Nabil I. Elsahy: Plastic and reconstructive surgery
of the nose
W.B. Saunders, 2000, 246 pp, 192 illustrations,
This book strives to cover both aesthetic and reconstruc-
tive surgery. In the section dealing with the latter aspect
of the subject, both soft and hard tissue replacements and
rearrangement of available tissue are considered. The
task that the author presents for himself is considerable,
and as a result the end product is somewhat of a “mixed
bag.” In spite of this, Doctor Elsahy has produced a book
which will be of great value to the trainee and those
starting in practice.
The deformities and defects are well analyzed and so-
lutions are presented in a clear fashion. In the section on
rhinoplasty, the cosmetic and functional aspects of the
subject are clearly and concisely presented with good di-
agrams. The pros and cons of the various techniques
could have been stated more forcibly. The pre- and post-
operative illustrations show average results and for those
in the process of learning this is much more useful than
presenting the one or two spectacular successes which
we can all show.
The reconstructive section is well covered in terms of
local and regional flaps and, again, a mixture of good
and not-so-good results are shown – this is reality. The
methodology of the flap design is solid and will be very
useful for trainees.
The functional aspects of the nose is what one would
expect from a plastic surgeon experienced in this area.
To truly understand the complexities of this difficult
problem, the larger and more comprehensive ear, nose
and throat books must be consulted.
The layout of the book is strange in that the first 16
pages have all the illustrations of the book – 192 of them
– in color. They then appear subsequently in black and
white with the text. I don’t understand this and I would
imagine that it must increase the cost.
This is certainly a book to be considered by those
starting off in the difficult area of nasal surgery.
Evan R. Farmer and Antoinette F. Hood (eds):
Pathology of the skin, 2nd Edition
McGraw-Hill, 2000, 1473 pp, (ISBN 0-8385-8079-3)
This large book has been written mainly by American
dermatologists, but there is a smattering of international
experts included. The editors are Doctor Farmer, a der-
matologist, and Doctor Hood, a pathologist. This is a
good combination. The book is large, 1473 pages. The
layout is good and the text has been well edited and is
easy to read. I was somewhat surprised to find that there
were no color illustrations, this would have added great-
ly to the examples of histology. With newer publishing
techniques, it would have added little to the cost.
Although it is comprehensive, there are some deficien-
cies. There is no mention of Ferguson-Smith disease –
self-healing squamous cell carcinoma. Although this con-
dition occurs mainly in Scotland, these patients emigrate
and it is familial. The section of Merkel cell carcinoma
lacks some key references, but this probably reflects a
dermatological bias which, of course, is reasonable.
In the melanoma chapter, I would have expected more
discussion on Clark’s level and the significance of senti-
nel node involvement. For the clinician it is important
that the dermatologist understands this technique and its
Should a plastic surgeon buy this book? Probably not.
Should a plastic surgery department invest in it – defi-
nitely! Plastic surgeons should know more about the pa-
thology of the lesions they excise – width of excision,
I.T. Jackson (
Craniofacial Institute, Fisher Center – Third Floor,
16001 West Nine Mile Road, Southfield, MI 48075, USA
Tel.: +1-248-424-5800, Fax: +1-248-424-5881
Eur J Plast Surg (2002) 25:174–176
Ian T. Jackson
Published online: 20 June 2002
© Springer-Verlag 2002