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OtolaryngologyHead and Neck Surgery February 1999
BOOK REVIEWS
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Fundamentals of Maxillofacial Surgery, edited by James W. Ferraro. 338 pages. Springer-Verlag, BerlinlHeidelberg, 1997. DM2l8. This text is an excellent fundamental ("start up" type) book directed at medical students and beginning residents in otolaryngology, plastic surgery, and oral/maxillofacial surgery. It is designed to provide a comprehensive background in the anatomic developmental and physiologic basis for the management of maxillofacial trauma, congenital anomalies, and even, indirectly, on those tumors whose treatment will affect the facial skeleton. It provides a wealth of the basic fundamentals needed to understand the complexities of jaw function and maxillocranial growth. The sections on trauma, anomalies, and orthognathic surgery provide only a brief overview as an introduction to further, in-depth studies that will be, I think, encouraged by reading this text. Chapters 1 and 2 address embryogenesis and craniofacial growth. The first chapter is a simplified overview of embryogenesis, in general, which is necessarily more thoroughly covered in standard embryologic texts; however, the chapter serves to give a good introduction to the more detailed facial and neck development addressed in Chapter 2. The chapter on anatomy is extremely good, with the exception of a couple of errors on the part of the artist where there is an accurate description in the text, but an error in the illustration. The chapter on tooth development and oral anatomy is beautifully illustrated and a "must read" for all medical and dental students, as well as otolaryngology residents. With the exception of the evaluation of mandibular fractures, the sections on fractures of the facial skeleton are too cursory to be of much value. The section on pediatric fractures is more detailed and of better quality. The chapters on evaluation for orthognathic surgery and those dealing with splint and model fabrication are very useful and are not found in standard texts on otolaryngology or books on facial trauma. The overview of orthognathic surgery is good, but there is almost nothing on management of the cleft deformity other than a brief review of managing some of the skeletal residua of the cleft palate deformity and past treatment. Overall, this is an excellent text and is highly recommended for all medical students and, especially, as a basic primer on the principles guiding maxillofacial surgery for the beginning resident in otolaryngology. Paul J. Donald, MD, FRCS
Surgery of the Upper Respiratory System, 3rd edition, edited by William M. Montgomery. 696 pages with illustrations. Williams & Wilkins, Baltimore, 1996. $129.00. This single volume is a multiauthored text that is the third edition of Montgomery's original 2-volume publication. The focus of this edition is similar to that of the first 2 editions. Clinical evaluation and management of sinonasal, maxillofacial, and skull base disorders are discussed in considerable detail by 10 contributing authors who bring a wide range of expertise to their chapters. The expectation is to provide the otolaryngologist-in-training, as well as the practicing specialist, with a concise, practical guide to managing clinical problems in these areas. Each chapter is complete with numerous clinical photographs and illustrations that provide both pertinent clinical information and insights into many subtle points of surgical anatomy. The complex areas of the skull base and sinuses, as well as the 3-dimensional aspects of the midface, are excellently demonstrated by cadaveric dissections, radiographs, and photographs of specially prepared skull dissections. Furthermore, chapter descriptions of even the most complex procedures are presented in a practical step-bystep format, with many pearls and pitfalls being distributed within the text and the captions of the illustrations. Many routine and advanced surgical procedures of the skull base, paranasal sinuses, and facial skeleton are covered. Endoscopic dacryocystorhinoscopy, hypophysectomy, and management of dural defects are expertly discussed, as well as more standard procedures such as maxillectomy, rhinoplasty, and open reduction and internal fixation of facial fractures. The 2 final chapters, which deal with surgery of the ear and acoustic neuroma, provide some interesting anatomic information, which is not universally available. This text is a very helpful addition to the library of any busy head and neck surgeon. A practical approach to clinical problems makes this volume invaluable to residents-in-training, who require easy-to-obtain technical information that is not otherwise readily available. The strength of this text lies in its concise presentation of practical information very pertinent to practice. Mark Williams, MD