Description: The rebuilding of a nose requires a masterful combination of art and science, which this book provides.
Purpose: The author wishes to impart his aesthetic sensibility, the manner in which he plans for the fabrication of missing nasal sections, and the technical attributes necessary to succeed in this endeavor.
Audience: Those who seek the holy grail of nasal reconstruction will benefit from this book. The author's experience, dedication, and vision regarding the renewal of the traumatized nose will serve well facial surgeons who specialize in this difficult area of reconstruction
Features: The psychology of perception is an excellent introduction to the importance of the nose. In the past, nasal sacrifice was practiced to deface statues and humans accused of adulterous acts. Patients in modern times have to deal with segmental or total loss of the nose. An opening table of cases and photographs depicts the various and sundry defects encountered in the book, along with the relevant chapter covering its repair. The table of contents reveals the depth of the ensuing 25 chapters. After understanding the perceptual alterations encountered with the loss of the nose, the book delves into the challenges of nasal rebuilding, including clearing cancer from the nose and repairing small and large defects with local appropriation of flaps or grafts. Multiple chapters are then devoted to the main theme of this book: the use of the forehead flap and all that it entails, from design to final implementation, restoring the internal nasal lining, reestablishment of the scaffolding that the flaps will reside upon, preventing complications or dealing with these events, revisions, redoes, and the balance between reconstruction and cosmetic nasal surgery. The photographic representations are of the highest didactic quality. Meticulous drawings and guideline checklists add to the presentation. A 55-minute DVD that accompanies the book details the techniques necessary to rebuild a nose.
Assessment: This is a must for surgeons who specialize in nasal reconstruction.