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Foreword Second Edition

Casual students of surgery of pathology might be inclined to ask what can possibly have transpired over the past seven years to warrant a new edition of a text concerning salivary gland dysfunction only first published in 2008. The prevalence of salivary gland neoplasia in comparison to other oral tumors is very small, and to whole body cancer even smaller; significant trauma to the glands ranks low in incidence compared to the rest of maxillofacial injuries; no one dies from inflammatory or immune disease of the glands; don't these facts mitigate against the need for a new textbook on the salivary glands every few years?

Quite the contrary! Because the 2008 Carlson‐Ord volume was one of the very few works – and certainly the most comprehensive – dedicated solely to their topic, it is almost mandatory that it be reviewed and up‐dated on a regular basis to provide clinicians and educators an authoritative repository of new information in this specialized field of interest.

And, indeed, there is new information! The complexity, variety, and heterogeneity in the origins of salivary gland tumors (as discussed in the new Chapter 8) makes these lesions an ideal study group for the development of all malignant neoplasia; they give credence to the notion that all disease, particularly malignant, is ultimately individualized and not to be boxed into currently recognized classifications. Senior readers will well remember the teaching axiom that salivary gland malignancies are impervious to radiation therapy; this new edition's Chapter 12 effectively disassembles that contention. Concurrently with the burgeoning understanding of cellular pathology at the subcellular and molecular levels, the concept of systemic chemotherapy, even targeted therapy, for salivary gland cancers has demanded re‐evaluation over the past decade; this is illuminated in the new Chapter 13. Further, the authors have combined their first‐hand knowledge with a compilation of all pertinent literature to offer a unique assembly of pediatric salivary gland pathology in Chapter 15, another addition.

While new knowledge – most excitingly provided in Chapters 8, 12, and 13 – and updated bibliographies, sketches, highlighted algorithms, and investigational studies are features of the new text, the focus of these elements and the overall emphasis of the work remains the surgical treatment of patients. Illustrative surgeries from the first edition have been retained, and new cases added to demonstrate principles and additional techniques. Management of the more common salivary tumors, injuries, and infections is well exhibited, but room is provided for illustration of rarer entities (Primary desmoid melanoma of the parotid?! Central (osseous) mucoepidermoid carcinoma of the mandibular ramus?!). Mundane or rare, the range of these maladies, plus the scope and depth of their demonstrated knowledge, attest to the broad experiences of Carlson and Ord in the field of salivary gland abnormality, and deservedly position them in the upper echelons of American salivary gland surgeons.

One could anticipate in 2008 that Carlson‐Ord would recognize the abiding need for pertinence and currency in their text; indeed, they have and have delivered again.

Robert Bruce MacIntosh, DDS

Department of Oral and Maxillofacial Surgery, University of Detroit Mercy School of Dentistry, Detroit, MI, USA