Principles and Practice of Lasers in Otorhinolaryngology and Head and Neck Surgery;$247.50

Description

Review:
This is an excellent comprehensive, good readable reference book for the otorhinolaryngologist who has an interest in laser surgery or has already own clinical practices. It should be ready on hand in each ENT-clinic where lasers are used. ' The publication has two co-editors: S. Jovanovic and J. Krespi and 37 contributors from Europe and the U.S.A. and an interactive CD-ROM is included. The table of contents gives 7 sections and the first section described history and biophysics of the laser modalities; equipment and instrumentation; theatre safety protocols and surgical and anesthesia techniques. The five following sections covering a different anatomical area, the seventh is miscellanea (including Zenker's diverticulum treatment). Each section is divided in chapters with adequate references and the book is considerable illustrated with drawings and clear colour photographs. Each chapter started with introductions such as about anatomy; (patho)physiology; equipment; preoperative preparation; indications and contraindications and choice of laser for surgical lasers procedures are described. Much attention is given on patient risks and benefits and patient selection. I am contented with the authors skill in textual criticism. For example they propound rightly that know-how about lasers and training will be essential but likewise clinicians not only needs to be familiar with laser techniques but also the theatre staff. The use of lasers in phonomicrosurgery are discussed in detail and well documented and illustrated. There are mentioned a lot of indications in rhinology (more than I know before reading the book) and all endonasal applications, including dacryocystorhinostomy, are comprehensive described and illustarted. In my experience patients with hereditary haemorrhagic teleangiectasia (HTT) have indeed great benefit of laser applications but not only for the nasal mucosal lesions also for facial skin lesions. (Completion on my part.) I encounter new laser applications described in the otology and orofacial sections. Laser assisted surgery for snoring and OSAS was interested to read as well as the possibilities for laser surgery of the tonsils. The authors very properly observed that indications and patient selection for laser use of the lingual tonsils are important components of patient care. I would strongly recommend this publication for otorhinolaryngologists who want to acquire a complete up-to-date reference book dealing with any aspect of lasers in ORL.

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