BOOK AND MULTIMEDIA REVIEWS
SECTION EDITOR: SHAN R. BAKER, MD
Revision Surgery
in Otolaryngology
by David R. Edelstein, MD, Dennis H.
Kraus, MD, Norman J. Pastorek, MD,
Samuel H. Selesnick, MD, and Rob-
ert F. Ward, MD, 480 pp, $169.95,
ISBN 978-1-58890-369-3, New York,
New York, Thieme, 2009.
Revision Surgery in Otolaryngology is
a unique resource consisting of con-
tributions from more than 80 lead-
ing surgeons. The textbook con-
tains 480 pages with more than 500
illustrations and diagrams. Chap-
ters offer in-depth insight into man-
aging challenges inherent to revi-
sion surgery that is not commonly
available in general textbooks. The
textbook is particularly relevant for
those practicing in an academic
setting where revision surgery is rela-
tively common. The book is valu-
able across the spectrum of otolar-
yngologists in so far that it provides
insight into surgical pitfalls that may
occur in primary surgery and lead to
complications.
The book is organized by spe-
cialty into 50 chapters, each cover-
ing a specific surgical procedure or
disease process. Chapters are gen-
erally divided by reasons for revi-
sion, pretreatment considerations,
surgical technique or rationale, and
outcomes. Each is well written, and
the information is provided in para-
graph format. All sections provide
evidence-based information that is
well referenced.
A specific strength is the inclusion
ofmanagementalgorithms.Eachchap-
ter begins with a full-page layout of
1 or several decision trees that outline
the main clinical points on which the
text expounds. This practical feature
couldprovetobeavaluablequick-look
resource when faced with revision
cases in the clinical setting.
The depth of detail concerning the
technical aspects of surgical revi-
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sions varies across topics. Some chap-
ters, particularly the otology and fa-
cial plastic surgery sections, are rich
in step-by-step details specific to the
revision scenario, whereas other
chapters focus more on general op-
erative rationale. In general, the book
assumes a prior knowledge of the sur-
gical techniques necessary to per-
form the primary procedures.
The textbook contains many clini-
cal photographs, radiology images,
intraoperative photographs, and sur-
gical drawings. Although most are
presented in black and white, the
chapter titled “Laryngology and Free
Flap Reconstruction” contains high-
quality color photographs.
Overall, the book clearly achieves
its stated goal of providing a com-
prehensive go-to resource when as-
suming the complicated challenges
inherent in revision otolaryngo-
logic surgery. For the resident pre-
paring for revision cases, this is an
excellent practical resource rich in
algorithm-based information that in
some instances can stand alone,
whereas in others would be well-
complimented by a surgical atlas and
operative technique resource.
Ryan Collar, MD
Atlas of Oculofacial
Reconstruction:
Principles and Techniques
for the Repair
of Periocular Defects
by Gerald J. Harris, MD, 161 pp,
$179.00, ISBN 978-0-7817-9651-4,
Baltimore, Maryland, Lippincott Wil-
liams & Wilkins, 2009.
Drawing from a 30-year practice in
oculofacial reconstruction, Gerald J.
Harris, MD, summarizes his expe-
rience in the Atlas of Oculofacial Re-
construction: Principles and Tech-
niques for the Repair of Periocular
Defects. The succinct, 161-page at-
las provides a single-author perspec-
WWW.ARCHFACIAL.COM
68
tive on reconstructive techniques in-
volving defects of the periocular
region. Most of these are postabla-
tive defects following Mohs sur-
gery; however, cases resulting from
benign and traumatic etiology are
also covered.
This book is very much a picto-
rial atlas, as opposed to a didactic
text. It presumes a baseline famil-
iarity with the anatomy and physi-
ology of the periorbital region and
does not delve into a detailed dis-
cussion of these topics.
Content is primarily presented in
a case-based pictorial format, show-
ing preoperative defects and post-
operative results. Over 100 case
studies are included, each dis-
played in a layout that is bright and
easy to follow. The inclusion of long-
term results (generally at 6- and 12-
months after surgery) for the recon-
struction is a particular strength of
the cases displayed. Simple, com-
prehensible graphics superim-
posed on the operative photo-
graphs are used to relay flap design
and movement of tissue.
The text is broadly divided by
periocular anatomical region. It de-
votes individual chapters to oculo-
facial sectors, including both mar-
ginal and nonmarginal eyelid defects,
as well as defects involving the me-
dial and lateral canthal regions, eye-
brow, forehead, and temple. It con-
cludes with a brief discussion on
perioperative considerations and
protocol. Each chapter generally
progresses from the management of
smaller, more limited wounds to-
ward larger, more complex defects.
Some of the more complicated re-
pairs are displayed in stepwise fash-
ion, presenting operative photos for
individual steps.
Harris’s Atlas of Oculofacial Re-
construction provides an excellent
compendium of reconstructive cases
involving the oculofacial region. It
does not attempt to be an all-
encompassing text of oculoplastic
and orbital surgery; hence, it lacks
 detailed discussion on surgical
anatomy and reconstructive prin-
ciples. Its strength lies in the wealth
of cases that are presented, often
showing multiple, alternative man-
agement options. For the reader, this
results in the ability to rapidly ex-
amine and develop a focused, yet
flexible, reconstructive plan for a
broad range of lesions. The atlas
would certainly serve as a valuable
approach tool to those with an in-
terest in facial reconstruction who
wish to develop a regionalized ap-
proach to the complexities of ocu-
lofacial reconstruction.
Jamil Asaria, MD
Eyelid and Periorbital
Surgery
by Clinton D. McCord Jr, MD, and
Mark A. Codner, MD, 784 pp (2 vols),
$395.00, ISBN 978-1-57626-219-1,
St Louis, Missouri, Quality Medical
Publishing, 2008.
Clinton D. McCord Jr, MD, an occu-
loplastic surgeon, and Mark A. Cod-
ner, MD, a plastic surgeon, have com-
bined their extensive clinical experi-
ence to create Eyelid and Periorbital
Surgery. The 784-page, 2-volume set
includes 3000 color illustrations and
photographs. The book includes 4
DVDs containing over 5 hours of nar-
rated surgical videos, and nearly ev-
ery procedure detailed in the text is
demonstratedontheDVDs.Thiswork
is divided into 3 parts: “Fundamen-
tals,”“AestheticSurgery,”and“Recon-
structive Surgery.”
The “Fundamentals” section in-
cludes in-depth chapters on eyelid
anatomy, function, and soft-tissue
surgical principles as they relate to
the eyelids. The complicated and in-
tricate anatomy of the eyelid and
periorbital region is beautifully il-
lustrated and explained in the first
chapter. The second chapter is de-
voted to reviewing the function, in-
nervation, and biomechanics of the
eyelids. The remaining 2 chapters in
the “Fundamentals” section review
basics of incisions, soft-tissue han-
dling, suturing, local flaps, and au-
tologous tissue grafts as they relate
to eyelid surgery.
The “Aesthetic Surgery” section
begins with an explanation of
changes associated with aging within
the eyelid and periorbital area. Chap-
ters on brow-lift, upper and lower
eyelid blepharoplasty, midface-lift,
and Asian blepharoplasty are in-
cluded. The chapters on aesthetic
surgery present the authors’ ap-
proach in a step-by-step fashion, be-
ginning with the office consulta-
tions through the postoperative
period. The surgical techniques are
carefully explained and are accom-
panied by numerous illustrations
and intraoperative photographs.
There is also a chapter dedicated to
complications of aesthetic eyelid
procedures. This includes discus-
sions of the expected problems such
as hematoma, ectropion, and lag-
ophthalmos but goes further and de-
tails surgical solutions to common
aesthetic complaints from patients.
The “Aesthetic Surgery” section also
includes chapters on botulinum
toxin type A (Botox) and injectable
fillers in the periorbital region and
the use of fat grafting.
The “Reconstructive Surgery”
section begins with an outstanding
review and discussion of upper eye-
lid ptosis and describes several
widely practiced methods for deal-
ing with this difficult problem. The
next 4 chapters discuss malignant
diseases of the eyelid, techniques to
excise malignant lesions, and ap-
proaches to reconstruct the result-
ing defects. There are also chapters
devoted to eyelid trauma, entro-
pion and ectropion repair, facial
nerve paralysis, and eyelid changes
in patients with Graves disease. The
authors also included a chapter dedi-
cated to congenital eyelid anoma-
lies and their correction.
Eyelid and Periorbital Surgery is a
remarkable achievement from 2 well-
respected surgeons. Virtually every
procedure performed on the eyelids
is covered in this comprehensive text.
The illustrations and step-by-step ex-
planations are exceptional. The nar-
rated surgical videos are well worth
the purchase price on their own. Eye-
lid and Periorbital Surgery would
make an excellent addition to the li-
brary of any surgeon at any level per-
forming cosmetic or reconstructive
procedures on the eyelids, brow, or
midface.
Bradford A. Bader, MD

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