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Reference \ Flaps & Grafts

Review: ARCH Derm, William Frank, MD, January 1995


FACIAL DANGER ZONES: AVOIDING NERVE INJURY
By Brooke R. Seckel
52 Pp. with black and white illustrations
St. Louis, Missouri, Quality Medical Publishing Inc.
1994

Admittedly, I am a surgical anatomy buff. Perhaps this is why I am so often frustrated by surgical anatomy texts. It seems that all too often the most critical topic, facial nerve anatomy, is either inadequately covered or poorly presented. A one-dimensional view of the paths of facial nerve branches does not help prevent inadvertent injury. The exact depth of the nerve and its relationship to fascial layers is mandatory knowledge for those operating on the face. This short text deals specifically with the topic of avoiding nerve injury in facial surgery. The author is both a plastic surgeon and a
neurologist. Major sensory nerves in addition to facial nerve branches are covered. Large color drawings show the anatomy well. What I particularly like are the excellent representations of surgical dissections, which depict anatomy in a clinically useful manner. Specific details outlining safe approaches to undermining aimed at avoiding catastrophic nerve injury are given-a topic often lacking in other texts. Facial Danger Zones does an admirable job in presenting a complex topic both comprehensively and in a digestible manner-not a simple task. I highly recommend this book. It practically confronts the "meat" of facial surgical anatomy.

William Frank, MD
Boston, MA
Arch Dermatol/ Vol. 131, January 1995
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