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Book Review: Ethics: A Case Study from Fluency

chapter. However, readers hoping for an in-depth assessment of the use of LEMG for prognosis in cases of vocal fold paralysis easily the most nuanced, controversial, and frequently debated aspect of LEMG, as well as potentially the most clinically useful will find less than a page devoted to this subject in the body of the book. A more thorough review of intraoperative monitoring closes the volume. There are appropriate black-and-white line drawings and EMGtraces throughout, which represent adynamic diagnostic modality as well as can be expected on paper. One of the most valuable elements of the book is a reprint of an evidence-based review of the utility of LEMG, found in Apendix II. This provides a tabular review of published studies on LEMG, as well as a complete bibliography. Most important, it reveals rather starkly how far short of evidence-based standards the current literature in LEMG falls; only the use of LEMG to guide botulinum toxin injections meets these criteria. Rather than interpret this as a dismissal of the technique, readers should take this as a call for more thorough and more carefully conceived studies, as the authors themselves urge. Laryngeal Electromyography is written by five physicians three otolaryngologists and two neurologists who work (or have worked) together as a clinical team in the evaluation of laryngeal disorders. This teamwork gives an admirably consistent perspective on the subject, but one that can be somewhat idiosyncratic. As long as the reader takes this limitation into account, this concise and reasonably priced book is an accessible introduction to a useful technique. LUCIAN SULlCA, MD New York, New York