ABSTRACT

The term “reconstructive surgery” inspires images of difficult and esoteric surgical practice best confined to specialist centers. While there is no doubt that subspecialization increases the success of such surgery, the basic underlying principles are fundamental to the practice of all surgery, namely:

a detailed knowledge of normal anatomy and a clear • definition of abnormal radiology; comprehensive and appropriate assessment of upper • and LUT function; and good surgical technique, with good access and expo-• sure, and a full appreciation of available surgical techniques.