British Journal of Oral and Maxillofacial Surgery (1986) 24, 387-388 0 1986 The British Association of Oral and Maxillofacial Surgeons
BOOK
REVIEWS
A Colour Atlas and Textbook of Orthognathic Surgery. By DEREK HENDERSON.1985. Wolfe Medical Publications Ltd., London. pp. 336. Price f95.00. This most attractive book is one of the titles in the series of Wolfe Medical Atlases. The Foreword by Mr Norman Rowe refers accurately to the lucid authority which distinguishes this work from many others. The book is in five sections. The first, by Professor David Poswillo is a clear exposition of normal craniofacial embryology, patterns of facial development and explanations of the possible mechanisms of the various congenital and acquired deviations from normal. This section includes embryological illustrations of exceptional clarity and a lucid account of the pathogenesis of cleft lip and palate. Section 2 is concerned with assessment and treatment planning. The author’s international reputation in this subject is reflected by most comprehensive and enlightening accounts of the investing soft tissues. cephalometry, photocephalometric planning, and the important fields of profile analysis, vertical analysis and full face analysis. Throughout this section the author refers to the qualitative aspects of planning in addition to its quantitative aspects which in the past have often been allowed to override the ‘artistic’ nature of orthognathic surgery. The roles of orthodontic treatment are dealt with in this section. Section 3 is devoted to the clinical features of each type of facial disproportion with reference to other systems of classification in addition to the author’s, Section 4, on treatment methods and techniques, is a comprehensive treatise of the techniques of surgical access to the facial skeleton, and the indications, techniques and profile changes of all the commonly recognised procedures and their variants. Throughout this section, as elsewhere. due reference is made to pitfalls and contraindications. The final section is concerned with the special features and requirements of more difficult cases including again the problems of vertical disharmony and a welcome section on the secondary problems of cleft lip and palate. Also in this section are included the special problems of gross congenital and acquired asymmetry including their management. Throughout the text, every effort has been made to avoid cross-referencing. This has been achieved with remarkably little repetition. In the text. illustrations are referred to in bold type, the illustrations themselves being without exception, placed on the relevant page, and the avoidance of separate captions greatly enhances efficient and enjoyable reading. The 1300 illustrations, mostly in colour, are of exceptional quality. It may seem harsh to suggest improvements to such an outstanding book, but the reviewer would have welcomed a fuller account of the theories of mandibular development in Section 1, more information or the translation of cephalometric and profile analysis information to the surgical situation in Section 4. and reference to miniplate osteosynthesis in maxillary osteotomies in the same section. The causes and management of relapse are sometimes a little difficult to find in the text. These. however, are minor criticisms of a major and important new work which amply fulfils the author’s stated objectives, in particular in stimulating one’s critical approach to a subject which has sometimes been taught and practised too dogmatically. It is superfluous to recommend this book to all those involved in this type of surgery, as there can be no doubt that it will be spontaneously and widely read. P. J. LEOPARD
Oral Pathology. 215.00.
By J. V. SOAMES and J. C. SOUTHAM. 1985. Oxford
University
Press.
pp. 269. Price
At last there is a British textbook on oral pathology, written by oral pathologists, and aimed specifically at the dental undergraduate. The text is split up into 18 chapters covering the full range of oral disorders with which a dental student should be conversant and covers some 269 pages. The text is clearly written, in an easily readable style. and describes the background to the cause (where known), pathogenesis and disease features of the commonly occurring oral disorders. Where there is controversy. this is clearly pointed out although no space is wasted in describing in great detail the conflicting points of view. At the end of each chapter there is a brief bibliography which allows the reader to study each aspect in greater detail and to find more extensive sources of reference. It is
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