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Craniofacial surgery
103
BOOK REVIEWS
Colour Atlas of Head and Neck Surgery. By Jatin P. Shah. Pp. 256 with 814 illustrations. (London: Wolfe Medical Publications Ltd, 1987). Price E75. ISBN 0 7243 0844 0. This is the most beautifully produced book I have seen on a surgical topic for a long time. There are a number of unusual features about it. Firstly, it has been written by a single author and covers a wide range of head and neck procedures on the face. skull and neck. Secondly, the illustrations are almost entirely colour reproductions of photographs, many of them operative pictures, of a quality it is rare to see. Thirdly, Dr Shah does not mention a photographer in his acknowledgements and I suspect he takes his own which, considering the quality, is remarkable. In his preface Dr Shah says the book is directed mainly to the aspiring head and neck surgeon who is already broadly trained in surgery. The operations shown are those he uses himself and no attempt is made to cover every surgical option for each problem. Dr Shah’s wide experience at the Head and Neck Service in the Memorial Hospital, New York, gives an authority to each section. to make it a very well worthwhile book on which to spend time. The contents begin with a chapter on operating room set-up and anaesthesia for head and neck surgery, followed by one on basic surgical techniques. Section on anatomic regions then follow-covering facial skin. lips, scalp and calvarium, eyelids, nasal cavity and paranasal sinuses, skull base, cysts and tumours of the mandible and the neck. These sections really are only concerned with showing the operative technique and there is no dlscussion of other aspects such as complications or results. That is the only thing one would have liked to see added, but perhaps not to be expected in an atlas of surgical technique. As with all such atlases, this must therefore be used by the trainee in conjunction with other books describing the pathology, behaviour and results of treatment of conditions in the head and neck, as it is a dangerous surgeon who can learn to do an operation for a condition he knows little about. At the end of the book is a section entitled “Further Reading” which would nodoubt direct readers to this kind of further information, but unfortunately the section has been left blank and will, hopefully, appear in the next promised volume. I highly recommend this fine book not only to trainees (with the qualifications above) but also to experienced head and neck surgeons for the sheer pleasure of browsing through it. For the quality. it is reasonably priced and is easily the best atlas of its type I have seen. I eagerly await the promised companion volume on other techniques and anatomic regions in the head and neck. M. D. POOLE
Craniofacial Surgery. Edited by Daniel Marchac. PD. XXXVI +495 wish 456 illustratibns. (Berlin, Heidelberi, New York, London, Paris, Tokyo: Springer-Verlag, 1987). Price DM 398. ISBN 3 540 16924 5. This is a compilation of papers presented at the first international congress of the International Society of Cranio-Maxilla-Facial Surgery in September 1985. The publishers and editor are to be congratulated on the speed with which the volume has been produced, making it truly representative of “the state of the art”. The 500 pages of text and 956 black and white photographs and line drawings are of the highest quality. The book is organised into 10 sections covering 3D imaging techniques, craniofacial surgery for tumours, craniofacial syn-
ostosis, facial clefts, miscellaneous techniques (including bone grafting and tissue expansion), facial osteotomies, lateral clefts and vascularised bone and galeal flaps, free flaps. trauma and lastly complications and psychological aspects. At the end of each section the discussion from the floor which followed the formal presentations is reproduced verbatim. This adds useful criticism to many of the papers and brings the text to life although it inevitably becomes a little “waffly” in places. Some repetition is unavoidable when there are 172 contributing authors but this is amply justified by the range of experience which is presented. Paul Tessier. the Society’s president, has contributed a detailed “foreword” and two further papers covermg facial bipartition and mandibulofacial dysostosis (Treacher Collins syndrome). In all three he demonstrates his (still) unrivalled depth of knowledge. The foreword is a cautionary review of the craniofacial field stressing the need to analyse and treat each deformity specifically and the naivety of using eponymous operations (“Dr Le Fort never did an osteotomy”) foreponymous syndromes when there is so much individual variation. The two later chapters are a wonderful demonstration of organisation of thought and of the understanding derived from a lifetime’s experience. They are a privilege to read. The initial enthusiasm for 3D imaging 1s tempered by its technical limitations. Nevertheless the future is very exciting and is expanded by the development of interactive programs. The uses of craniofacial techniques in a wide variety of infantile and adult tumours are discussed, making the benefits of good access apparent. Several contributors introduce the interesting concept that fibrous dysplastic bone recontoured and replaced as a free graft will grow normally. Many refinements and variations in operations for synostoses are described. Of interest are a paper differentiating synostotic plagiocephaly from torticollis, a detailed study of the effects of synostosis and its treatment on intracranial pressure and IQ and the description of frontofacial advancement in infancy. The discussion on this paper demonstrates the wide variation of opinions as to the timing and effects of surgery and perhaps highlights the paucity of hard facts available. Facial clefts and their treatment are covered in some detail, including the description of a child with facial reduplication. There is an extensive discussion of the usefulness of mini-plates and various self-retaining osteotomies. Many authors describe their experience with vascularised calvarial grafts carried on muscle or fascia. It is a pity that there were not more papers dealing with complications. basic research and evaluation of the benefits (or otherwise) of surgery. In summary, this book is beautifully presented, contains much valuable information for anyone involved in cranial or facial reconstruction and certainly should find a place in a plastic surgery library. B. M. .JONES
Notes on our Reviewers David M. Evans, FRCS, Consultant
Plastic Surgeon, Wexham Slough, Berkshire. Barry M. Jones, MS, FRCS, Consultant Plastic and Reconstructive Surgeon, The Centre for Craniofacial Anomalies, The Hospital for Sick Children, London. Christopher T. K. Khoo, FRCS, Consultant Plastic Surgeon, Wexham Park Hospital, Slough, Berkshire. John Lendrum, MA, FRCS, Consultant Plastic Surgeon, Frenchay Hospital, Bristol. Michael D. Poole, FRCS, FRACS, Consultant Plastic Surgeon. The Radcliffe Infirmary, Oxford. Park Hospital,
BOOK REVIEWS
Colour Atlas of Head and Neck Surgery. By Jatin P. Shah. Pp. 256 with 814 illustrations. (London: Wolfe Medical Publications Ltd, 1987). Price E75. ISBN 0 7243 0844 0. This is the most beautifully produced book I have seen on a surgical topic for a long time. There are a number of unusual features about it. Firstly, it has been written by a single author and covers a wide range of head and neck procedures on the face. skull and neck. Secondly, the illustrations are almost entirely colour reproductions of photographs, many of them operative pictures, of a quality it is rare to see. Thirdly, Dr Shah does not mention a photographer in his acknowledgements and I suspect he takes his own which, considering the quality, is remarkable. In his preface Dr Shah says the book is directed mainly to the aspiring head and neck surgeon who is already broadly trained in surgery. The operations shown are those he uses himself and no attempt is made to cover every surgical option for each problem. Dr Shah’s wide experience at the Head and Neck Service in the Memorial Hospital, New York, gives an authority to each section. to make it a very well worthwhile book on which to spend time. The contents begin with a chapter on operating room set-up and anaesthesia for head and neck surgery, followed by one on basic surgical techniques. Section on anatomic regions then follow-covering facial skin. lips, scalp and calvarium, eyelids, nasal cavity and paranasal sinuses, skull base, cysts and tumours of the mandible and the neck. These sections really are only concerned with showing the operative technique and there is no dlscussion of other aspects such as complications or results. That is the only thing one would have liked to see added, but perhaps not to be expected in an atlas of surgical technique. As with all such atlases, this must therefore be used by the trainee in conjunction with other books describing the pathology, behaviour and results of treatment of conditions in the head and neck, as it is a dangerous surgeon who can learn to do an operation for a condition he knows little about. At the end of the book is a section entitled “Further Reading” which would nodoubt direct readers to this kind of further information, but unfortunately the section has been left blank and will, hopefully, appear in the next promised volume. I highly recommend this fine book not only to trainees (with the qualifications above) but also to experienced head and neck surgeons for the sheer pleasure of browsing through it. For the quality. it is reasonably priced and is easily the best atlas of its type I have seen. I eagerly await the promised companion volume on other techniques and anatomic regions in the head and neck. M. D. POOLE
Craniofacial Surgery. Edited by Daniel Marchac. PD. XXXVI +495 wish 456 illustratibns. (Berlin, Heidelberi, New York, London, Paris, Tokyo: Springer-Verlag, 1987). Price DM 398. ISBN 3 540 16924 5. This is a compilation of papers presented at the first international congress of the International Society of Cranio-Maxilla-Facial Surgery in September 1985. The publishers and editor are to be congratulated on the speed with which the volume has been produced, making it truly representative of “the state of the art”. The 500 pages of text and 956 black and white photographs and line drawings are of the highest quality. The book is organised into 10 sections covering 3D imaging techniques, craniofacial surgery for tumours, craniofacial syn-
ostosis, facial clefts, miscellaneous techniques (including bone grafting and tissue expansion), facial osteotomies, lateral clefts and vascularised bone and galeal flaps, free flaps. trauma and lastly complications and psychological aspects. At the end of each section the discussion from the floor which followed the formal presentations is reproduced verbatim. This adds useful criticism to many of the papers and brings the text to life although it inevitably becomes a little “waffly” in places. Some repetition is unavoidable when there are 172 contributing authors but this is amply justified by the range of experience which is presented. Paul Tessier. the Society’s president, has contributed a detailed “foreword” and two further papers covermg facial bipartition and mandibulofacial dysostosis (Treacher Collins syndrome). In all three he demonstrates his (still) unrivalled depth of knowledge. The foreword is a cautionary review of the craniofacial field stressing the need to analyse and treat each deformity specifically and the naivety of using eponymous operations (“Dr Le Fort never did an osteotomy”) foreponymous syndromes when there is so much individual variation. The two later chapters are a wonderful demonstration of organisation of thought and of the understanding derived from a lifetime’s experience. They are a privilege to read. The initial enthusiasm for 3D imaging 1s tempered by its technical limitations. Nevertheless the future is very exciting and is expanded by the development of interactive programs. The uses of craniofacial techniques in a wide variety of infantile and adult tumours are discussed, making the benefits of good access apparent. Several contributors introduce the interesting concept that fibrous dysplastic bone recontoured and replaced as a free graft will grow normally. Many refinements and variations in operations for synostoses are described. Of interest are a paper differentiating synostotic plagiocephaly from torticollis, a detailed study of the effects of synostosis and its treatment on intracranial pressure and IQ and the description of frontofacial advancement in infancy. The discussion on this paper demonstrates the wide variation of opinions as to the timing and effects of surgery and perhaps highlights the paucity of hard facts available. Facial clefts and their treatment are covered in some detail, including the description of a child with facial reduplication. There is an extensive discussion of the usefulness of mini-plates and various self-retaining osteotomies. Many authors describe their experience with vascularised calvarial grafts carried on muscle or fascia. It is a pity that there were not more papers dealing with complications. basic research and evaluation of the benefits (or otherwise) of surgery. In summary, this book is beautifully presented, contains much valuable information for anyone involved in cranial or facial reconstruction and certainly should find a place in a plastic surgery library. B. M. .JONES
Notes on our Reviewers David M. Evans, FRCS, Consultant
Plastic Surgeon, Wexham Slough, Berkshire. Barry M. Jones, MS, FRCS, Consultant Plastic and Reconstructive Surgeon, The Centre for Craniofacial Anomalies, The Hospital for Sick Children, London. Christopher T. K. Khoo, FRCS, Consultant Plastic Surgeon, Wexham Park Hospital, Slough, Berkshire. John Lendrum, MA, FRCS, Consultant Plastic Surgeon, Frenchay Hospital, Bristol. Michael D. Poole, FRCS, FRACS, Consultant Plastic Surgeon. The Radcliffe Infirmary, Oxford. Park Hospital,