160 Book reviews/Int. J. Pediatr. Otorhinolaryngol. 29 (1994) 159-163

The chapter on ancillary procedure is new. It describes the endoscopic procedures of orbital decompression, optic nerve decompression, intranasal DCR, intranasal frontal sinusotomy, CSF tistula repair, in the same style as chapter nine. This chapter is illustrated with line drawings and color pictures of cadaver specimens. Chapters thirteen and fourteen on avoidance and management of complications and revision surgery are new additions. The diagrammatic illustration of the manage- ment of complication is easy to follow.

In summary this is a good reference book. It is well organized and covers all the important topics essential for performing endoscopic sinus surgery. The text is com- prehensive, concise and easy to read. The color photographs are easy to visualize through the accompanying line drawings. This book is a valuable source of learning for the students of sinus endoscopy.

Dinesh Mehta. M.D.

Pediatric Sinusitis Edited by Rodney P. Lusk Raven Press, New York, 1992, 150 pp.

The increased awareness of chronic sinusitis in children has generated great interest in the diagnosis and the management of the disease. Since the pathophysi- ology of this disease in children is not clearly understood, there is a great deal of controversy in the medical and surgical management. Physicians from medical subspecialities such as pediatricians, family practitioners, immunologists, internal medicine, be interested in the medical management. Likewise the otolaryngologists will have an interest in the surgical management of this disease. Thirteen con- tributors of this book are pediatric subspecialists and surgeons. Each assigned subspecialist in their field has written a chapter with a brief description of the materi- al and abundant review of the literature. The book emphasizes the issues concerning the surgeons. With the development of the state of the art endoscopes and in- struments, functional endoscopic sinus surgery in children is getting more appealing and rational. The conservative approach of FESS popularized by Drs. Stammberger and Kennedy in this country, is more pertinent in children. This book has excellently covered all the areas of expertise necessary to perform functional endoscopic sinus surgery.

Chapters one and two on signs, symptoms, and pathophysiology is an excellent overview of chronic sinusitis. The tables and the endoscopic views of the nasal cavity in these chapters are self explanatory. The chapter on imaging of sinuses covers the normal anatomy and the pathology seen on plain radiographs, CT scan, MRI, and sonogram. The quality of radiographs is very good. The text describing the pathological conditions and the complications is brief with an excellent review of the literature. The chapter on microbiology is good. The chapter on allergy briefly describes the pathologic changes in allergy. The chapter on immune deficiency

Book reviews/ Int. J. Pediatr. Otorhinolaryngol. 29 (1994) 159-163 161

discusses various types of immune deficiency and the specific management. The chapter on sinusitis and asthma is informative and using the literature review sum- marizes the relationship of nose and lung. The chapter on sinusitis and cystic fibrosis is excellent and discusses the surgical management of the disease. The chapter on medical management mainly describes the antimicrobial therapy. Chapter ten on surgical management of sinusitis written by Dr. Lusk describes in depth various intranasal surgical procedures. The discussion of the traditional operations such as adenotonsilectomy, antral lavage, inferior meatal antrostomy, and middle meatal antrostomy includes topics of historical perspective, objective evidence, and recom- mendation. In this chapter the author describes in detail, the preoperative evalu- ation, anesthesia, and the surgical technique of endoscopic ethmoidectomy. The reproduction of the endoscopic photographs is excellent. The author has described the anterior approach technique of FESS as popularized by Stammberger and Kennedy with particular attention to sphenoid sinus and the frontal recess cells. The author also mentions the special surgical procedures and the surgical complications in this chapter. This long chapter covers all the surgical aspects of the FESS and it is excellently written. Chapter eleven on the complications of sinusitis is an excellent description of orbital cellulitis and has an abundant review of the literaqture. It covers the incidence, predisposing factors, medical and surgical management in great details. Algorithm published in this chapter is self explanatory.

In conclusion, this textbook is easy to read, generously illustrated, and covers the entire spectrum of pediatric sinus surgery. Endoscopic sinus surgery in children is entirely a new field and requires expert knowledge. This book provides the necessary expertise in the subspeciality field of otolaryngology and it will be a valuable resource for students of sinus endoscopy.

Dinesh Mehtu, M.D.

Surgery of the Ear and Temporal Bone Edited by Joseph B. Nadol, Jr. and Harold F. Schuknecht Raven Press, New York, 1992, ISBN o-88167-803-1, $165.00, 494 pp.

As its title indicates, this book is aimed at the otologic surgeon. It is not only an altas of surgical procedures. While it does describe surgical techniques, it also reviews surgical indications, contraindications and complications in a very stimulat- ing and informative way. It does allude to alternative treatments, but it remains philosophically loyal to the concepts of otology that were described or adopted at the Massachussets Eye and Ear Infirmary in Boston, Massachussets, USA.

The first few chapters review the office examination and audiologic evaluation procedures. A short chapter also addresses the topics of photography and documen- tation with special emphasis on otologic findings and those relating to lesions of the facial nerve. The chapter on radiologic imaging demonstrates, with exquisite detail,