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Second edition. By George Shambaugh, Jr., MD. Price, $30. Pp 700, with 404 illustrations. W. B. Saunders Company, 218 W Washington Sq, Philadelphia, 1967.

SIR TERENCE CAWTHORNE, Reviewer

Arch Otolaryngol. 1968;87(4):446-447.

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Since the first edition of Shambaugh's Surgery of the Ear appeared eight years ago, many advances in our knowledge of the structure and function of the ear and its contained special senses of hearing and balance have been recorded. The addition of tomography to the radiological examination of the temporal bone has made it possible to reveal in greater detail the cavities within the middle ear and labyrinth and to detect variations, often small, caused by disease affecting these cavities or structures they contain. Some operations which, at the time of the first edition were fairly new, have needed modification in the light of further experience, while others, notably fenestration, have been largely superseded by simpler techniques. Earlier operations have been reintroduced and new approaches to the cerebellopontine angle via the temporal bone have been devised to reduce the morbidity and mortality attendant upon operations in this vulnerable area.

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