a
Fascial planes in the head and neck play a dual role as
barriers and conduits for tumor spread, making them clinically significant in
the management of malignancies. This review synthesizes evidence from
anatomical, surgical, and imaging studies to highlight their role in predicting
invasion pathways, guiding resection margins, and improving oncologic outcomes.
Surgical techniques that incorporate fascial boundaries have been shown to
increase nodal yield, reduce recurrence, and preserve vital functions. Advances
in imaging, including MRI and novel PET tracers, further enhance visualization
of tumor margins and perineural spread, supporting more precise planning and
intraoperative decision-making. Despite their importance, inconsistencies in
nomenclature and classification of fascial planes continue to limit
standardization and interdisciplinary communication. Future research should
focus on consensus-driven terminology, integration of emerging technologies
such as deep learning, and validation of fascial plane-based approaches in
large-scale, prospective studies. Integrating fascial anatomy into clinical
practice may enhance oncologic outcomes while supporting functional
preservation in patients with head and neck cancer.
Author(s) Details
Shrikrishna B H
Department of ENT, All India Institute of Medical Sciences, Bibinagar,
India.
Deepa G
Department of Anatomy, All India Institute of Medical Sciences, Bibinagar,
India.
Please see the book here :- https://doi.org/10.9734/bpi/msraa/v11/6214
No comments:
Post a Comment