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.