ABSTR.ACTS
Volume 16 Number 3
OF CURRENT
LITERATURE
383
maxillofacial injuries, although basic in content, serves as a review of facial fractures and stresses the diagnosis, early care, and methods of definitive treatment. This is a well-written, well-illustrated book dealing with the fundamentals of plastic surgery and should serve as a useful adjunct for all oral surgeons nho plan to undertake any type of plastic repair. J. Pollaclc. Dental Aesthetics. John H. Lee. Baltimore, 1962, Williams & Wilkins Company. Price, $10.00. This small volume, based on lectures and demonstrations given to postgraduate students as part of a series of courses on full dentures, has been written mainly for the guidance and inspiration of practitioners interested in this aspect of prosthetic dentistry. The approach to the subject is novel, as it includes the appearance of the face, the appearance of the teeth, the selection of teeth for the edentulous, the appearance of the lips, and the appearance of the dentures. There are 217 excellent illustrations. G. A. Coleman.
ABSTRACTS
OF CURRENT
Surgical Anatomy of 100 Facial
LITERATURE
of the Mandibular
Halves. Surg. 29: 266, March,
Ramus Reed 0. Dingman 1962.
of the Facial Nerve Based on the Dissection and William C. Grabb. Plast. & Reconstruct.
This study, based upon the dissection of 100 facial halves, was designed to define the the relations of the mandibular ramus of the facial nerve to the mandible and thus be of aid to the operator in planning his approach to the body of the mandible. The practical application arrived at from this study indicates that for approaching the body of the mandible the usual incision in the direction of the skin lines, one fingerbreadth below the border of the mandible, seems almost ideal. Then by means of upward dissection beneath the platysma, the periosteum can be sharply incised on the narrow caudal surface of the mandible; in this way the operator is able to avoid the occasional nerve branch which runs along the external surface of the border of the mandible. Of the five major rami of the facial nerve, the mandibular ramus is most frequently damaged during surgical procedures. The result of such damage is a deforming paralysis of t,he facial muscles which depress the angle of the mouth.
Intra-Alveolar Radiol.
Carcinoma of the Jaw. Robert 35: 321, May,
Morrison
and Thomas
J. Deeley.
Brit.
J.
1962.
The common type of alveolar carcinoma arises from squamous epithelium overlying the alveolar margin. Morrison and Deeley present a discussion of intra-alveolar carcinoma of the mandible as seen at Hammersmith Hospital in London, England. This type of tumor is not exceedingly rare, and it probably arises from residual epithelial tissue of the enamel organ. In the past, lesions of the manlible associated with bony destruction have usually been treated surgically because their response to radiation has not been entirely satisfactory. Supervoltage radiation, with less absorption in bone, now permits such lesions to be treated with considerably less damage to bone, and higher tumor doses can be given with anticipated improved response. The authors emphasize that radiation therapy is the treatment of choice for these intra-alveolar tumors. After completion of treatment, complete reconstitution of the bone proceeds over several months. Bone modeling occurs later, and eventually the mandible returns to normal. In the two patients in whom disease was not completely eradicated, hemimandibulectomy was performed, and both patients are alive and well without recurrence 51 and 42 months after roentgenotherapy.