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August 1992

Extensive Defects of the Sino-Orbital Region

Arch Otolaryngol Head Neck Surg. 1992;118(8):859-860. doi:10.1001/archotol.1992.01880080081017

I appreciate this opportunity to react to the article by Drs Olsen et al. I have several concerns, but they do not negatively reflect on the authors. Dr Olsen is a proven clinician-investigator whose past publications have been of the highest quality. This article is also excellent. But in the spirit of healthy discussion and debate, I hope that the authors do not react personally to my concerns.

In the introductory comments, the advent of tissue transfer with microvascular surgery is described as, "resulting in better rehabilitation for the patient." I do not think this article supports that statement. As clinicians involved with cancer patients, otolaryngologists–head and neck surgeons always have to consider the impact of their treatment programs not only on survival but also on the quality of survival for the patient. No one questions that some of our reconstructive techniques developed in the last 10 to 15 years

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