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Ear, Nose and Throat and Head and Neck Surgery E-Book

Ear, Nose and Throat and Head and Neck Surgery E-Book

Ram S Dhillon | Charles A. East

(2012)

Additional Information

Book Details

Abstract

A textbook in the Illustrated Colour Text series on ENT, aimed at medical students and junior doctors.

  • Concise presentation of ENT in the attractive ICT format - clear line diagrams, colour photos of clinical conditions, summary boxes etc.
  • Covers a topic which is important in primary care - medical students and junior doctors are motivated to buy a book in this area.
  • Basic anatomy and physiology is reviewed - useful revision for students in clinical years.
  • Comprehensive coverage of both presenting symptoms and specific diseases, with more detail on the commoner conditions.
  • Clear description of examination and investigation techniques.

  • Table of Contents

    Section Title Page Action Price
    Front cover cover
    Ear, Nose and Throat and Head and Neck Surgery i
    Copyright page iv
    Table of Contents v
    Foreword vi
    Preface vi
    Contributors vii
    Acknowledgements viii
    The Ear 1
    Basic concepts 2
    Anatomy and physiology 2
    The external ear 2
    The middle ear 2
    The inner ear 2
    Symptoms and signs 2
    Symptoms 2
    Signs 3
    Clinical tests of hearing 3
    Tuning fork tests 3
    Rinne test 3
    Weber test 3
    Audiometry, vestibulometry and radiology 4
    Audiometry 4
    Subjective tests 4
    Objective tests 4
    Hearing assessment in young children 4
    Vestibulometry 4
    Tests 5
    Positional test 5
    Fistula test 5
    Caloric test 5
    Rotation tests and electronystagmography 5
    Posturography 5
    Radiology 5
    Hearing loss – general introduction and childhood aetiology 6
    General introduction 6
    Hearing loss in children 6
    Otitis media with effusion (glue ear) 6
    Clinical features 7
    Treatment 7
    Otorrhoea after grommets 7
    Hearing loss – adult aetiology 8
    Conductive hearing loss 8
    Ear canal 8
    Eardrum and middle ear 8
    Sensorineural hearing loss 8
    Presbyacusis (common) 8
    Sudden (idiopathic) hearing loss (rare) 8
    Noise exposure (common) 8
    Perilymph fistula (rare) 9
    Inflammatory diseases (rare) 9
    Ototoxicity 9
    Acoustic tumours 9
    Dysacusis 9
    Non-organic hearing loss 9
    Aids to hearing 10
    Electronic hearing aids 10
    Problems with electronic hearing aids 10
    Environmental aids 11
    Lipreading and manual communication 11
    Cochlear implants 11
    Organizations for the deaf 11
    Otalgia 12
    Otological causes of otalgia 12
    Acute otitis externa 12
    Furunculosis 12
    Malignant otitis externa 12
    Myringitis bullosa 12
    Perichondritis 12
    Acute otitis media 12
    Acute otitic barotrauma 13
    Herpes zoster oticus (Ramsay Hunt syndrome) 13
    Neoplasia of the ear 13
    Non-otological causes of otalgia 13
    Referred otalgia in children 13
    Referred otalgia in adults 13
    Otorrhoea 14
    Otorrhoea from ear canal disease 14
    Acute otitis externa 14
    Chronic otitis externa 14
    Furunculosis 14
    Otorrhoea from middle ear disease 14
    Chronic suppurative otitis media (tubotympanic disease) 14
    Chronic suppurative otitis media (atticoantral disease) 15
    Discharging mastoid cavities 15
    Fracture of the temporal bone 15
    Complications of middle ear infections 16
    Extracranial complications 16
    Acute mastoiditis 16
    Facial paralysis 16
    Labyrinthitis 16
    Intracranial complications 17
    Meningitis 17
    Intracranial abscess 17
    Temporal lobe abscess 17
    Cerebellar abscess 17
    Thrombosis of the lateral venous sinus 17
    Facial palsy 18
    Clinical history 18
    Clinical examination 19
    Management 19
    Specific causes of facial palsy 19
    Bell’s palsy (idiopathic facial paralysis) 19
    Trauma 19
    Disorders of balance – introduction and otological causes 20
    Symptoms 20
    Signs 20
    General management of acute vertigo 20
    Otological causes of imbalance 21
    Middle ear disease 21
    Trauma 21
    Benign paroxysmal positional vertigo 21
    Ménière’s disease (endolymphatic hydrops) 21
    Labyrinthitis/acute balance disorder 21
    Other otological causes 21
    Disorders of balance – non-otological causes 22
    Cervical spondylosis 22
    Ageing 22
    Migraine 22
    Transient ischaemic attacks 22
    Head injury (without temporal bone fracture) 22
    Epilepsy 22
    Hyperventilation 22
    Tinnitus 23
    Aetiology and clinical presentation 23
    Management 23
    The auricle (pinna) and ear wax 24
    The auricle (pinna) 24
    Congenital abnormalities 24
    Bat ears 24
    Preauricular sinus 24
    Collaural fistula 24
    Infections and other conditions 24
    Ear wax 25
    Removal of wax 25
    Keratotis obturans 25
    ‘Attic’ wax (attic crust) 25
    Otological trauma and foreign bodies 26
    Injuries to the pinna 26
    Auricular haematoma 26
    Lacerations 26
    Keloid scars 26
    Injuries to the external meatus 26
    Injuries to the middle and inner ear 26
    Blast injuries 26
    Otitic barotrauma 26
    Head injuries 26
    Surgical trauma 26
    Foreign bodies 27
    Aural drops 28
    Ceruminolytics 28
    Astringents 28
    Antibacterial agents 28
    Antifungal agents 28
    Instillation of aural drops 28
    Nose and Paranasal Sinuses 29
    Anatomy and physiology 30
    The nose 30
    Anatomy 30
    External nose 30
    Nasal cavity 30
    Vascular and nerve supply 30
    Physiology 30
    Filtration and protection 30
    Humidification and warming 31
    Olfaction 31
    Vocal resonance 31
    The paranasal sinuses 31
    Anatomy 31
    Frontal sinus 31
    Maxillary sinus 31
    Ethmoid sinus 31
    Sphenoid sinus 31
    Physiology 31
    Symptoms, signs and investigations 32
    Symptoms 32
    Nasal obstruction 32
    Nasal discharge 32
    Sneezing 32
    Facial pressure/pain 32
    Otological 32
    Disorders of smell 32
    Halitosis 32
    Signs 32
    External 32
    Internal 32
    Investigations 33
    Allergy testing 33
    Radiology 33
    Mucociliary clearance 33
    Miscellaneous 33
    Allergic and vasomotor rhinitis 34
    Allergic rhinitis 34
    Clinical features 34
    Management 34
    Drug therapy 35
    Surgery 35
    Nasal hyperreactivity (vasomotor rhinitis) 35
    Clinical features 35
    The Throat 55
    Anatomy and physiology 56
    Oral cavity 56
    Pharynx 56
    Larynx 56
    Voice production 57
    Salivary glands 57
    Lymphatic drainage 57
    Nerve supply 57
    Symptoms, signs and examination 58
    Symptoms and signs 58
    Oral cavity 58
    Pain 58
    Oral masses 58
    Ulceration and haemorrhage 58
    Halitosis (bad breath) 58
    Discoloration 58
    Pharynx 58
    Larynx 59
    Salivary glands 59
    Neck lumps 59
    Examination 59
    Imaging 59
    Biopsy 59
    Dysphonia I 60
    Inflammatory laryngeal lesions 60
    Acute laryngitis 60
    Polyps 60
    Chronic laryngitis 60
    Laryngopharyngeal reflux 60
    Neoplastic lesions 60
    Neurological lesions 60
    Spasmodic dysphonia 60
    Systemic causes 61
    Management 61
    Dysphonia II 62
    Habitual dysphonias 62
    Acute non-infective laryngitis 62
    Vocal cord nodules 62
    Vocal cord oedema and polyps 62
    Chronic non-infective laryngitis 62
    Contact ulcers 62
    Psychogenic dysphonia 62
    Musculoskeletal tension disorders 63
    Ventricular dysphonia (dysphonia plicae ventricularis) 63
    Conversion voice disorders (hysterical voice disorder) 63
    Mutational falsetto (puberphonia) 63
    Laryngeal papillomatosis 63
    Stridor 64
    Causes 64
    Laryngotracheobronchitis 64
    Supraglottitis 64
    Congenital tumours, webs and cysts 64
    Laryngomalacia (congenital laryngeal stridor) 64
    Subglottic stenosis 65
    Foreign body obstruction 65
    Retropharyngeal abscess 65
    Respiratory papillomata 65
    Acute laryngitis 65
    Laryngotracheal injury 66
    Clinical features 66
    Management 66
    Chronic laryngotracheal stenosis 66
    Subglottic/tracheal stenosis 66
    Clinical features 67
    Management 67
    Bilateral vocal cord palsy 67
    Glottic webs 67
    Maintenance and protection of the airway 68
    Upper respiratory obstruction 68
    Life-threatening respiratory obstruction 68
    Gradual-onset obstruction 68
    Elective tracheostomy 68
    Protection of the tracheobronchial tree 69
    Protection from bronchial secretions 69
    Protection from overspill and aspiration 69
    Respiratory failure 69
    Postoperative care and complications of artificial airways 70
    Postoperative tracheostomy care 70
    Complications of tracheostomy 70
    Sore throats 72
    Sore throats in adults 72
    Acute sore throats 72
    Infective conditions 72
    Peritonsillar abscess 72
    Miscellaneous conditions 72
    Chronic sore throats 72
    Sore throats in children 72
    Acute sore throats 73
    Viral infections 73
    Tonsillitis 73
    Infectious mononucleosis 73
    Tonsillectomy and adenoidal conditions 74
    Tonsillectomy 74
    Indications 74
    Contraindications 74
    Procedure 74
    Postoperative care and complications 74
    The adenoids 74
    Symptoms of adenoidal infection or hypertrophy (Fig. 3.51) 74
    Nasal symptoms 74
    Otological symptoms 75
    Signs and investigations of adenoidal disease 75
    Adenoidectomy 75
    Dysphagia 76
    Clinical features 76
    Examination 76
    Investigations 76
    Acute dysphagia 76
    Chronic dysphagia 76
    Neuromuscular disorders 76
    Intrinsic lesions of the digestive tract 77
    Neoplasia 77
    Pharyngeal pouch 77
    Oesophageal stricture 77
    Achalasia of the oesophagus 77
    Extrinsic lesions 77
    Psychosomatic causes 77
    Salivary glands 78
    Parotid gland 78
    Swelling 78
    Sjögren’s syndrome 78
    Sarcoidosis 78
    Other causes of parotomegaly 78
    Swelling and pain 78
    Mumps 78
    Bacterial infection 78
    Head and Neck Neoplasia 87
    Basic concepts 88
    Aetiological factors 88
    Premalignant conditions in head and neck cancer 88
    Lichen planus 88
    Principles of treatment 89
    Radiotherapy 89
    Chemotherapy 89
    Surgery 89
    Terminal care 89
    Neck lumps – introduction 90
    Clinical history and examination 90
    Investigations 91
    Biopsy of a neck lump 91
    Neck lumps – paediatric conditions 92
    Midline neck lumps 92
    Thyroglossal cyst 92
    Dermoid cyst 92
    Miscellaneous lumps 92
    Lateral neck lumps (Table 4.3) 92
    Inflammatory conditions 92
    Mumps 92
    Tuberculosis 92
    Congenital conditions 93
    Branchial arch cysts 93
    Cystic hygromas 93
    Chemodectomas and haemangiomas 93
    Neoplasia 93
    Neck lumps – adult conditions 94
    Midline neck lumps 94
    Thyroid masses 94
    Investigations 94
    Management 94
    Thyroid cancer 94
    Miscellaneous midline lumps 94
    Lateral neck lumps 94
    Neoplasia 94
    Inflammatory conditions 95
    Sjögren’s syndrome 95
    Miscellaneous lateral lumps 95
    Sarcoidosis 95
    HIV infection 95
    Normal variants 95
    Neck lumps – management of malignant lumps 96
    Metastatic cervical nodes 96
    N0: clinically negative neck nodes 96
    N1: palpable ipsilateral neck nodes 96
    N1 with known primary site 96
    N1 with no known primary site (occult primary) 97
    N2: bilateral neck nodes 97
    N3: fixed nodes 97
    Laryngeal neoplasia 98
    Benign laryngeal tumours 98
    Malignant laryngeal tumours 98
    Carcinoma in situ 98
    Supraglottic laryngeal carcinoma 98
    Clinical features 98
    Index 119
    A 119
    B 119
    C 119
    D 119
    E 120
    F 120
    G 120
    H 120
    I 121
    K 121
    L 121
    M 121
    N 121
    O 121
    P 122
    Q 122
    R 122
    S 122
    T 123
    U 123
    V 123
    W 123
    X 123