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AJR 2003; 181:1058
© American Roentgen Ray Society


Head and Neck Imaging, 4th ed., vols. 1 and 2

Mauricio Castillo

The University of North Carolina Chapel Hill, NC 27599

Edited by Peter M. Som and Hugh D. Curtin. St. Louis: Mosby, 1950 pp., 2003. $329

If you would like to review books for AJR, please send a cover letter stating your interest with a current curriculum vitae to Book Reviews, AJR, 500 22nd St. S, Ste. 504A, Birmingham, AL 35233.

The mammoth (19 lb, 9 kg) fourth edition of this classic textbook is simply beautiful. Like the third edition, Head and Neck Imaging is still divided into two tomes but has increased dramatically in size. Seventy-seven contributors from around the world are responsible for 45 chapters. The first volume is divided into four sections (sinonasal cavities, orbit and visual pathways, central skull base, and jaws and temporomandibular joints). Naidich and other contributors open this book with a chapter on embryology and congenital lesions of the mid-face. This is a gorgeous chapter 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 slices and their three-dimensional reformations, and diagrams. The remaining topics related to sinonasal disorders are divided into chapters dealing with inflammatory processes, tumors and tumorlike conditions, trauma, and postoperative findings.

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 of 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, although it is not indispensable because it covers areas outside of the head and neck. All aspects regarding the central skull base are covered in a single cohesive chapter, which is followed by a chapter addressing imaging of perineural tumor spread. The last section of the first volume contains five chapters dealing with the jaws and temporomandibular joints. These chapters cross over to areas of imaging not usually performed by neuroradiologists and should provide invaluable information to practitioners of many subspecialties, not just radiology.

The second tome is a bit thicker than the first and comprises three sections: the 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 their evaluation. The rest of this section is divided in a traditional fashion into chapters on congenital anomalies, trauma, inflammation, and other topics. Tumors involving the temporal bones and the cerebellopontine angle cistern regions are discussed together. There is a chapter on tinnitus. The next section is also a large one (nearly 400 pages), covering the upper aerodigestive tract. It is divided into four anatomically oriented chapters and closes with a chapter on the videofluoroscopy of swallowing. The last section is more than 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. Chapters on the genetics of tumor development and metastasis and new imaging techniques complete the book.

It is impossible to comment on all of the wonderful details that Head and Neck Imaging contains. All chapters are extensively referenced, and there is ample use of tables, drawings, diagrams, and clinical pictures. The printing is good, as is the paper quality. Head and Neck Imaging truly represents the state of the art in head and neck imaging without slighting the roots and basics. Certainly, this type of encyclopedic opus is not meant to be consumed from cover to cover but rather savored in small portions. I give it more stars than are allowed by any current rating system.


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