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Regular Departments
December 1962

Rehabilitative Functional Surgery in the Head and Neck

Arch Otolaryngol. 1962;76(6):581-583. doi:10.1001/archotol.1962.00740050595018

Rehabilitative surgery in the head and neck has concerned itself with the various techniques of free skin grafting, regional flap transposition, bone grafts, dermal fat fascial grafts, nerve grafts, and artery grafts. The application of these rehabilitative techniques has been associated with increased interest in the crippling effects of many of the standard excisional operations in the head and neck. The interference with the functional capacity of the various organic regions in the head and neck by massive and critical extirpative techniques has made it essential to incorporate a maximum degree of immediate rehabilitation. This planning is incorporated in the original analysis of the extirpative and reconstructive phases of the operation. When the basic vital capacity of the wound is downgraded as a result of intensive irradiation, fibrosis, and atrophy, and when the wounds are excessively large, the reconstructive phases must be compromised. Under these circumstances, the concept of staging

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