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Aesthetic rhinoplasty, volumes I and II
Britrsh Journal ofPlastic Surgery (1995). 48, 341 Q 1995 The British Association of Plastic Surgeons
Book Review tip is superb, marred only by the text not matching the diagram on page 243 which led to this reviewer’s confusion. Chapter 14 describes surgery of the ala, columella, upper lip complex and is the best in both text and illustration that the reviewer has ever seen. Quite a meal is made out of removing the dorsal hump in the following chapter showing osteotome, saw, bone forceps and rasp methods. Again, it seems churlish to fault this because of the excellence of the exposition. The septoplasty chapter is also of a particularly high standard. The last section deals with specific types of nose and is the weakest chapter showing idealised results graphically but not so ideal results photographically with problems of lighting and focus. In fact, throughout the two books, one can be disappointed by the lack of sharp focus in photographs and the sporadic difference in styling and lighting, both in preoperative and postoperative situations. A further minor irritation is the recurrent failure to mention in the text all of the references which are at the end of each chapter. However, the references themselves constitute a valuable listing for further reading. In conclusion, these volumes are for any plastic surgeon who wishes to extend their knowledge of aesthetic rhinoplasty. One would like a third volume of a similar standard displaying the cleft lip rhinoplasty and nasal reconstruction. The publication’s strength lies in its clutter-free presentation and the superb illustrations by Professor M. Aquaviva. The books are a pleasure to look at and would grace any plastic surgeon’s private collection. They are a must for teaching units and at f175.00 are reasonably priced for the quality of presentation, although unfortunately fall outside the price range for most trainees. M. J. EARLEY
Aesthetic Rhinoplasty, Volumes I and II. By G. Zaoli. Piccin Nuova Libraria SpA, Padova, Italy, 1994. ISBN 88-2991095-3. Pp. 590, ill. Price 300,000 Lira. Page 1 of chapter 1 refers to the origins of plastic surgery and states that the name of “Plastische Chirurgie” used by Zeis in 1838 was based on the Greek word “plassein”. An inaccuracy such as this is not an auspicious start and, although pleasant enough to read, the first chapter which is the most “coffee book” chapter in design would have been better left out. This said, the reviewer was impressed overall by this two volume treatise on aesthetic rhinoplasty. The chapter on anatomy is beautifully illustrated but fails to be anatomically correct in the text by confusing origins and insertions when discussing muscles (e.g. the Nasalis is referred to as being “inserted with its base in the midline”). One feels that the sensemay have been lost in the translation but one hesitates in criticising such a finely presented chapter and these points are mentioned with reluctance. An excellent section on physiology follows which includes several pages on rhino-manometry and the study of air flow. This latter part may be considered superfluous. The chapters on facial harmony and proportion are also excellent and superbly illustrated. There are fascinating sections on the initial consultation, medicolegal problems and psychological aspects which although personal to the authors have much to offer. The problems of preoperative photography and planning are well covered. It can be viewed either as a fault or as a great strength of this two volume, 590 page text that we do not meet the patient in the operating theatre until chapter 11, after 150 pages. This reviewer feels that it firmly supports a concept with which most plastic surgeons would agree-that aesthetic rhinoplasties are not easy and need to be approached with great caution by both surgeon and patient alike. The technical sections of the volumes are well laid out and can be, for the most part, followed with ease. The author starts with a demonstration of the extra-mucosal approach to set the stage for the more specific areas which follow. The section on surgery of the nasal
Notes on our Reviewer M. J. Earley FRCS(Plast), Consultant Plastic Surgeon, Mater Misercordiae Hospital, Eccles Street, Dublin 8, Ireland.
341
Book Review tip is superb, marred only by the text not matching the diagram on page 243 which led to this reviewer’s confusion. Chapter 14 describes surgery of the ala, columella, upper lip complex and is the best in both text and illustration that the reviewer has ever seen. Quite a meal is made out of removing the dorsal hump in the following chapter showing osteotome, saw, bone forceps and rasp methods. Again, it seems churlish to fault this because of the excellence of the exposition. The septoplasty chapter is also of a particularly high standard. The last section deals with specific types of nose and is the weakest chapter showing idealised results graphically but not so ideal results photographically with problems of lighting and focus. In fact, throughout the two books, one can be disappointed by the lack of sharp focus in photographs and the sporadic difference in styling and lighting, both in preoperative and postoperative situations. A further minor irritation is the recurrent failure to mention in the text all of the references which are at the end of each chapter. However, the references themselves constitute a valuable listing for further reading. In conclusion, these volumes are for any plastic surgeon who wishes to extend their knowledge of aesthetic rhinoplasty. One would like a third volume of a similar standard displaying the cleft lip rhinoplasty and nasal reconstruction. The publication’s strength lies in its clutter-free presentation and the superb illustrations by Professor M. Aquaviva. The books are a pleasure to look at and would grace any plastic surgeon’s private collection. They are a must for teaching units and at f175.00 are reasonably priced for the quality of presentation, although unfortunately fall outside the price range for most trainees. M. J. EARLEY
Aesthetic Rhinoplasty, Volumes I and II. By G. Zaoli. Piccin Nuova Libraria SpA, Padova, Italy, 1994. ISBN 88-2991095-3. Pp. 590, ill. Price 300,000 Lira. Page 1 of chapter 1 refers to the origins of plastic surgery and states that the name of “Plastische Chirurgie” used by Zeis in 1838 was based on the Greek word “plassein”. An inaccuracy such as this is not an auspicious start and, although pleasant enough to read, the first chapter which is the most “coffee book” chapter in design would have been better left out. This said, the reviewer was impressed overall by this two volume treatise on aesthetic rhinoplasty. The chapter on anatomy is beautifully illustrated but fails to be anatomically correct in the text by confusing origins and insertions when discussing muscles (e.g. the Nasalis is referred to as being “inserted with its base in the midline”). One feels that the sensemay have been lost in the translation but one hesitates in criticising such a finely presented chapter and these points are mentioned with reluctance. An excellent section on physiology follows which includes several pages on rhino-manometry and the study of air flow. This latter part may be considered superfluous. The chapters on facial harmony and proportion are also excellent and superbly illustrated. There are fascinating sections on the initial consultation, medicolegal problems and psychological aspects which although personal to the authors have much to offer. The problems of preoperative photography and planning are well covered. It can be viewed either as a fault or as a great strength of this two volume, 590 page text that we do not meet the patient in the operating theatre until chapter 11, after 150 pages. This reviewer feels that it firmly supports a concept with which most plastic surgeons would agree-that aesthetic rhinoplasties are not easy and need to be approached with great caution by both surgeon and patient alike. The technical sections of the volumes are well laid out and can be, for the most part, followed with ease. The author starts with a demonstration of the extra-mucosal approach to set the stage for the more specific areas which follow. The section on surgery of the nasal
Notes on our Reviewer M. J. Earley FRCS(Plast), Consultant Plastic Surgeon, Mater Misercordiae Hospital, Eccles Street, Dublin 8, Ireland.
341