Description: This is a beautifully illustrated, anatomic description of repair techniques for blunt and penetrating facial injury edited by two senior maxillofacial trauma surgeons.
Purpose: It is intended as a detailed guide for trainees. In fact, this is more than a simple atlas. Illustrations, gathered over decades, most of them well reproduced, are organized by cases or stepwise description of operative procedures. Unlike most atlases, the authors provide detailed descriptions of the technical points and rationales for the surgical approaches.
Audience: Otolaryngologists, plastic and reconstructive surgeons with an interest in facial trauma, radiologists seeking to image and identify gross and subtle injuries, and general trauma providers are an appropriate audience for this work produced by a small group of senior maxillofacial trauma surgeons from the U.K.
Features: Chapters are divided by anatomic regions of the face and neck. For example, the book pays significant attention to blunt and penetrating injury to the mandible, including fractures, soft tissue deficits, and the variety of techniques available for reconstruction. The face is subdivided into injuries involving teeth or maxilla, middle third fractures of the facial skeleton, zygomatic complex fractures, orbit and nasal fractures, sinus fractures and complex soft tissue injuries. Chapters open with a review of anatomy as demonstrated by sample images of normal and injured presentation, followed by a discussion of skeletal and soft tissue repair with techniques for vascular control and avoidance of neurological injury. Complementary radiographs and 3-dimentional CT images reproduce with excellent quality. Photographs and radiographs are complemented by multicolor line drawings displaying technical approaches and finer points of anatomy that may escape the camera. At times, the authors also present images from cadaver dissection. Chapters are clearly written and, while the authors admit to using references they have found helpful rather than a systematic literature review, include an excellent list of primary sources. References date to within three years of publication.
Assessment: This is an excellent guide best suited for trainees in the U.K. While medication differences between continents do not come prominently into play, there may be some difference in the use of specific operative approaches and imaging modalities (U.S. programs tend to emphasize CT techniques) based on geographic and training traditions. Nonetheless, this is an excellent training tool for postgraduate fellows or registrars and a worthy office reference for more senior providers.