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An Atlas of Orbitocranial Surgery.
  1. ROBERT MACFARLANE

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    An Atlas of Orbitocranial Surgery. Edited by bryant toth, robert keating, and william stewart. (Pp 368, £149.95). Published by Martin Dunitz Publishers, London, 1999. ISBN 1 85317 376 2.

    This multiauthor atlas combines the experience of plastic and ophthalmic surgeons with maxillofacial and neurosurgeons to create a multidisciplinary approach to congenital, acquired, traumatic, and neoplastic processes involving the orbit and adjacent craniofacial structures. The chapters share a common format of indications, surgical techniques, and case presentations, illustrated with numerous line diagrams, scans, and photographs. Surgical pearls and technical pitfalls are highlighted, and each chapter has a bibliography for further reading.

    After describing the surgical anatomy and appropriate imaging of the orbit, some chapters are devoted to the standard surgical approaches. These include anterior, lateral, and transcranial orbitotomy, supraorbital rim craniotomy and its variations such as orbitozygomatic osteotomy, and transfacial approaches to the anterior cranial fossa and midline skull base. The second section deals with specific orbital conditions such as thyroid eye disease, orbital exenteration, correction of post-traumatic enophthalmos, orbital repositioning, optic nerve sheath and optic canal decompression, and distraction of the bony orbit. The final chapters consider bone and cartilage grafting, rigid fixation techniques, and soft tissue procedures.

    This is a beautifully illustrated book which is very easy to read, and provides a predominately plastic surgical and ophthalmological approach to orbitocranial disease. Although its subject matter is not sufficiently broad to make it the text of choice for neurosurgeons, particularly when considering transfacial approaches to the skull base, it is none the less an excellent companion to standard anterior skull base texts and a very useful volume to consult when managing these complex and challenging cases.

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