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AJR 2004; 183:654
© American Roentgen Ray Society


Book Review

Head and Neck Imaging

Mauricio Castillo

University of North Carolina School of Medicine Chapel Hill, NC 27599

4th ed., vols. 1 and 2. Edited by P. M. Som and H. D. Curtin. St. Louis, MO: Mosby, 2,379 pp., 2003. $349

The mammoth (19 lb) fourth edition of this classic textbook is simply beautiful. Like the third edition, it is divided into two tomes but has increased in length from 1,545 to 2,379 pages. Seventy-seven contributors from around the world are responsible for 45 chapters. The first book is divided into four sections (sinonasal cavities, orbit and visual pathways, central skull base, and jaws and temporomandibular joints). Dr. Thomas P. Naidich and contributors inaugurate this book with a gorgeous chapter on embryology and congenital lesions of the mid face that also includes a section on premature suture closure. The anatomy, physiology, and functional endoscopic surgery of the paranasal sinuses are covered in the next three chapters, using a plethora of high-quality radiographs, CT scans and their 3D reformations, and diagrams. The remaining material on sinonasal disease is divided into chapters dealing with inflammatory processes, tumors and tumorlike conditions, trauma, and post-operative findings. Dr. Mahmood F. Mafee is the author of the chapters on the eye (including embryology, anatomy, and pathology). One could think of these two chapters as a summary of his recent and excellent volumes for the Radiologic Clinics of North America. The chapter on the lacrimal apparatus appropriately includes many of the interventional aspects applicable to this anatomic region. The chapter on the visual pathways is a nice addition to the book but is not truly indispensable because it covers areas outside the head and neck. All aspects of the central skull base are covered in a single cohesive chapter. This last chapter is followed by one addressing imaging of perineural tumor spread. The last section contains five chapters dealing with the mandible and temporomandibular joints. These chapters cross over to areas of imaging not usually performed by neuroradiologists and should provide invaluable information to physicians in many subspecialties, radiologic and otherwise.

The second tome is a bit thicker than the first one and is composed of three sections (temporal bone, upper aerodigestive tract, and neck). The first two chapters serve as an introduction to the complex anatomy of the temporal bones and nicely address the different imaging techniques that may be used in its evaluation. The rest of this section is divided in a traditional fashion into chapters on congenital anomalies, trauma, and inflammation. Tumors involving the temporal bones and the cerebellopontine angle cistern regions are discussed together, and the final chapter is on tinnitus. The next section is also very lengthy (nearly 400 pages), and its topic is the upper aerodigestive tract. It is divided into four anatomically oriented chapters and ends with one chapter on videofluoroscopy of swallowing. The last section is over 500 pages long and includes 13 chapters. Most of these chapters are anatomically oriented, but the information provided extends to the brachial plexus and the posttreatment neck. The final chapters of the book discuss the genetics of tumor development and metastasis and new imaging techniques.

It is simply impossible to comment on all the wonderful details that this book contains. All chapters are extensively referenced, and there is ample use of tables, drawings, diagrams, and clinical pictures. The quality of the printing is as good as that of the paper. The book presents state-of-the-art information in head and neck imaging but does not forget the roots and basics. Certainly, this type of encyclopedic opus is not meant to be consumed from cover to cover but rather to be savored in small portions. I give it more stars than those allowed by any current rating system!


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