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Management of oral cancer
506
BRITISH JOURNAL
review section to each flap. In addition to the references at the end of each chapter, there is a comprehensive index. In the chapter on mandibular reconstruction using the DCIA, there is a very helpful analysis of mandibular defects and the importance of maintenance of the splay of the mandibular bodies. There are several other attractive concepts in the book, such as standard physiotherapy forms for arm exercises after scapular flap transfers etc. As with any surgical text, there are some incidences where one would disagree with the method used and the reviewer was surprised at the total absence of reference to the osteomyocutaneous combination possible with the serratus and rib and latissimus dorsi complex. Another glaring absence from the book is the free fibular transfer for mandibular reconstruction. However, this absence does illustrate one of the book’s strengths, which is its concern with well-tried methods. It is surprising that the sections on latissimus dorsi and radial forearm do not consider the use of double-paddled or even triple-paddled flap and the only double-paddled flap shown is the scapular one. However, these are minor criticisms and one can only praise this book which is obviously aimed at all future practising reconstructive surgeons and fills a glaring gap in textbooks at present. As one would expect from Churchill Livingstone, the book is well produced, attractively laid out and printed with a layout compatible with any bookshelf. At E60 I would consider it good value and essential for anyone interested in head and neck reconstruction. It will find its way into many private collections and should be in every plastic surgery unit’s library. Dr Baker has obviously taken a strong editorial position and finishes the text with a very honest discussion on the complications of microvascular surgery. I recommend this book whole-
heartedly. M. J. EARLEY
Management of Oral Cancer. By Nicholas Stafford and John Waldron. Pp. x+214, illustrated. (Oxford, New York, Tokyo: Oxford University Press, 1989). Price &30. ISBN
0 19 261609
9.
Eleven authors contribute to this book which aims to cover the large field of oral cancer in just over 200 pages. It is not clear for whom the book is intended though the fields of surgery, radiotherapy and chemotherapy are covered, with additional chapters on speech and swallowing, lymphoma and lasers. The book will most likely be read by surgeons. The anatomy chapter contains much detail which is of no practical value to the surgeon. The pathology is covered much too briefly and deals more with making a diagnosis than describing tumour behaviour as a basis for treatment. The chanters on radiotheranv, chemotherapy and speech and swallowing disorders are the best I have read.. _ The bulk of the text is concerned with management of the primary tumour, and relatively little consideration is given to management of cervical lymph node metastases. Several types of neck dissection are mentioned but none is defined, explained or described. The overall style is didactic. The authors appear to have chosen to base management on staging of the disease rather than on dealing with a biological process. It does not leave the reader with any better understanding of the condition being treated.
OF PLASTIC SURGERY
Important recent advances on the influence of radiotherapy on tumour spread in soft tissue and bone, tumour spread to the mandible, perineural tumourspread and the mandibular “swing” are not included. The book is intended as a practical guide. Where a choice exists between surgery and radiotherapy, the authors too often state the choice rather than selecting one modality in preference to the other. By sitting on the fence, they fail to stamp the book with their management philosophy. It thus lacks the essential ingredient which the team approach to oral cancer should have provided and fails as a practical guide. It is not recommended. A. D. MCGREGOR
Open Structure Rhinoplasty. By Calvin M. Johnson, Jr. and Dean M. Toriumi. Pp. 5 16, illustrated. (Philadelphia, London, Toronto, Montreal, Sydney, Tokyo: W. B. Saunders Co., 1989). Price f210. ISBN 0 7216 2158 9. “‘Tis a pity, said my father, that truth can only be one side, brother Toby, considering what ingenuity these learned men have all shown in their solutions of noses Can noses be dissolved? replied my Uncle Toby” (Sterne, 1839). This is a book about one method of rhinoplasty. In just over two pages of text, the advantages and disadvantages of the method are presented. The ensuing 500 pages comprise a description of the method, a chapter on chin augmentation and 250 pages of case histories of primary and revision rhinoplasties. The clear colour photographic illustrations are of superb quality; the diagrams are equally good. There is neither bibliography nor references. To those dedicated to the art of rhinoplasty, this is a fascinating and persuasive account. It makes an interesting comnanion to Dr Sheen’s weiehtv treatise on Aesthetic Rhino..plasiy. The text is clear and the style unambiguous, thus giving a clear picture of the method and its results. The claims are well made that such an approach leads to better exposure of the bony and cartilaginous structures, that the tip projection can be maintained or increased using autologous cartilage grafts and that there is less disparity between the nasal structures and the overlying skin than in the “closed” transnasal approach. Furthermore, teaching is made easier because the structures are openly displayed. The authors list the disadvantages: the method is timeconsuming; there is a columellar scar which with care should be imperceptible; oedema of the nasal tip skin in the early postoperative period may require subdermal steroid injections; and under certain conditions skin necrosis can occur. The procedure is carried out using intravenous sedation and analgesia. The book is well produced and is a good example of what can be accomplished with text and illustrations without resorting to an extravagant use of space and paper which mars so many publications of this type. At f210 the price may deter some but whether you wish to possess a copy or not, it is a book worth reading. J. P. BENNETT
Reference Steme, L. (1839). The Life and Opinions of Tristram Shandy, p. 154. Printed
for Charles
Daly, 19 Red Lion Square.
BRITISH JOURNAL
review section to each flap. In addition to the references at the end of each chapter, there is a comprehensive index. In the chapter on mandibular reconstruction using the DCIA, there is a very helpful analysis of mandibular defects and the importance of maintenance of the splay of the mandibular bodies. There are several other attractive concepts in the book, such as standard physiotherapy forms for arm exercises after scapular flap transfers etc. As with any surgical text, there are some incidences where one would disagree with the method used and the reviewer was surprised at the total absence of reference to the osteomyocutaneous combination possible with the serratus and rib and latissimus dorsi complex. Another glaring absence from the book is the free fibular transfer for mandibular reconstruction. However, this absence does illustrate one of the book’s strengths, which is its concern with well-tried methods. It is surprising that the sections on latissimus dorsi and radial forearm do not consider the use of double-paddled or even triple-paddled flap and the only double-paddled flap shown is the scapular one. However, these are minor criticisms and one can only praise this book which is obviously aimed at all future practising reconstructive surgeons and fills a glaring gap in textbooks at present. As one would expect from Churchill Livingstone, the book is well produced, attractively laid out and printed with a layout compatible with any bookshelf. At E60 I would consider it good value and essential for anyone interested in head and neck reconstruction. It will find its way into many private collections and should be in every plastic surgery unit’s library. Dr Baker has obviously taken a strong editorial position and finishes the text with a very honest discussion on the complications of microvascular surgery. I recommend this book whole-
heartedly. M. J. EARLEY
Management of Oral Cancer. By Nicholas Stafford and John Waldron. Pp. x+214, illustrated. (Oxford, New York, Tokyo: Oxford University Press, 1989). Price &30. ISBN
0 19 261609
9.
Eleven authors contribute to this book which aims to cover the large field of oral cancer in just over 200 pages. It is not clear for whom the book is intended though the fields of surgery, radiotherapy and chemotherapy are covered, with additional chapters on speech and swallowing, lymphoma and lasers. The book will most likely be read by surgeons. The anatomy chapter contains much detail which is of no practical value to the surgeon. The pathology is covered much too briefly and deals more with making a diagnosis than describing tumour behaviour as a basis for treatment. The chanters on radiotheranv, chemotherapy and speech and swallowing disorders are the best I have read.. _ The bulk of the text is concerned with management of the primary tumour, and relatively little consideration is given to management of cervical lymph node metastases. Several types of neck dissection are mentioned but none is defined, explained or described. The overall style is didactic. The authors appear to have chosen to base management on staging of the disease rather than on dealing with a biological process. It does not leave the reader with any better understanding of the condition being treated.
OF PLASTIC SURGERY
Important recent advances on the influence of radiotherapy on tumour spread in soft tissue and bone, tumour spread to the mandible, perineural tumourspread and the mandibular “swing” are not included. The book is intended as a practical guide. Where a choice exists between surgery and radiotherapy, the authors too often state the choice rather than selecting one modality in preference to the other. By sitting on the fence, they fail to stamp the book with their management philosophy. It thus lacks the essential ingredient which the team approach to oral cancer should have provided and fails as a practical guide. It is not recommended. A. D. MCGREGOR
Open Structure Rhinoplasty. By Calvin M. Johnson, Jr. and Dean M. Toriumi. Pp. 5 16, illustrated. (Philadelphia, London, Toronto, Montreal, Sydney, Tokyo: W. B. Saunders Co., 1989). Price f210. ISBN 0 7216 2158 9. “‘Tis a pity, said my father, that truth can only be one side, brother Toby, considering what ingenuity these learned men have all shown in their solutions of noses Can noses be dissolved? replied my Uncle Toby” (Sterne, 1839). This is a book about one method of rhinoplasty. In just over two pages of text, the advantages and disadvantages of the method are presented. The ensuing 500 pages comprise a description of the method, a chapter on chin augmentation and 250 pages of case histories of primary and revision rhinoplasties. The clear colour photographic illustrations are of superb quality; the diagrams are equally good. There is neither bibliography nor references. To those dedicated to the art of rhinoplasty, this is a fascinating and persuasive account. It makes an interesting comnanion to Dr Sheen’s weiehtv treatise on Aesthetic Rhino..plasiy. The text is clear and the style unambiguous, thus giving a clear picture of the method and its results. The claims are well made that such an approach leads to better exposure of the bony and cartilaginous structures, that the tip projection can be maintained or increased using autologous cartilage grafts and that there is less disparity between the nasal structures and the overlying skin than in the “closed” transnasal approach. Furthermore, teaching is made easier because the structures are openly displayed. The authors list the disadvantages: the method is timeconsuming; there is a columellar scar which with care should be imperceptible; oedema of the nasal tip skin in the early postoperative period may require subdermal steroid injections; and under certain conditions skin necrosis can occur. The procedure is carried out using intravenous sedation and analgesia. The book is well produced and is a good example of what can be accomplished with text and illustrations without resorting to an extravagant use of space and paper which mars so many publications of this type. At f210 the price may deter some but whether you wish to possess a copy or not, it is a book worth reading. J. P. BENNETT
Reference Steme, L. (1839). The Life and Opinions of Tristram Shandy, p. 154. Printed
for Charles
Daly, 19 Red Lion Square.