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Reconstructive microsurgery
BOOK
263
REVIEWS
Essentials
of Plastic, Maxillofacial and Reconstructive Surgery. Edited G. S. GEORGIADE, R. RIEFKOHL AND W. J. BARWICK. 1987. Williams pp. 1189. Price &121.
by N.
G.
GEORGIADE,
and Wilkins,
Baltimore,
This voluminous new textbook is essentially a detailed and comprehensive account of the whole spectrum of plastic surgery, written mainly by plastic and reconstructive surgeons from USA. The chapters on maxillofacial surgery are short and disappointing. There are more than 130 contributors who have written 94 chapters, divided into nine major sections dealing with basic principles, skin and soft tissue, head and neck, aesthetic surgery, breast, genitalia, microsurgery, trunk and lower extremity and practical concepts of plastic surgery practice. This last section contains information on basic medicolegal principles, psychological understanding and management of the-plastic surgery patient. Most chapters include a substantial list of references. The chapters on plastic surgery generally cover the topics well, but many suffer from enforced brevity, for example, Ian Jackson’s excellent contribution on craniofacial tumours is allocated only 17 pages. The content of the whole book reflects the current state of plastic and reconstructive surgery in USA; hence the inclusion of maxillofacial surgery. This latter aspect is poorly covered in the book, with only eight pages on maxillary and mandibular osteotomies. There are many errors and out-of-date concepts in the chapters on the mouth and jaws; for example, the odontogenic keratocyst is referred to as a ‘primordial cyst’ which is ‘relatively rare’ and is ‘found in place of a tooth’. The radiograph of a radicular cyst on a maxillary incisor is inverted and there is a strange radiograph of a ‘globulomaxillary cyst’ in the anterior region of the mandible! However, the chapters on plastic and reconstructive surgery are much better and include many basic scientific features such as embryology, biological aspects of tissue repair and wound healing. The book is generally well written and printed on high quality paper. The text is lavishly illustrated with clear radiographs, clinical photographs and excellent line diagrams these are outstanding features of this textbook. This large volume is doutless aimed at the American plastic and reconstuctive surgeon and is a useful reference work. It does not cover maxillofacial surgery well and confirms the view that this type of work should be undertaken by trained specialists who understand the teeth, jaws and related structures. JOHN W. FRAME
Reconstructive Microsurgery. pp. 540. Price f120.00.
Edited
by O’BRIEN & MORRISON, 1987. Churchill
Livingstone,
Edinburgh.
This extensive work of 540 pages encompasses the complete range of microsurgical techniques and their clinical applications. The first section begins with a consideration of the important technological advances in operating microscopes, with comments on the important points to look for in operating microscopes, micro-instrumentation and sutures. A short chapter on the organisation of a microsurgery unit completes this section. An extensive section on techniques follows. This covers all the routine stages in micro-vascular anastomosis and emphasises the important points in technique to ensure a successful anastomosis. There are excellent chapters on the normal and abnormal physiology of blood flow in small vessels. The ultrastructural histo-pathology of micro-vascular repairs is fascinating and really give an insight into what our surgical techniques do to vessels. The illustrations in this section, as in the rest of the work, are excellent. The essential place of anaesthesia in creating a good operative field and the importance of fluid balance and replacement in ensuring the best possible conditions for a successful anastomosis, are stressed. Micro-neural surgery is well covered and again a logical sequence of anatomy, physiology and pathology is used. Free tissue transfer, replanation of digits and limbs, joint reconstruction, reconstructive microsurgery following head and neck resection and testicular transfer are all well discussed and illustrated. This text is without doubt a magnus opus from authors of international stature, whose work in this field is at the forefront of both scientific understanding and the practical applications of micro-surgical techniques. It should be essential reading for all those interested in reconstructive surgery generally and in the head and neck reconstruction in particular. It is well worth the money. K. M. LAVERY
263
REVIEWS
Essentials
of Plastic, Maxillofacial and Reconstructive Surgery. Edited G. S. GEORGIADE, R. RIEFKOHL AND W. J. BARWICK. 1987. Williams pp. 1189. Price &121.
by N.
G.
GEORGIADE,
and Wilkins,
Baltimore,
This voluminous new textbook is essentially a detailed and comprehensive account of the whole spectrum of plastic surgery, written mainly by plastic and reconstructive surgeons from USA. The chapters on maxillofacial surgery are short and disappointing. There are more than 130 contributors who have written 94 chapters, divided into nine major sections dealing with basic principles, skin and soft tissue, head and neck, aesthetic surgery, breast, genitalia, microsurgery, trunk and lower extremity and practical concepts of plastic surgery practice. This last section contains information on basic medicolegal principles, psychological understanding and management of the-plastic surgery patient. Most chapters include a substantial list of references. The chapters on plastic surgery generally cover the topics well, but many suffer from enforced brevity, for example, Ian Jackson’s excellent contribution on craniofacial tumours is allocated only 17 pages. The content of the whole book reflects the current state of plastic and reconstructive surgery in USA; hence the inclusion of maxillofacial surgery. This latter aspect is poorly covered in the book, with only eight pages on maxillary and mandibular osteotomies. There are many errors and out-of-date concepts in the chapters on the mouth and jaws; for example, the odontogenic keratocyst is referred to as a ‘primordial cyst’ which is ‘relatively rare’ and is ‘found in place of a tooth’. The radiograph of a radicular cyst on a maxillary incisor is inverted and there is a strange radiograph of a ‘globulomaxillary cyst’ in the anterior region of the mandible! However, the chapters on plastic and reconstructive surgery are much better and include many basic scientific features such as embryology, biological aspects of tissue repair and wound healing. The book is generally well written and printed on high quality paper. The text is lavishly illustrated with clear radiographs, clinical photographs and excellent line diagrams these are outstanding features of this textbook. This large volume is doutless aimed at the American plastic and reconstuctive surgeon and is a useful reference work. It does not cover maxillofacial surgery well and confirms the view that this type of work should be undertaken by trained specialists who understand the teeth, jaws and related structures. JOHN W. FRAME
Reconstructive Microsurgery. pp. 540. Price f120.00.
Edited
by O’BRIEN & MORRISON, 1987. Churchill
Livingstone,
Edinburgh.
This extensive work of 540 pages encompasses the complete range of microsurgical techniques and their clinical applications. The first section begins with a consideration of the important technological advances in operating microscopes, with comments on the important points to look for in operating microscopes, micro-instrumentation and sutures. A short chapter on the organisation of a microsurgery unit completes this section. An extensive section on techniques follows. This covers all the routine stages in micro-vascular anastomosis and emphasises the important points in technique to ensure a successful anastomosis. There are excellent chapters on the normal and abnormal physiology of blood flow in small vessels. The ultrastructural histo-pathology of micro-vascular repairs is fascinating and really give an insight into what our surgical techniques do to vessels. The illustrations in this section, as in the rest of the work, are excellent. The essential place of anaesthesia in creating a good operative field and the importance of fluid balance and replacement in ensuring the best possible conditions for a successful anastomosis, are stressed. Micro-neural surgery is well covered and again a logical sequence of anatomy, physiology and pathology is used. Free tissue transfer, replanation of digits and limbs, joint reconstruction, reconstructive microsurgery following head and neck resection and testicular transfer are all well discussed and illustrated. This text is without doubt a magnus opus from authors of international stature, whose work in this field is at the forefront of both scientific understanding and the practical applications of micro-surgical techniques. It should be essential reading for all those interested in reconstructive surgery generally and in the head and neck reconstruction in particular. It is well worth the money. K. M. LAVERY