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Book Details
Abstract
Get a quick, expert overview of the many key facets of today’s otolaryngology practice with this concise, practical resource. Dr. Luke Rudmik and a leading team of experts in the field address high-interest clinical topics in this fast-changing field.
- Presents an evidence-based, clinical approach to leading topics in otolaryngology.
- Covers key topics such as management of vertigo; management of adult sensorineural hearing loss; reflux in sinusitis; balloon catheter dilation in rhinology; epistaxis; functional rhinoplasty; sublingual immunotherapy for allergic rhinitis; pediatric obstructive sleep apnea; pediatric tonsillectomy; evaluation and management of unilateral vocal fold paralysis; management of hoarseness; endoscopic skull base resection for malignancy; management of glottic cancer; management of well-differentiated thyroid cancer; and management of the clinical node-negative neck in early stage oral cavity squamous cell carcinoma.
- Consolidates today’s available information and experience in this challenging area into one convenient resource.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Evidence-Based Clinical Practice in Otolaryngology | i | ||
| Evidence-Based Clinical Practice in Otolaryngology | iii | ||
| Copyright | iv | ||
| List of Contributors | v | ||
| Contents | ix | ||
| 1 - Evidence-Based Practice: Management of Acute Vertigo | 1 | ||
| BENIGN PAROXYSMAL POSITIONAL VERTIGO | 1 | ||
| Introduction | 1 | ||
| Pathophysiology | 1 | ||
| Diagnosis | 2 | ||
| Posterior canal benign paroxysmal positional vertigo | 2 | ||
| Lateral canal benign paroxysmal positional vertigo | 3 | ||
| Superior canal benign paroxysmal positional vertigo | 3 | ||
| Management | 4 | ||
| Physical maneuvers | 4 | ||
| Surgery for refractory benign paroxysmal positional vertigo | 6 | ||
| Vestibular rehabilitation therapy | 6 | ||
| VESTIBULAR NEURITIS | 6 | ||
| Introduction | 6 | ||
| Pathophysiology | 6 | ||
| Diagnosis | 7 | ||
| Management | 7 | ||
| Vestibular suppressants | 7 | ||
| Antiemetics | 8 | ||
| Betahistine | 8 | ||
| Antivirals | 8 | ||
| Steroids | 8 | ||
| Vestibular rehabilitation therapy | 8 | ||
| REFERENCES | 8 | ||
| 2 - Management of Adult Sensorineural Hearing Loss | 15 | ||
| OVERVIEW | 15 | ||
| ETIOLOGIES | 15 | ||
| Age-Related Hearing Loss (Presbycusis) | 15 | ||
| Autoimmune | 15 | ||
| Endolymphatic Hydrops and CNS Disease | 16 | ||
| Genetic | 16 | ||
| Idiopathic | 16 | ||
| Infection | 16 | ||
| Neoplasm | 16 | ||
| Noise-Induced Hearing Loss | 16 | ||
| Ototoxicity | 17 | ||
| Trauma | 17 | ||
| Vascular | 17 | ||
| EVIDENCE-BASED CLINICAL ASSESSMENT | 17 | ||
| Audiometric Testing | 17 | ||
| Auditory Brainstem Response | 17 | ||
| Vestibular Assessment | 18 | ||
| Magnetic Resonance Imaging | 18 | ||
| Computed Tomography | 18 | ||
| Laboratory Tests | 18 | ||
| EVIDENCED-BASED MANAGEMENT | 19 | ||
| Autoimmune Inner Ear Disease | 19 | ||
| Intratympanic steroids | 20 | ||
| Antivirals | 20 | ||
| Hyperbaric oxygen | 20 | ||
| Rheopheresis | 21 | ||
| BOTTOM LINE | 21 | ||
| CRITICAL POINTS WITH EVIDENCE | 21 | ||
| REFERENCES | 21 | ||
| 3 - Laryngopharyngeal Reflux in Chronic Rhinosinusitis: Evidence-Based Practice | 25 | ||
| INTRODUCTION | 25 | ||
| EPIDEMIOLOGIC ASSOCIATION BETWEEN REFLUX AND CHRONIC RHINOSINUSITIS | 25 | ||
| PATHOGENIC ROLE OF REFLUX IN CHRONIC RHINOSINUSITIS | 27 | ||
| PROGNOSTIC IMPACT OF REFLUX ON CHRONIC RHINOSINUSITIS SYMPTOMS | 30 | ||
| EFFECT OF MEDICAL TREATMENT OF REFLUX ON CHRONIC RHINOSINUSITIS SYMPTOMS | 32 | ||
| REFERENCES | 33 | ||
| 4 - Evidence-Based Practice: Balloon Catheter Dilation in Rhinology | 37 | ||
| BACKGROUND ON CHRONIC RHINOSINUSITIS | 37 | ||
| OVERVIEW OF BALLOON CATHETER TECHNOLOGIES | 38 | ||
| Balloon Sinuplasty | 38 | ||
| LacriCATH | 38 | ||
| FinESS | 38 | ||
| EVIDENCE-BASED CLINICAL ASSESSMENT | 39 | ||
| EVIDENCE-BASED SURGICAL TECHNIQUE | 39 | ||
| Adult Medically Refractory Chronic Rhinosinusitis | 39 | ||
| Pediatric Medically Refractory Chronic Rhinosinusitis | 42 | ||
| Frontal Sinus Disease | 43 | ||
| WHAT DOES THE EVIDENCE TELL US? | 45 | ||
| REFERENCES | 45 | ||
| 5 - Epistaxis: An Update on Contemporary Evidence-Based Approach | 49 | ||
| INTRODUCTION | 49 | ||
| METHODS | 49 | ||
| RESULTS–A MANAGEMENT PATHWAY | 49 | ||
| Management | 49 | ||
| Pathway progression—uncontrolled epistaxis | 49 | ||
| Protocol completion—treated epistaxis | 49 | ||
| Refractory Acute Epistaxis | 54 | ||
| Adjunctive Treatments | 54 | ||
| Preventing Epistaxis Deaths | 54 | ||
| DISCUSSION | 55 | ||
| REFERENCES | 55 | ||
| 6 - Evidence-Based Practice: Functional Rhinoplasty | 59 | ||
| BACKGROUND | 59 | ||
| Scope of the Problem | 59 | ||
| Anatomy and Pathophysiology | 59 | ||
| EVALUATION OF NASAL OBSTRUCTION | 60 | ||
| History and Physical Examination | 60 | ||
| Endoscopy and Imaging | 61 | ||
| Objective Measures of Nasal Obstruction | 62 | ||
| NONSURGICAL MANAGEMENT OF THE NASAL VALVE | 63 | ||
| SURGICAL MANAGEMENT OF THE NASAL VALVE | 63 | ||
| Perioperative Management | 63 | ||
| Batten grafts | 64 | ||
| Lateral crural reposition and struts | 65 | ||
| Local cartilage flaps | 66 | ||
| Butterfly grafts | 66 | ||
| Suturing techniques | 67 | ||
| Minimally invasive techniques | 67 | ||
| Outcomes | 67 | ||
| Complications | 68 | ||
| BOTTOM LINE | 68 | ||
| REFERENCES | 68 | ||
| 7 - Evidence-Based Practice: Sublingual Immunotherapy for Allergic Rhinitis | 73 | ||
| DISEASE OVERVIEW—ALLERGIC RHINITIS | 73 | ||
| EVIDENCE-BASED MEDICAL MANAGEMENT—SUBLINGUAL IMMUNOTHERAPY FOR ALLERGIC RHINITIS | 75 | ||
| Allergen-Specific Immunotherapy | 75 | ||
| Pediatric Populations | 76 | ||
| Single- Versus Multiantigen Sublingual Immunotherapy | 77 | ||
| Safety of Sublingual Immunotherapy | 77 | ||
| Sublingual Immunotherapy Dosing | 78 | ||
| Emerging Therapies | 78 | ||
| BOTTOM LINE: WHAT DOES THE EVIDENCE TELL US? | 78 | ||
| REFERENCES | 79 | ||
| 8 - Evidence-Based Practice: Pediatric Obstructive Sleep Apnea | 83 | ||
| OVERVIEW | 83 | ||
| EPIDEMIOLOGY OF PEDIATRIC SLEEP DISORDERS | 83 | ||
| POTENTIAL CONSEQUENCES OF OBSTRUCTIVE SLEEP APNEA SYNDROMES | 84 | ||
| Cardiometabolic Health | 84 | ||
| Hyperactivity and Daytime Disturbances | 85 | ||
| Effects on Academic Performance and Learning | 86 | ||
| UTILITY OF POLYSOMNOGRAPHY | 86 | ||
| OBESITY AND SLEEP-DISORDERED BREATHING | 86 | ||
| MEDICAL MANAGEMENT OF SLEEP-DISORDERED BREATHING | 87 | ||
| SLEEP ENDOSCOPY | 87 | ||
| RESIDUAL OBSTRUCTIVE SLEEP APNEA AFTER ADENOTONSILLECTOMY | 88 | ||
| ANALGESIA FOLLOWING ADENOTONSILLECTOMY | 89 | ||
| METHOD OF TONSILLECTOMY | 89 | ||
| CONCLUSIONS | 89 | ||
| REFERENCES | 90 | ||
| 9 - Evidence-Based Practice: Pediatric Tonsillectomy | 93 | ||
| OVERVIEW | 93 | ||
| EVIDENCE-BASED CLINICAL ASSESSMENT | 93 | ||
| Indications for Tonsillectomy | 93 | ||
| Patient Assessment | 95 | ||
| Polysomnography | 95 | ||
| EVIDENCE-BASED SURGICAL TECHNIQUE FOR TONSILLECTOMY | 96 | ||
| Instrumentation | 96 | ||
| Technique: Partial Intracapsular Tonsillectomy Versus Total Tonsillectomy | 96 | ||
| EVIDENCE-BASED PERIOPERATIVE MANAGEMENT FOR TONSILLECTOMY | 96 | ||
| Dexamethasone | 96 | ||
| Perioperative Antibiotics | 97 | ||
| Postoperative Hospitalization | 97 | ||
| Pain Control | 97 | ||
| Outcomes Assessment | 98 | ||
| CONCLUSIONS | 99 | ||
| REFERENCES | 99 | ||
| 10 - Evidence-Based Practice: Evaluation and Management of Unilateral Vocal Fold Paralysis | 103 | ||
| PROBLEM OVERVIEW | 103 | ||
| Etiology (Levels 3–4) | 103 | ||
| Evolving Distribution of Etiologies (Levels 3–4) | 104 | ||
| Laterality and Natural History of Idiopathic Unilateral Vocal Fold Paralysis (Level 4) | 105 | ||
| Symptoms (Levels 3–4) | 105 | ||
| Quality of Life at Presentation (Levels 3–4) | 105 | ||
| EVIDENCE-BASED CLINICAL ASSESSMENT | 106 | ||
| Examination (Levels 3–5) | 106 | ||
| Imaging (Levels 3–5) | 107 | ||
| Serology (Levels 3–5) | 107 | ||
| Laryngeal Electromyography (Levels 2–5) | 108 | ||
| FUTURE HORIZONS | 115 | ||
| BOTTOM LINE: WHAT DOES THE EVIDENCE TELL US? | 116 | ||
| ACKNOWLEDGMENTS | 116 | ||
| REFERENCES | 116 | ||
| 11 - Evidence-Based Practice: Management of Hoarseness/Dysphonia | 125 | ||
| OVERVIEW | 125 | ||
| EVIDENCE-BASED CLINICAL ASSESSMENT | 125 | ||
| Assessment of Vocal Fold Vibration | 127 | ||
| Laryngostroboscopy | 127 | ||
| High-speed digital imaging | 127 | ||
| Direct laryngoscopy | 127 | ||
| Other Techniques to Assess Vocal Fold Motion | 128 | ||
| Ultrasonography | 128 | ||
| Optical coherence tomography | 128 | ||
| Ancillary Diagnostic Testing for Dysphonia | 128 | ||
| Laryngeal electromyography | 128 | ||
| Radiographic imaging | 129 | ||
| Measurement of Degree of Dysphonia | 129 | ||
| Patient-reported outcome measures | 129 | ||
| Clinician-rated measures | 130 | ||
| EVIDENCE-BASED MANAGEMENT OF DYSPHONIA | 130 | ||
| Functional Voice Disorders | 130 | ||
| Voice therapy | 130 | ||
| Medical therapy | 130 | ||
| Surgical therapy | 131 | ||
| Inflammatory Laryngeal Pathology | 131 | ||
| Voice therapy | 131 | ||
| Medical therapy | 131 | ||
| Benign Laryngeal Lesions | 133 | ||
| Voice therapy | 133 | ||
| Medical therapy | 134 | ||
| Surgical therapy | 134 | ||
| Laser treatment | 134 | ||
| Glottic Insufficiency | 134 | ||
| Voice therapy | 135 | ||
| Medical therapy | 135 | ||
| Surgical therapy | 135 | ||
| WHAT THE EVIDENCE TELLS US (THE BOTTOM LINE) | 137 | ||
| CRITICAL POINTS | 137 | ||
| REFERENCES | 138 | ||
| 12 - Evidence-Based Practice: Endoscopic Skull Base Resection for Malignancy | 149 | ||
| OVERVIEW OF SINONASAL AND SKULL BASE MALIGNANCY | 149 | ||
| ESTHESIONEUROBLASTOMA | 149 | ||
| Incidence and Epidemiology | 149 | ||
| Clinical Assessment | 150 | ||
| Surgical Management of Esthesioneuroblastoma | 150 | ||
| SINONASAL MELANOMA | 151 | ||
| Incidence and Epidemiology | 151 | ||
| Clinical Assessment | 152 | ||
| Surgical Management of Sinonasal Mucosal Melanoma | 152 | ||
| NASOPHARYNGEAL CARCINOMA | 153 | ||
| Incidence and Epidemiology | 153 | ||
| Clinical Assessment | 153 | ||
| Surgical Management of Nasopharyngeal Carcinoma | 154 | ||
| SINONASAL ADENOCARCINOMA | 154 | ||
| Incidence and Epidemiology | 154 | ||
| Clinical Assessment | 156 | ||
| Surgical Management of Sinonasal Adenocarcinoma | 156 | ||
| SINONASAL UNDIFFERENTIATED CARCINOMA | 157 | ||
| Incidence and Epidemiology | 157 | ||
| Clinical Assessment | 157 | ||
| Surgical Management of Sinonasal Undifferentiated Carcinoma | 157 | ||
| SUMMARY AND CONCLUSIONS | 158 | ||
| REFERENCES | 158 | ||
| 13 - Evidence-Based Practice: Management of Glottic Cancer | 163 | ||
| DISEASE OVERVIEW: MAIN QUESTIONS IN GLOTTIC CARCINOMA | 163 | ||
| EVIDENCE-BASED INITIAL WORKUP | 163 | ||
| Clinical Examination | 163 | ||
| Imaging Studies | 164 | ||
| MANAGEMENT OF EARLY STAGE GLOTTIC CANCER (TIST1) | 164 | ||
| MANAGEMENT OF T2 GLOTTIC CANCER | 165 | ||
| MANAGEMENT OF THE NECK IN T1T2CN0 GLOTTIC CANCER | 165 | ||
| MANAGEMENT OF ADVANCED LESIONS T3T4 | 166 | ||
| EVIDENCE BASE FOR EXCLUSIVE CHEMOTHERAPY FOR GLOTTIC CARCINOMA | 167 | ||
| EVIDENCE BASE FOR THE ROLE OF HUMAN PAPILLOMAVIRUS IN LARYNGEAL SQUAMOUS CELL CARCINOMA | 168 | ||
| WHAT DOES THE EVIDENCE REALLY SAY? | 168 | ||
| REFERENCES | 169 | ||
| 14 - Evidence-Based Practice: Management of Well-Differentiated Thyroid Cancer | 175 | ||
| INTRODUCTION | 175 | ||
| CLINICAL ASSESSMENT FOR THYROID CANCER | 175 | ||
| Clinical Examination Including Voice Assessment | 175 | ||
| Computed tomography, magnetic resonance imaging, and positron emission tomography | 176 | ||
| Genetic Testing | 176 | ||
| TREATMENT OF DIFFERENTIATED THYROID CANCER | 177 | ||
| Tumor involvement of the recurrent laryngeal nerve | 178 | ||
| Management of the central lymph node compartment | 178 | ||
| Management of the lateral lymph node compartment | 179 | ||
| Indications for Postoperative Radioactive Iodine Treatment | 179 | ||
| STAGING SYSTEMS AND RISK STRATIFICATION | 180 | ||
| MANAGEMENT OF RECURRENCE | 181 | ||
| REFERENCES | 181 | ||
| Index | 185 | ||
| A | 185 | ||
| B | 185 | ||
| C | 186 | ||
| D | 186 | ||
| E | 186 | ||
| F | 187 | ||
| G | 187 | ||
| H | 188 | ||
| I | 188 | ||
| K | 188 | ||
| L | 188 | ||
| M | 189 | ||
| N | 189 | ||
| O | 189 | ||
| P | 189 | ||
| Q | 190 | ||
| R | 190 | ||
| S | 191 | ||
| T | 191 | ||
| U | 192 | ||
| V | 192 | ||
| W | 192 | ||
| Y | 192 |