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Book reviews 601 Overall, this book is a graphically superb condensation of Professor Olivari’s experience with fat removal, and has a firm place on the library shelf of every orbital surgeon. Its bias is evident, but it stands unrivalled as a clarification of the fat- removal technique in thyroid eye disease. MARTIN B. H. KELLY MD, FRCS Consultant Craniofacial Plastic Surgeon, Craniofacial Unit, Chelsea and Westminster Hospital, 369 Fulham Road, Chelsea, London SW10 9NH, UK. doi:10.1054/bjps.2002.3928 Colour Atlas of Ophthalmic Plastic Surgery By A. G. Tyers and J. R. O. Collin. Butterworth-Heinemann, Oxford, 2001. ISBN 0-7506-4254-8. Pp xiii360. Price £130.00. It was a great pleasure to review this superb book. This is the second edition and, therefore, we can assume that the first edition has been a best-seller. The book was origi- nally based on Richard Collin’s Manual of Systemic Eyelid Surgery, which is a line-diagram book that many of us have used widely in the past. In the preface, the two well-known authors state that their aim is ‘to provide surgical photographs sufficiently realistic in colour and detail and supported by key diagrams where necessary, that the anatomy can be recognised at operation and each step in the procedure understood. Ideally the reader who is competent in general ophthalmic or plastic surgery should be able in this way to perform many of the oper- ations without the help of an experienced ophthalmic plastic surgeon’. A mighty aim, and their many hours of endeavour to pro- duce this superbly photographed and illustrated book prove that they have succeeded in their goal. The photographs are consis- tent in colour, quality and field of view, and the diagrams are explicit in the more esoteric anatomy, which can be so easily missed. Inevitably, there are some minor points that one could quib- ble with. For instance, valuable space is wasted in explaining how to take a partial-thickness skin graft with a rather old- fashioned Humby knife, when the use of a partial-thickness skin graft is deprecated in lining an exenterated orbit, which was the only use for a partial-thickness skin graft that I could find in the book, other than for resurfacing an area of temporal skin. More contentious is the illustrated use of a Mustardé cheek rotation flap, which is something that I have never been suc- cessful with in reconstructing lower eyelids. It is interesting that the 6 month follow-up shows that the authors have not suc- ceeded either. On the other hand, to be fair to Mustardé, they have given a beautiful demonstration of the Mustardé double Z-plasty for epicanthal folds, which in my hands has usually left a mass of hypertrophic scarring, but in theirs has shown a superb result. When anything is made to look easy, you can be assured that it is being done by an expert, and this wonderful book is a testimony to the expertise of Tony Tyers and Richard Collin. Whilst it is an oft-repeated cliché that this book should be in every plastic surgery library, there is absolutely no doubt that anyone who operates either in or near an eyelid should be in possession of this book. DAI DAVIES FRCS, Consultant Plastic Surgeon, Institute of Cosmetic and Reconstructive Surgery, The Stamford Hospital, Ravenscourt Park, London W6 0TN, UK. doi:10.1054/bjps.2002.3930 The Melanocytic Proliferations: A Comprehensive Textbook of Pigmented Lesions By A. Neil Crowson, Cynthia M. Magro and Martin C. Mihm. John Wiley, New York, 2001. ISBN 0-471-25271-9. Pp xvi539. Price £221.00. Increasingly, the management of patients with malignant melanoma or advanced skin cancer is by multidisciplinary teams consisting of a plastic surgeon, a dermatologist, a pathologist, a radiologist, an oncologist and a clinical nurse specialist. A great benefit of this team-working is the multidisciplinary meetings that are held regularly to discuss patients with particular prob- lems in the diagnosis and management of their skin cancers. Whilst plastic surgeons routinely deal with the surgical management of patients with malignant melanoma, the surgical decision making in the treatment of pigmented lesions is cru- cially based on the histological interpretation of the excision biopsy. The team is, therefore, very dependent on a pathologist with a special interest in melanocyte pathology. This is where this book comes into its own. It is written authoritatively by dermatologists and dermatopathologists from academic centres in the USA, and, although the book is intend- ed to present a comprehensive review of pigmented lesions encompassing the biology, diagnosis and treatment of the melanocytic proliferations, the main content of the book con- cerns the histopathology of pigmented lesions, which is dis- cussed in great depth and detail. The book is clearly and well written. It is well designed and profusely illustrated, and there is a good page correlation between the text and the illustrations. It cannot be recommend- ed for the personal library of a plastic surgeon unless he or she has a very deep interest in the detailed pathology of every type of pigmented lesion. However, I do think that this is a book that should be in the library of units with a multidisciplinary-team approach to skin cancer because it will be of use to expert pathologists, will aid dermatologists who want to improve their pathological appreciation of pigmented lesions and will give plastic surgeons a better understanding of some of the very dif- ficult decisions that pathologists have to make in the interpreta- tion of these pigmented lesions. D. S. MURRAY FRCS, Consultant Plastic Surgeon, Regional Plastic Surgery Centre for the West Midlands, Selly Oak Hospital, Raddlebarn Road, Selly Oak, Birmingham B29 6JD, UK.

The Melanocytic Proliferations: A Comprehensive Textbook of Pigmented Lesions

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Book reviews 601

Overall, this book is a graphically superb condensation ofProfessor Olivari’s experience with fat removal, and has a firmplace on the library shelf of every orbital surgeon. Its bias isevident, but it stands unrivalled as a clarification of the fat-removal technique in thyroid eye disease.

MARTIN B. H. KELLY MD, FRCSConsultant Craniofacial Plastic Surgeon,

Craniofacial Unit, Chelsea and Westminster Hospital,369 Fulham Road, Chelsea, London SW10 9NH, UK.

doi:10.1054/bjps.2002.3928

Colour Atlas of Ophthalmic Plastic SurgeryBy A. G. Tyers and J. R. O. Collin. Butterworth-Heinemann,Oxford, 2001. ISBN 0-7506-4254-8. Pp xiii�360. Price £130.00.

It was a great pleasure to review this superb book.This is the second edition and, therefore, we can assume

that the first edition has been a best-seller. The book was origi-nally based on Richard Collin’s Manual of Systemic EyelidSurgery, which is a line-diagram book that many of us haveused widely in the past. In the preface, the two well-knownauthors state that their aim is ‘to provide surgical photographssufficiently realistic in colour and detail and supported by keydiagrams where necessary, that the anatomy can be recognisedat operation and each step in the procedure understood. Ideallythe reader who is competent in general ophthalmic or plasticsurgery should be able in this way to perform many of the oper-ations without the help of an experienced ophthalmic plasticsurgeon’.

A mighty aim, and their many hours of endeavour to pro-duce this superbly photographed and illustrated book prove thatthey have succeeded in their goal. The photographs are consis-tent in colour, quality and field of view, and the diagrams areexplicit in the more esoteric anatomy, which can be so easilymissed.

Inevitably, there are some minor points that one could quib-ble with. For instance, valuable space is wasted in explaininghow to take a partial-thickness skin graft with a rather old-fashioned Humby knife, when the use of a partial-thickness skingraft is deprecated in lining an exenterated orbit, which was theonly use for a partial-thickness skin graft that I could find in thebook, other than for resurfacing an area of temporal skin.

More contentious is the illustrated use of a Mustardé cheekrotation flap, which is something that I have never been suc-cessful with in reconstructing lower eyelids. It is interestingthat the 6 month follow-up shows that the authors have not suc-ceeded either. On the other hand, to be fair to Mustardé, they have given a beautiful demonstration of the Mustardé double Z-plasty for epicanthal folds, which in my hands has usuallyleft a mass of hypertrophic scarring, but in theirs has shown asuperb result.

When anything is made to look easy, you can be assuredthat it is being done by an expert, and this wonderful book is atestimony to the expertise of Tony Tyers and Richard Collin.Whilst it is an oft-repeated cliché that this book should be inevery plastic surgery library, there is absolutely no doubt that

anyone who operates either in or near an eyelid should be inpossession of this book.

DAI DAVIES FRCS,Consultant Plastic Surgeon,

Institute of Cosmetic and Reconstructive Surgery,The Stamford Hospital, Ravenscourt Park,

London W6 0TN, UK.

doi:10.1054/bjps.2002.3930

The Melanocytic Proliferations: A ComprehensiveTextbook of Pigmented LesionsBy A. Neil Crowson, Cynthia M. Magro and Martin C. Mihm. John Wiley, New York, 2001. ISBN 0-471-25271-9. Pp xvi�539. Price £221.00.

Increasingly, the management of patients with malignantmelanoma or advanced skin cancer is by multidisciplinary teamsconsisting of a plastic surgeon, a dermatologist, a pathologist, aradiologist, an oncologist and a clinical nurse specialist. A greatbenefit of this team-working is the multidisciplinary meetingsthat are held regularly to discuss patients with particular prob-lems in the diagnosis and management of their skin cancers.

Whilst plastic surgeons routinely deal with the surgicalmanagement of patients with malignant melanoma, the surgicaldecision making in the treatment of pigmented lesions is cru-cially based on the histological interpretation of the excisionbiopsy. The team is, therefore, very dependent on a pathologistwith a special interest in melanocyte pathology.

This is where this book comes into its own. It is writtenauthoritatively by dermatologists and dermatopathologists fromacademic centres in the USA, and, although the book is intend-ed to present a comprehensive review of pigmented lesionsencompassing the biology, diagnosis and treatment of themelanocytic proliferations, the main content of the book con-cerns the histopathology of pigmented lesions, which is dis-cussed in great depth and detail.

The book is clearly and well written. It is well designed andprofusely illustrated, and there is a good page correlationbetween the text and the illustrations. It cannot be recommend-ed for the personal library of a plastic surgeon unless he or shehas a very deep interest in the detailed pathology of every typeof pigmented lesion. However, I do think that this is a book thatshould be in the library of units with a multidisciplinary-teamapproach to skin cancer because it will be of use to expertpathologists, will aid dermatologists who want to improve theirpathological appreciation of pigmented lesions and will giveplastic surgeons a better understanding of some of the very dif-ficult decisions that pathologists have to make in the interpreta-tion of these pigmented lesions.

D. S. MURRAY FRCS,Consultant Plastic Surgeon,

Regional Plastic Surgery Centre for the West Midlands,Selly Oak Hospital, Raddlebarn Road, Selly Oak,

Birmingham B29 6JD, UK.