Additional Information
Book Details
Abstract
This issue of Clinics in Geriatric Medicine, Guest Edited by Dr. Karen Kost, is devoted to Geriatric Otolaryngology. Articles in this issue include: Hearing Loss in the Elderly; Balance Disorders in the Elderly; Dysphagia in the Older Patient; The Aging Voice; Sleep-disordered Breathing; Rhinosinusitis and Allergies; Head and Neck Cancer in the Elderly; Cutaneous Malignancies; Thyroid Disorders; Anesthetic considerations in Geriatric Otolaryngology; and Frailty in Geriatric Otolaryngology.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Geriatric Otolaryngology\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | v | ||
| Preface: Geriatric Otolaryngology: Why It Matters | v | ||
| Hearing Loss in the Elderly | v | ||
| Balance Disorders in Older Adults | v | ||
| Geriatric Dysphagia | v | ||
| Voice Disorders in the Elderly | v | ||
| Sleep Disorders in the Elderly | vi | ||
| Rhinosinusitis and Allergies in Elderly Patients | vi | ||
| Head and Neck Cancer in the Elderly: Frailty, Shared Decisions, and Avoidance of Low Value Care | vi | ||
| Cutaneous Head and Neck Malignancies in the Elderly | vi | ||
| Thyroid Disorders in the Elderly: An Overall Summary | vii | ||
| Anesthesia in the Elderly Patient Undergoing Otolaryngology Head and Neck Surgery | vii | ||
| Frailty and Polypharmacy in Older Patients with Otolaryngologic Diseases | vii | ||
| CLINICS IN GERIATRIC MEDICINE\r | viii | ||
| FORTHCOMING ISSUES | viii | ||
| August 2018 | viii | ||
| November 2018 | viii | ||
| February 2019 | viii | ||
| RECENT ISSUES | viii | ||
| February 2018 | viii | ||
| November 2017 | viii | ||
| August 2017 | viii | ||
| Preface:\rGeriatric Otolaryngology: Why It Matters | ix | ||
| REFERENCES | x | ||
| Hearing Loss in the Elderly | 163 | ||
| Key points | 163 | ||
| INTRODUCTION | 163 | ||
| PRESENTATION | 164 | ||
| HEARING LOSS AND COGNITION | 165 | ||
| MANAGEMENT | 166 | ||
| HEARING AIDS | 166 | ||
| OSSEOINTEGRATED AUDITORY IMPLANTS | 166 | ||
| COCHLEAR IMPLANTATION | 167 | ||
| REGENERATIVE THERAPIES | 168 | ||
| GENE THERAPY | 169 | ||
| PHARMACOTHERAPY | 169 | ||
| STEM CELLS | 169 | ||
| SUMMARY | 169 | ||
| REFERENCES | 170 | ||
| Balance Disorders in Older Adults | 175 | ||
| Key points | 175 | ||
| INTRODUCTION | 175 | ||
| FALLS | 176 | ||
| PHYSIOLOGY OF THE AGING VESTIBULAR SYSTEM | 177 | ||
| VESTIBULAR CAUSES OF BALANCE DISORDERS | 177 | ||
| BENIGN PAROXYSMAL POSITIONAL VERTIGO | 178 | ||
| MENIERE DISEASE | 178 | ||
| POSTLABYRINTHITIS VESTIBULOPATHY | 178 | ||
| POLYPHARMACY | 178 | ||
| EVALUATION OF THE OLDER ADULT WITH A BALANCE DISORDER | 179 | ||
| MANAGEMENT | 180 | ||
| SUMMARY | 180 | ||
| REFERENCES | 181 | ||
| Geriatric Dysphagia | 183 | ||
| Key points | 183 | ||
| INTRODUCTION | 183 | ||
| Normal Swallowing Function | 184 | ||
| Normal Swallowing in the Elderly | 184 | ||
| Evaluation of Swallowing in the Elderly | 185 | ||
| Dysphagia due to Polypharmacy | 186 | ||
| Treatment | 186 | ||
| SUMMARY | 188 | ||
| REFERENCES | 188 | ||
| Voice Disorders in the Elderly | 191 | ||
| Key points | 191 | ||
| INTRODUCTION | 191 | ||
| ANATOMY AND PHYSIOLOGY | 192 | ||
| ACOUSTIC CHANGES IN THE AGING VOICE | 194 | ||
| MEDICAL INTERVENTION | 195 | ||
| PSYCHOLOGY AND INTELLECT | 197 | ||
| ENDOCRINE SYSTEM | 197 | ||
| HEAD AND NECK | 198 | ||
| OTHER CONDITIONS | 198 | ||
| VOICE THERAPY | 198 | ||
| The Impact of Vocal Exercise | 198 | ||
| Surgery | 199 | ||
| SPECIAL CONSIDERATIONS: THE UNTRAINED PROFESSIONAL SINGER AND THE CHORAL SINGER | 200 | ||
| SUMMARY | 200 | ||
| REFERENCES | 200 | ||
| Sleep Disorders in the Elderly | 205 | ||
| Key points | 205 | ||
| INTRODUCTION | 205 | ||
| NORMAL PHYSIOLOGIC CHANGES IN SLEEP PATTERNS | 206 | ||
| COMMON SLEEP DISORDERS IN THE ELDERLY | 207 | ||
| Advance Sleep Phase | 207 | ||
| Sleep-Disordered Breathing | 209 | ||
| Insomnia | 212 | ||
| Sleep-Related Movement Disorders | 214 | ||
| Periodic Limb Movement | 214 | ||
| Rapid Eye Movement Sleep Behavior Disorder | 215 | ||
| SUMMARY | 215 | ||
| REFERENCES | 215 | ||
| Rhinosinusitis and Allergies in Elderly Patients | 217 | ||
| Key points | 217 | ||
| INTRODUCTION | 217 | ||
| Anatomic and Physiologic Changes with Age | 218 | ||
| Anatomy | 218 | ||
| Nasal mucosa | 218 | ||
| Viscoelastic properties of the secretions | 218 | ||
| Rhinitis in the Elderly | 219 | ||
| ALLERGIC RHINITIS | 220 | ||
| NONALLERGIC RHINITIS | 220 | ||
| Idiopathic Rhinitis, Also Known as Vasomotor Rhinitis | 220 | ||
| Atrophic Rhinitis | 221 | ||
| Drug-Induced Rhinitis | 221 | ||
| Gustatory Rhinitis | 221 | ||
| EVALUATION | 221 | ||
| TREATMENT | 222 | ||
| Allergic Rhinitis | 222 | ||
| Environmental management | 223 | ||
| Pharmacologic treatment | 223 | ||
| Intranasal corticosteroids | 223 | ||
| Antihistamines: | 223 | ||
| Decongestants | 224 | ||
| Antileukotrienes | 224 | ||
| Anticholinergics | 224 | ||
| Allergen-specific immunotherapy | 224 | ||
| Nonallergic Rhinitis | 225 | ||
| Idiopathic or vasomotor rhinitis | 225 | ||
| Gustatory rhinorrhea | 225 | ||
| Atrophic rhinitis | 225 | ||
| SURGERY | 225 | ||
| CHRONIC RHINOSINUSITIS | 226 | ||
| TREATMENT | 226 | ||
| Surgery | 227 | ||
| SUMMARY | 227 | ||
| REFERENCES | 227 | ||
| Head and Neck Cancer in the Elderly | 233 | ||
| Key points | 233 | ||
| INTRODUCTION | 234 | ||
| Survival Rates | 234 | ||
| Epidemiologic Trends | 234 | ||
| Treatment at the End of Life | 234 | ||
| HOW TO APPROACH THE OLDER ADULT WITH HEAD AND NECK CANCER | 235 | ||
| Identifying the Frail Patient | 235 | ||
| Guidelines to Approach Decision Making in Older Adults | 236 | ||
| THERAPEUTIC OPTIONS AND CONSIDERATIONS | 236 | ||
| Current Treatment Paradigms | 236 | ||
| Supportive Care | 237 | ||
| SHARED DECISION MAKING | 237 | ||
| Implementation | 237 | ||
| Decisional Regret | 238 | ||
| CLINICAL VIGNETTE | 239 | ||
| SUMMARY | 240 | ||
| REFERENCES | 240 | ||
| Cutaneous Head and Neck Malignancies in the Elderly | 245 | ||
| Key points | 245 | ||
| NONMELANOMA SKIN CANCER | 246 | ||
| Basal Cell Carcinoma | 246 | ||
| Squamous Cell Carcinoma | 248 | ||
| MERKEL CELL CARCINOMA | 250 | ||
| CUTANEOUS MELANOMA | 252 | ||
| SUMMARY | 255 | ||
| REFERENCES | 255 | ||
| Thyroid Disorders in the Elderly | 259 | ||
| Key points | 259 | ||
| INTRODUCTION | 259 | ||
| ANATOMIC AND PHYSIOLOGIC CHANGES | 259 | ||
| BIOCHEMISTRY: OVERT HYPOTHYROIDISM AND HYPERTHYROIDISM | 260 | ||
| THYROID NODULES: DIAGNOSIS, WORKUP, AND MANAGEMENT | 263 | ||
| THYROID CANCER SURGERY AND CARE PATHWAY (DEESCALATION AND EMERGING ACTIVE SURVEILLANCE) | 264 | ||
| Thyroid Cancer (Epidemiology) | 264 | ||
| SPECIFIC CONSIDERATIONS IN THE ELDERLY: POSTOPERATIVE THYROID-STIMULATING HORMONE SUPPRESSION | 267 | ||
| ADJUVANT THERAPY: RADIOACTIVE IODINE, EXTERNAL BEAM RADIATION, AND CHEMOTHERAPY | 268 | ||
| SURVEILLANCE AND MANAGEMENT OF RECURRENCE | 269 | ||
| SUMMARY | 272 | ||
| ACKNOWLEDGMENTS | 272 | ||
| REFERENCES | 272 | ||
| Anesthesia in the Elderly Patient Undergoing Otolaryngology Head and Neck Surgery | 279 | ||
| Key points | 279 | ||
| INTRODUCTION | 279 | ||
| PHYSIOLOGY OF AGING | 280 | ||
| Nervous System | 280 | ||
| Cardiovascular System | 280 | ||
| Respiratory System | 280 | ||
| Pharmacology | 281 | ||
| PERIOPERATIVE OUTCOMES IN THE ELDERLY PATIENTS | 281 | ||
| Mortality | 281 | ||
| Morbidity | 281 | ||
| Cardiac and pulmonary complications | 281 | ||
| Renal complications | 281 | ||
| Postoperative delirium and postoperative cognitive dysfunction | 281 | ||
| ANESTHETIC STRATEGIES TO IMPROVE OUTCOME IN THE ELDERLY SURGICAL PATIENTS | 282 | ||
| Improved Assessment of the Elderly | 282 | ||
| Optimizing the Geriatric Patient | 282 | ||
| Inhalation Versus Total Intravenous Anesthesia | 283 | ||
| Improved Muscle Relaxation Strategy | 283 | ||
| Monitored Anesthesia Care | 284 | ||
| SUMMARY | 285 | ||
| REFERENCES | 285 | ||
| Frailty and Polypharmacy in Older Patients with Otolaryngologic Diseases | 289 | ||
| Key points | 289 | ||
| INTRODUCTION | 289 | ||
| FRAILTY | 290 | ||
| SPECIFIC IMPLICATIONS FOR FRAILTY IN OTOLARYNGOLOGY | 290 | ||
| FRAILTY AND SURGICAL OUTCOMES | 290 | ||
| CHALLENGES OF FRAILTY ASSESSMENT IN CLINICAL SETTINGS | 291 | ||
| MEASURES OF FRAILTY | 292 | ||
| CARDIOVASCULAR HEALTH STUDY ASSESSMENT TOOL | 293 | ||
| MEASURES OF FRAILTY USED IN SURGICAL OUTCOMES STUDIES | 293 | ||
| MODIFIED FRAILTY INDEX | 293 | ||
| RISK ANALYSIS INDEX | 293 | ||
| AUTOMATED DATA EXTRACTION FROM ELECTRONIC MEDICAL RECORD | 295 | ||
| FRAILTY—SUMMARY | 295 | ||
| POLYPHARMACY | 296 | ||
| Balance | 296 | ||
| Dysphagia | 296 | ||
| Reflux | 296 | ||
| Sinusitis and Postnasal Drip | 297 | ||
| Summary of Polypharmacy in Otolaryngologic Diseases | 297 | ||
| REFERENCES | 298 |