Additional Information
Book Details
Abstract
A textbook in the Illustrated Colour Text series on ENT, aimed at medical students and junior doctors.
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 |