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Doody's Review ServiceReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is an interdisciplinary introductory text describing elements of evaluation and treatment of craniofacial injury.
Purpose: Presented is a multidisciplinary approach to fundamentals of assessment and management of craniofacial injury. These concepts are presented within the context of the ATLS (Advanced Trauma Life Support) concepts of the American College of Surgeons.
Audience: The junior house officer or student rotating on a service treating craniofacial trauma is an appropriate audience for this work. The contributors represent European practitioners in various disciplines treating this problem.
Features: Ten chapters and over 200 pages comprise this attractive hardbound book. The editor begins with an overview of the management of the patient sustaining multiple trauma. Subsequent chapters describe principles of airway management, hemorrhage control, the patterns of facial fractures, soft tissue and eye injuries, and utilization of available imaging modalities. Presentations are concise, which is recommended in an introductory text. Ample black-and-white illustrations are provided, including both patient photographs and imaging studies. For the most part, those illustrations reproduce well. A single reference list is at the conclusion of the work, and is followed by a generous subject index. References are of American and European origin and date to within one to two years of publication. In many cases, original work is described.
Assessment: This is a worthy introduction to an important clinical problem. Craniofacial injury complicates the management of most cases of polysystem blunt trauma, particularly in association with motor vehicle accidents. Though brief, chapter highlights are easily discernable. In particular, the color plates and descriptions of eye injury and assessment are direct and practical. Additional neurosurgical material would increase the scope of this work without dramatically changing the length.