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Aesthetic and Reconstructive Otoplasty
Mayo Clin Proc, August 1987, Vol 62
opioid antagonists, and drugs that facilitate gastric emptying. In this evolving area of practice, whether to use medications in the treatment of patients with eating disorders is a hotly debated issue. The book, although not exhaustive, reviews the major issues and makes available in one place both the supporting and the opposing evidence. This evidence is evaluated objectively. Most of the authors make recommendations that are cautious and conservative. None of the authors conveys excessive enthusiasm for treatments advocated in open trials. Further controlled studies are recommended. The conclusion emerges that drugs have a definite, but limited, place in the treatment of patients with eating disorders. The authors endorse the suggestion that drugs not be prescribed for the disorders per se, but that they may be indicated for the treatment of certain associated symptoms, particularly depression and anxiety. This book provides a balanced assessment of the current knowledge about drug therapy in patients with eating disorders.
BOOK REVIEWS
755
Common problems in the field of otoplastic surgery are correction of the prominent ear, the scaphoid ear, and lobular deformities. Davis does not try to provide a compilation of all available knowledge and techniques but rather describes a practical personal approach to these malformations. His treatment of the prominent ear by sculpturing the anterior ear cartilage without the use of permanent sutures has yielded excellent results. He makes the important point that proper diagnosis and analysis of a deformity are necessary so that one does not simply correct prominence of an ear but also makes the ear beautiful. Davis and other contributors provide an extensive, clear, wejl-illustrated, practical approach to correcting congenital deformities such as the lop, satyr, snail, or cup ear. This chapter and the others on severe microtia are the strength of the book. For cases of severe microtia, the author prefers the use of conchal cartilage as a skeletal framework. Other surgeons discuss their techniques and results with silicone implants and rib cartilage. These chapters aptly point out the comAlexander R. Lucas, M.D. plexity of these reconstructive procedures and the Department of Psychiatry appropriateness of the adage, "show me the reand Psychology sults of total ear reconstruction to determine the skills of the reconstructive surgeon." The final chapter on trauma seems incomplete without a section on the management of surgical defects caused by the removal of neoplasms. PerAesthetic and Reconstructive Otoplasty, by haps a separate chapter on this subject with the Jack Davis, 581 pp, with illus, $199, New York, author's "pearls" would have been more valuable than the pages devoted to surgical procedures of Springer-Verlag, 1987 the ear canal. The otologic aspects of middle ear Is it possible to make a silk purse from a sow's and ear canal operations are outdated and incomear? If this reconstructive challenge were fea- plete. Davis, however, does point out the imporsible, Davis would have addressed it honestly tance of close cooperation between the surgeons and clearly in this book. Reconstructive otoplasty doing the otologic and those performing the reis challenging, as witnessed by the plethora of constructive procedures. articles devoted to this subject over the years. Overall, this book will appeal to only a few This book provides a rare treatise on surgical physicians. Nonetheless, it should be a valuable reconstruction of the external ear. addition to the library of the plastic surgeon The overall scope of the book is broad. The or the otolaryngologist-head and neck surgeon introductory chapter on history is factual and who is involved in surgical reconstruction of the fascinating. Reviews of anthropometry and sur- pinna. gical artistry attempt to answer two questions— what is a normal ear and, of more importance, what is a beautiful ear? The section on embryKerry D. Olsen, M.D. ology and its relationship to congenital abnorDepartment of Otorhinolaryngology malities is the best contribution I have read on this subject.
opioid antagonists, and drugs that facilitate gastric emptying. In this evolving area of practice, whether to use medications in the treatment of patients with eating disorders is a hotly debated issue. The book, although not exhaustive, reviews the major issues and makes available in one place both the supporting and the opposing evidence. This evidence is evaluated objectively. Most of the authors make recommendations that are cautious and conservative. None of the authors conveys excessive enthusiasm for treatments advocated in open trials. Further controlled studies are recommended. The conclusion emerges that drugs have a definite, but limited, place in the treatment of patients with eating disorders. The authors endorse the suggestion that drugs not be prescribed for the disorders per se, but that they may be indicated for the treatment of certain associated symptoms, particularly depression and anxiety. This book provides a balanced assessment of the current knowledge about drug therapy in patients with eating disorders.
BOOK REVIEWS
755
Common problems in the field of otoplastic surgery are correction of the prominent ear, the scaphoid ear, and lobular deformities. Davis does not try to provide a compilation of all available knowledge and techniques but rather describes a practical personal approach to these malformations. His treatment of the prominent ear by sculpturing the anterior ear cartilage without the use of permanent sutures has yielded excellent results. He makes the important point that proper diagnosis and analysis of a deformity are necessary so that one does not simply correct prominence of an ear but also makes the ear beautiful. Davis and other contributors provide an extensive, clear, wejl-illustrated, practical approach to correcting congenital deformities such as the lop, satyr, snail, or cup ear. This chapter and the others on severe microtia are the strength of the book. For cases of severe microtia, the author prefers the use of conchal cartilage as a skeletal framework. Other surgeons discuss their techniques and results with silicone implants and rib cartilage. These chapters aptly point out the comAlexander R. Lucas, M.D. plexity of these reconstructive procedures and the Department of Psychiatry appropriateness of the adage, "show me the reand Psychology sults of total ear reconstruction to determine the skills of the reconstructive surgeon." The final chapter on trauma seems incomplete without a section on the management of surgical defects caused by the removal of neoplasms. PerAesthetic and Reconstructive Otoplasty, by haps a separate chapter on this subject with the Jack Davis, 581 pp, with illus, $199, New York, author's "pearls" would have been more valuable than the pages devoted to surgical procedures of Springer-Verlag, 1987 the ear canal. The otologic aspects of middle ear Is it possible to make a silk purse from a sow's and ear canal operations are outdated and incomear? If this reconstructive challenge were fea- plete. Davis, however, does point out the imporsible, Davis would have addressed it honestly tance of close cooperation between the surgeons and clearly in this book. Reconstructive otoplasty doing the otologic and those performing the reis challenging, as witnessed by the plethora of constructive procedures. articles devoted to this subject over the years. Overall, this book will appeal to only a few This book provides a rare treatise on surgical physicians. Nonetheless, it should be a valuable reconstruction of the external ear. addition to the library of the plastic surgeon The overall scope of the book is broad. The or the otolaryngologist-head and neck surgeon introductory chapter on history is factual and who is involved in surgical reconstruction of the fascinating. Reviews of anthropometry and sur- pinna. gical artistry attempt to answer two questions— what is a normal ear and, of more importance, what is a beautiful ear? The section on embryKerry D. Olsen, M.D. ology and its relationship to congenital abnorDepartment of Otorhinolaryngology malities is the best contribution I have read on this subject.