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Soft-Tissue Surgery of the Craniofacial Region

Bartlett, Scott M.D.

Plastic and Reconstructive Surgery: March 2008 - Volume 121 - Issue 3 - p 1059
doi: 10.1097/01.prs.0000307727.43932.94

    Soft-Tissue Surgery of the Craniofacial Region

    Edited by John A. Persing and Gregory R. D. Evans. Pp. 387. Informa Healthcare USA, Inc., New York, N.Y., 2007. Price: $299.95.

    When I was asked to review this book, I consented, intrigued by the title. I expected it would focus on soft-tissue procedures one might consider in concert with bony craniofacial procedures, primarily for congenital and acquired deformities of the facial region. Instead, this text covers a diverse group of soft-tissue disorders that may or may not be related to concomitant procedures of the underlying skeleton. In short, it is an attempt to cover the field of soft-tissue reconstruction above the clavicles in 387 pages. With such an ambitious undertaking for such a huge anatomic area, undoubtedly there are likely to be deficiencies.

    The book is composed of 26 chapters, each approximately 15 pages long. Topics range from rhinoplasty to skin care to cleft palate, but without any cohesiveness. For example, cleft nasal deformity is covered, but there are no chapters on cleft lip and cleft palate. Similarly, the subperiosteal face lift is addressed but other face lift techniques are not. A chapter on facial fractures, which is the management of the hard tissue of the face, is included and seems out of place. In some instances, individual chapters are quite good, but the clinical photographs are drawings that are often simple and rudimentary, and there is a paucity of preoperative and long-term postoperative results. Once again, this can only be expected when an attempt has been made to cover such a large subject in so few pages.

    In summary, although individual chapters may be quite strong, most subjects are dealt with in a superficial fashion. Serious students of plastic surgery would find better illustrated, much more comprehensive resources elsewhere. I believe residents in the preliminary years of plastic surgery will find this text of value if it indeed addresses the specific topics in which they may be interested.



    Scott Bartlett, M.D.

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    ©2008American Society of Plastic Surgeons