This issue of Otolaryngologic Clinics, guest edited by Drs. Abtin Tabaee and Edward D. McCoul, is devoted to Refractory Chronic Rhinosinusitis. Articles in this issue include: Classification of Chronic Rhinosinusitis: Working Towards Personalized Diagnosis; Bacterial Pathogens and the Microbiome; Biofilm and Osteitis; Refractory Chronic Sinusitis with Polyposis; Aspirin-Exacerbated Respiratory Disease; Systemic and Odontogenic Etiologies in Chronic Rhinosinusitis; Genetic and Immune Dysregulation in Chronic Rhinosinusitis; Office Procedures in Refractory Chronic Rhinosinusitis; Topical Therapies and Stents; Revision Functional Endoscopic Sinus Surgery; Extended Endoscopic and Open Sinus Surgery for Refractory Chronic Rhinosinusitis; and An Algorithm for Comprehensive Evaluation and Management of Refractory Chronic Rhinosinusitis.

Bleeding is a major factor that hinders visualization in head and neck surgery and is a risk factor for intraoperative complications and perioperative morbidity. Endoscopic approaches also pose significant technical challenges to managing expected intraoperative bleeding and vascular injury. The approach for this publication in Otolaryngologic Clinics is to provide clinically relevant information in a problem-based manner that encompasses assessment to identify patients with a high risk for vascular complications, pre-operative, intra-operative and post-operative strategies to manage expected bleeding and major vessel injury during endoscopic sinus and skull base surgery for inflammatory and neoplastic diseases. Clinically relevant anatomy, physiology, pharmacology, and surgical and interventional radiology techniques to manage bleeding are outlined and an algorithm for management of major vessel injury such as internal carotid artery injury is presented. Because skull base surgery is generally undertaken as a team approach, this information is relevant to the subspecialized ENT surgeon from rhinology or head and neck specializations, to neurosurgeons, to interventional radiologists, and to neurophysiologists who monitors intraoperative cerebral and cranial nerve activity for these operations. Carl Snyderman leads this issue with Harshita Pant and has composed topics and assembled an expert group of practitioners to provide information. The reader will find this a novel, focused, and indispensable resource on all issues of hemostatis in head and neck surgery.

Experts from childrens' hospitals across the United States discuss diagnosis, treatment, and pathophysiology of head and neck masses in children. Topics include: Branchial cleft cysts; Thyroglossal duct cyst and ectopic thyroid; Vascular malformations; Thyroid nodule and malignancy in children; Lymphoma in pediatrics; Malignancies in the pediatric head and neck - rhabdomyosarcoma and neuroblastoma; Skull base and more including intranasal masses; Tumors of the maxsilla and mandible; Teratoma and dermoid cysts; Inflammatory adenopathy; Disorders and tumors of the salivary glands; Intraoral and lingual lesions; and the Exit procedure. Beyond relevance to Otolaryngologists, this issue of Otolaryngologic Clinics is appropriate for cancer specialists, pediatricians, family practitioners, general surgeons, and pediatric nurse practitioners. Residents training in those fields, as well as Neurosurgery and Ophthalmology, will find this practical.

Further management strategies including clinimetry, cranio-cervical posture and 'psychological' management of chronic facial pain are described and discussed in relation to their integration in daily practice. Difficult clinical problems such as cervical headache, chronic ear pain in children, KISS syndrome, facial paralysis, tinnitus, craniomandibular dysfunction amongst others are described and discussed. A clinical reasoning approach to problem solving is emphasized throughout. This book is recommended for those interested in manual assessment and management of the craniofacial region including clinicians, physiotherapists, dentists, orthodontics, ENT-specialists, neurologists, maxillofacial surgeons, chiropractors and osteopaths. Foreword by Professor Mariano Racobado, Santiago, Chile. Contributors: HAJ Oudhof: Skull Growth in relation to mechanical stimulation Dr H Biedermann: Features of cranial tissue as a basis for clinical pattern recognition on management Dr med H Biederman: Primary and secondary cranial asymmetry in Kiss-children R Spermon-Marijne: Manual Therapy of the craniofacial region as therapeutic Dr J R Spermon: approach in children with long term ear disease P Westerhuis: Cervicogenic headache: a clinician's perspective and Cervicogenic Headache, physical examination and management David Butler: Experience of pain and the craniofacial region D Fitzgerald and Lynn Bryden: The influence of posture and alteration of function upon the cranio-cervical and craniofacial region M Jones: Clinical reasoning. A basis for examination and treatment in the cranial region F Winters: Pain management by patients with chronic craniofacial pain G Aufdemkampe: The relevance of clinimetrie by patients with cranial facial pain * Prestigious text with expert international contributors including acclaimed anatomists and cranial morphologists * Highly practical text with a page of text facing a page of high quality black and white photographs * Geoff Maitland has endorsed this text

This book contains 400 EMI MCQ questions, which collectively reflect the breadth of important topics in Otorhinolaryngology, Head and Neck Surgery. The EMIs are presented in four a bite sizea chapters (100 EMIs/chapter). Each chapter is followed by answers with succinct explanations to consolidate knowledge and understanding. Questions are deliberately arranged randomly in each chapter to reflect real life situations. The level of diffi culty of the questions varies, making this book suitable for all ENT surgeons, especially those preparing for professional examinations such as DOHNS (UK), Arab Board, European Board, MRCS (ENT) and FRCS ORL-HNS (UK). This book represents the most up-to-date and comprehensive assessment of post graduate ENT knowledge, with emphasis on the a wheata rather than the a chaff a . It will appeal to those who want to quickly evaluate and update their knowledge, in the shortest possible time. Seven other ENT Tzar books are also available for ENT career development from medical student level to Consultant (www.enttzar.co.uk, www.ricardopersaud.com)

Ear, Nose and Throat for Medical Students: A Case Based Approach is a novel guide aimed at improving your knowledge of common otolaryngology disorders as well as your clinical and diagnostic skills. The content provides a valuable aide for medical students preparing for written finals and OSCE based examinations. The book will also be of interest to GPs wishing to revise their ENT knowledge, and junior doctors starting their first ENT job. The book is helpfully divided into succinct sections, each addressing common pathology pertaining to the ear, nose, throat, head, neck and also paediatric otolaryngology. This book thereby covers a large range of topics you may encounter in exams and clinical practice, and does so in a concise, attractive and accessible manner. Numerous fictional cases have been designed specifically to guide you through the clinical reasoning process from start to finish. Also included is a range of questions to supplement and expand your knowledge of important diseases or presentations. Each case begins with a 'Focusing question' - often regarding diagnosis or aetiology. This is followed by a series of 'Management' questions to test your clinical reasoning, history taking and examination skills. The questions also provide an opportunity to acknowledge the use and importance of investigations and devising treatment plans. Finally, a challenging 'Additional questions' section has been added on to several cases to complete the learning by asking potential viva questions regarding relevant basic science and pathophysiology. The simple-to-read layout and abundance of clinical pictures ensures easy recall of information during outpatient practice and examinations.

Ear, Nose and Throat surgery is a specialty that is often inadequately covered in Medical Schools worldwide and very few junior doctors encounter it during foundation training or internship. As a result, there is always a sense of anxiety and a feeling of entering the unknown when junior doctors, such as core surgical trainees, GP trainees, Foundation and Emergency doctors see patients with ENT conditions requiring urgent care. Currently, there is no concise guide book to address this fundamental issue without subjecting the reader to hours and hours of trawling through lengthy didactic text. With this in mind, and utilising the principles of Pointillism, the authors have put together an excellent succinct guide. The book is divided into five chapters, each consisting of urgent care conditions pertaining to (1) Ear, (2) Nose and Bronchus, (3) Throat and Oesophagus, (4) Neck and Head or (5) Complications of Treatment. All the essential information is clearly provided in 5 logical management steps: history, examination investigation(s), treatment and follow-up. Additional relevant points, tables and figures are provided to further enhance your understanding and retention of the subject matter. Like the previous two books from ENT TZAR team, this guide is lavishly illustrated with clinical photographs to optimise learning and confidence to deal with the challenges of managing urgent care conditions in Otolaryngology.

In this issue of Otolaryngologic Clinics, guest editors Drs. Romaine F. Johnson and Elton M. Lambert bring their considerable expertise to the topic of Pediatric Otolaryngology. Top experts in the field cover key topics such as single-sided deafness, eustachian tube dysfunction, drug-induced sleep endoscopy; drooling and aspiration; pediatric tracheostomy teams; 3-D printing in otolaryngology; and more. Contains 15 relevant, practice-oriented topics including enhanced recovery after surgery; aerodigestive approaches to chronic cough; slide tracheoplasty: tracheal rings and beyond; COVID-19 and pediatric otolaryngology; and more. Provides in-depth clinical reviews on pediatric otolaryngology, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Topics include: History and physical exam and diagnostic tests and procedures; Oral manifestations of smokeless tobacco use; Infections; Recurrent oral ulcerations; Lichen planus; White lesions; Vesiculobullous eruptions; Common oral manifestations of systemic disease; Oral manifestations of hematologic and nutritional diseases; Burning mouth syndrome; Early detection of premalignant lesions and oral cancer; Taste disorders; Candidiasis

In this issue of Otolaryngologic Clinics, guest editors Drs. Michael D. Seidman and Marilene B. Wang bring their considerable expertise to the topic of Complementary and Integrative Medicine and Nutrition in Otolaryngology. Many patients use heath care approaches that are not part of conventional medical care or that may have origins outside of usual Western practice, while also using conventional health care. In this issue, top experts summarize the current knowledge of complementary and integrative medicine and nutrition as they relate to the care of patients in otolaryngology practices, providing a comprehensive resource that physicians and allied health providers can rely on for accurate patient counseling. Contains 19 practice-oriented topics including diet and health; why otolaryngologists should be interested in psychedelic medicine; probiotics for otolaryngology disorders; sinus issues and natural alternatives; CIM and prevention of hearing loss; CIM and the voice; natural alternatives and the common cold/flu; otitis media; and more. Provides in-depth clinical reviews on complementary and integrative medicine and nutrition in otolaryngology, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Otolaryngologic Clinics, guest editors Drs. Regina Rodman and C. Michael Haben bring their considerable expertise to the topic of Gender Affirmation Surgery in Otolaryngology. Top experts in the field cover key topics such as masculinization laryngoplasty; facial analysis, browlift and brow position; genioplasty for chin reduction; Adam's apple reduction; cheek augmentation; voice tuning refinements with laser; and more. Contains 17 relevant, practice-oriented topics including approach to the transgender patient; impact and expectations of hormone replacement therapy or orchiectomy on the timing of, or necessity for, gender affirmation voice surgery; the role of voice as a source of dysphoria and gender identity; feminization laryngoplasty; voice and speech training for the transgender patient: what the otolaryngologist should know; and more. Provides in-depth clinical reviews on gender affirmation surgery in otolaryngology, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Vertigo, dizziness, and imbalance rank amongst the most common presenting symptoms in neurology, ENT, geriatric medicine, and general practice. These symptoms can originate from many different organs and systems, such as the inner ear, general medical conditions, neurological and psychological disorders. The Oxford Textbook of Vertigo and Imbalance provides an up-to-date summary of the scientific basis, clinical diagnosis, and management of disorders leading to dizziness and poor balance. This textbook is conceptually divided into three sections, detailing the scientific basis, general clinical issues, and specific diseases diagnosed in clinical practice that are responsible for complaints of dizziness and imbalance. Individual chapters address benign paroxysmal positional vertigo, vestibular migraine, vestibular neuritis, stroke, and Meniere's disease. Additional chapters follow a syndrome-based approach and cover multiple conditions, including cerebellar disorders, bilateral vestibular failure and gait, and psychological disorders. The print edition is complemented by an online version, which allows access to the full content of the textbook, contains links from the references to primary research journal articles, allows full text searches, and provides access to figures and tables that can be downloaded to PowerPoint. It serves a useful clinical reference for neurologists, otorhinolaryngologists, audio-vestibular physicians, and senior trainees in those specialties.

In this issue of Otolaryngologic Clinics, guest editors Drs. Joni K. Doherty and Michael Setzen bring their considerable expertise to the topic of Comprehensive Management of Headache for the Otolaryngologist. As many types of headache tend to masquerade as sinus headache, an understanding of the peripheral mechanisms of specific headache types is essential for otolaryngologists to effectively diagnose and treat patients, according to a study published in the American Journal of Otolaryngology. In this issue, top experts in the field address key issues such as novel devices for sinus headache, headache diagnosis in children and adolescents, headache and pregnancy, side-locked and nummular headaches, and much more. Contains 14 relevant, practice-oriented topics including the role of the otolaryngologist in the evaluation and management of headache; "Sinus headache:" rhinogenic headache, nonrhinogenic headache, or migraine; idiopathic intracranial hypertension; neuralgia and atypical facial, ear, and head pain; and more. Provides in-depth clinical reviews on comprehensive management of headache, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.