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March 1967

The Chest Flap in Ablative Surgery About the Neck and Gullet

Author Affiliations

New York
From the Surgical Service, St. Vincents Hospital and the Pack Medical Foundation, New York.

Arch Surg. 1967;94(3):413-417. doi:10.1001/archsurg.1967.01330090107025

RADICAL extirpative cancer surgery in the head and neck occupies a unique position in the concepts of ablative surgery in the human body. The basic premise of total removal of the cancer is augmented by the qualifications for functional and esthetic rehabilitation of these wounds. In cancers of the lung, stomach, or intestines, the surgical interventions which deal with them are not confronted with the compelling need for esthetics, since the effects of this craftsmanship are concealed inside a body cavity. Other operative areas of the body have the advantage of camouflage and concealment by clothing. Radical surgery in the area of the head and neck, however, enjoys no such privilege. The framework of adequate surgery in this region must include not only extirpation, but a full concept of the possibilities of restoration for the purposes of function and grace.1

To avoid a variety of surgical mutilations and distortions