A Practical Guide to Pediatric Intensive Care. Third Edition

surgery. The authors of the first chapter, Drs. Sullivan, Urken, Glenn, and Baker, present their results of microvascular free tissue reconstruction conducted over a two-year period at the Universities of Michigan and Washington and the Mt. Sinai Medical Center. They also discuss patient selection, choice of flap for specific reconstruction needs, and complication rates. Unfortunately, there is no discussion of the actual functional results achieved by the patients receiving these advanced reconstruction procedures. The reader is left to assume that these flaps provide as good or better functional results as present regional flaps, an assumption that some in the specialty question. Now that the technique for free flap transfer has become well established, it is hoped that the next update will contain a discussion of the functional results and a comparison with traditional techniques. The chapter on flap physiology provides a basic science foundation to understand better the clinical aspects of flap transfer discussed earlier in the volume. Overall, Update II provides the reader with new advances in selected fields within otolaryngology-head and neck surgery. Several chapters cover entirely new topics not included in either the original four-volume series or in Update L This update complements well the earlier works and makes Otolaryngology-Head and Neck Surgery the most definitive text in the specialty.