Fundamental techniques of plastic surgery

Fundamental techniques of plastic surgery

BRITISH JOURNAL OF ORAL SURGERY 70 At ko.96, the price of this book will recommend it to many, and, undoubtedly, it is excellent ‘value for money’. ...

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BRITISH JOURNAL OF ORAL SURGERY

70

At ko.96, the price of this book will recommend it to many, and, undoubtedly, it is excellent ‘value for money’. J, H. JONES

Fundamental

5th Edition. By IANA. MCGREGOR. Techniques of Plastic Surgery. Edinburgh and London: Churchill Livingstone. Pp. 301. 1972. Price L4.00.

Few would deny that colleagues in differing specialities who work together learn much from each other and benefit from each other’s experience. Nowhere has this ‘cross fertilisation’ paid greater dividends than in the co-operation between plastic and oral surgeons. Plastic surgeons have learned much about the management of the hard tissues, whilst teaching oral surgeons better ways of handling soft tissues. This book deals mainly with the latter topic. The first part, consisting as it does of a clear concise description of the basic principles underlying and the current practice of wound care, Z-plasty, skin grafting and repair utilising flaps, is of particular value and interest to the oral surgeon. Well tried techniques of repair are described, and the increasing use of Ilaps with an axial vascular pattern, such as the delto-pectoral flap, instead of tube pedicles, is stressed. In the second half of the book the author has described how these basic techniques can be applied in fields of surgery other than his own. These chapters are of general interest to the experienced oral surgeon who may, however, question the wisdom of including a chapter devoted to an outline of the treatment of maxillo-facial injuries divorced from the main theme of the book. No book could reach its fifth edition in twelve years unless it fulfilled a need. Every practising oral surgeon would benefit from having a copy of this work and picking it up for revision purposes at regular intervals. G. L. HOWE

Enlargement

of the Coronoid

Process.

By R. F. VAN HOOF. Leiden: Stafleu &

Tholen B. V. Pp. 120. 1973. This excellent monograph, which contains a foreword by F. Gordon Hardman, is concerned with a rare condition of ever-increasing interest to the oral surgeon and the general practitioner and, as the author points out, go per cent of all the case histories related to coronoid enlargement have been described in the last 25 years. In this book the term ‘trismus’ is employed to describe ‘any limitation of mandibular movement’ whether this is of mechanical, physiological, or pathological origin and the tendency to focus the attention of the clinician upon the temporomandibular joint, in such cases, without adequate consideration of the relationship between the coronoid process, the zygomatic bone and arch is carefully analysed and emphasised by the author. The thesis deals exhaustively with the subject in a clear and concise manner and there are g2 references to the relatively sparse literature on the condition which is a measure of the thoroughness with which Dr Van Hoof has approached his research. After establishment of the normal values for opening of the mouth, chapters follow which deal with the clinical features, anatomy, radiology (with special reference to the orthopantomogram and tomography) and a statistical analysis of data from 30 individuals. The historial review and possible aetiological factors are of special interest, and this section is followed by a comparison of known cases from 1860 until 1973. Of particular interest, in relation to a possible genetic influence, is the comprehensive description of the trismus-pseudocampylodactyly syndrome which is considered to be due to an autosomal dominant transmission with full penetrance and variable expressivity, without sex influence.