operation. Second stages, however, are frequently necessary to further enhance the objectives.

Free skin grafting is the most utilitarian technique employed in rehabilitating wounds in the head and neck. It is used on the scalp, face, and neck externally, and on the pia, dura, maxilla, oral cavity, tongue, pharynx, larynx, and cervical esophagus, internally. Its essential purpose is that of a wound dressing or of a permanent

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