Advances in trauma

Advances in trauma

British Journal of Plastic Surger.v( 1990). 43, 129- 132 rc 1990 The Trustees of British Association of Plastic Surgeons 0007-1226/90/0043-Ol29/$10.0...

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British Journal of Plastic Surger.v( 1990). 43, 129- 132 rc 1990 The Trustees of British Association of Plastic Surgeons

0007-1226/90/0043-Ol29/$10.00

Book Reviews Advances in Trauma. Volume 3. Edited by Kimball I. Maull. Pp. xiv + 271, illustrated. (Chicago, London, Boca Raton: Year Book Medical Publishers, 1988). Price f41. ISBNO8151 57878. The “Advances” series have consistently and successfully brought together a number of short papers reporting the recent developments in different fields of a particular specialty. Volume 3 of .4dcances in Trauma is no exception. With 13 chapters, each with different authors, there is inevitably some variation in style. This, to some extent. enhances the quality of the book. One chapter reviews the recent research in spinal cord regeneration. It is written by authors from Toronto while all the remaining contributors are from the USA. This may reflect the advanced development of Trauma Centres in that country, an advance which has only recently been considered in the United Kingdom. The final chapter on the place of helicopters in treating trauma patients provides interesting facts supporting their use. Eightythreedeaths with 60 injuries in accidents involving these vehicles are salutary statistics but no conclusion is drawn as to the ideal place for the service in relation to population density, in particular its value in large conurbations. The chapter on advances in imaging shows the value of having available sophisticated CT scanning but points out the need for the availability of medical expertise 24 hours a day to service the equipment and interpret the results. While there is no direct comparison with clinical evaluation, this must inevitably have some value in treating the unconscious patient. Several other chapters on abdominal trauma will be of interest to those involved in this field and the last chapter on trauma registries highlights the importance of good audit-a feature of medicine in the United States. The chapter on medico-legal aspects is clearly valuable for the US practitioner. The importance placed on this may reflect the problems that lie ahead of us in the UK with our increasing number of negligence claims. The book is well presented for the US traumatologist with much useful information and a multitude of diagrams and facts, It will inevitably be of great interest to anyone involved in the management of major trauma. M. D. BROUGH

Techniques in Aesthetic Craniofacial Surgery. By Kenneth E. Salyer. Pp. xvf292, illustrated. (Philadelphia: J. B. Lippincott. New York, London: Cower Medical Publishing, 1989). Price &70. ISBN 397 44652 7 (USA); 0 397 44652 7 (UK). This is an unusual book in a number of respects. The title is somewhat deceptive-it is not about applications of craniofacial surgery to purely aesthetic problems, but rather has a theme that the surgical aims of normality, or even beauty. should be constantly borne in mind when planning treatment of craniofacial deformities. This often means “thinking ahead” to avoid unnecessary scars and deciding on the most expeditious way to achieve comprehensive correction of a given deformity.

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This is of course something that we all do in plastic surgery and goes almost without saying, so having the word “aesthetic” in the title of the book is to my mind somewhat superfluous, although perhaps eye-catching. The shape and format are alsounusual and quite striking. The book is square. Colour photographs are used almost exclusively throughout and areofexceptional quality and plentiful. Similarly the artwork of the diagrams is consistent and of high quality. Ken Salyer describes his personal experience with a variety of craniofacial problems treated by him and his team. Orthognathic surgery on the maxilla and mandible is included, as are skeletal cleft reconstruction and nasal reconstruction. The other chapters cover the more “hard core” craniofacial problems like craniosynostosis, orbital surgery, forehead surgery and secondary reconstruction after craniofacial trauma. Each section has a useful bibliography and the whole is well indexed. The stated aim of “aesthetic” planning of surgery for craniofacial deformities-normality or attractiveness-is demonstrated nicely in some sections, for example orthognathic jaw surgery and frontocranial remodelling. The limitations in achieving this, however, in conditions such as hypertelorism and patients with soft tissue facial problems are also shown. At f70 I think this book is very good value and is suitable for anyone wanting to read an overview of what craniofacial surgery is all about, with a good bibliography for further detail. M. D. POOLE

La Rhinoplastie Esthhtique. By G. Aiach and J. Levignac. Pp. x+ 182 with 420 illustrations. (Paris, Milan, Barcelona, Mexico: Masson, 1989). Price FF350. ISBN 2 225 81551 8. This is a “great” little book on rhinoplasty, the second edition on this subject in the French series “Monographie de Chirurgie Reparatrice”. It has the same format as the “Clinics in Plastic Surgery” but has been wholly written by the two authors as a monograph, a more risky venture than enrolling known experts to write individual chapters but with the distinct advantage of continuity and, surprisingly in a book of this size, a fairly comprehensive survey of the subject, As usual in this series, the abode and accreditations of the authors are kept secret, They are both from Paris! The senior author is an ex-trainee of Paul Tessier, whereas Dr Lavignac was a resident of Professor Aubrey with a special interest in “Profiloplasty”. The book is divided into five sections: Anatomy, Techniques, Cartilage Grafts, Sequelae of Rhinoplasty and Case Studies. The last section is of particular interest, showing the various problems and suggested treatment, and is well illustrated with diagrams and photographs showing excellent results. A fairly practical bibliography completes the volume. The authors have obviously a great deal of experience in rhinoplasty and have produced a balanced, concise and to the point work on the subject. As Dr Tessier points out in the preface, this book is “sympathique” because it is practical and simple. The beautiful French language does not lend itself to conciseness, but somehow the authors have managed it. The only Gallic touch is to be found in the chapters on the anatomy of the nose, when the authors point out that “the movements of the nostrils reveal a person’s emotions, sensitivity and sensuality and therefore should not be interfered with”. Quite right! Most of the diagrams are excellent, with a few scattered home-