This issue of Primary Care: Clinics in Office Practice, edited by Gretchen Dickson, MD and Rick Kellerman, MD, is devoted to Primary Care ENT. Articles in this issue include Otitis Externa; Disease of the Internal Ear; Hearing Loss; Dizziness and Vertigo; Rhinitis; Sinusitis; Epistaxis; Laryngitis; Pharyngitis; Mouth Disease; and Neurological Syndromes pertaining to the Head and Neck.

Information on Dysphagia for Otolaryngolotists in this issue of Otolaryngologic Clinics: Emphasizes procedure-oriented evaluation and management; Discusses the importance of this subject in terms of medical and surgical risk; Heightens Otolaryngologists' role in dysphagia patient care; Provides a set of recommendations to standardize the approach to these complicated patients; Describes aspects of dysphagia concisely, with prominent use of Tables and Figures. Among topics presented are: Etiology of Dysphagia; Dysphagia Screening and Assessment Instruments; The Modified Barium Swallow; Functional Endoscopic Evaluation of Swallowing; Esophageal Disease; Ancillary Testing in the Evaluation of Dysphagia; Malnutrition and Dehydration; Management of Cricopharyngeal Dysfunction; Zenker's Diverticulum; Glottal Insufficiency with Aspiration Risk in Dysphagia; Global Laryngeal Dysfunction; Screening High-risk Groups, Pathway for Intervention, and more. Guest Editor Kenneth Altman of Mount Sinai, whose expertise, clinical work, and teaching is focused on laryngology, leads the group of expert physicians in this issue.

Techniques on facial reconstruction are presented with videos demonstrating many of the procedures. Topics include: 3D imaging and modeling for treatment planning in facial trauma; Intraoperative Use of CT Imaging; Contemporary management of traumatic fractures of the frontal sinus; Surgical treatment of traumatic injuries of the cranial base; Surgical management of complex mid facial fractures; Current management of condylar and subcondylar fractures; Management of Pediatric mandible fractures; Management of dental injuries associated with maxillomandibular trauma; Injuries of the eye and periorbital structures; Managing the facial nerve after trauma; Reconstruction of the avulsed auricle after trauma; Secondary repair of acquired enophthalmos; Secondary management of telecanthus; Improving post traumatic facial scars; Potential application of Face transplantation in massive traumatic tissue loss; Potential application of autologous free tissue transfer in massive traumatic tissue loss. Guest Editors leading this publication are Kofi Boahene of Johns Hopkins, whose practice and teaching encompasses corrective surgery for congenital facial defects, cleft lip and palate repair, craniofacial surgery, minimally invasive and endoscopic skull base surgery, microsurgery, reconstruction of cancer patients and extensive post-traumatic deformities, among others and Anthony Brissett of Baylor University, whose research and teaching include craniofacial surgery and wound healing, among other reconstructive and cosmetic surgeries.

While cancers of the oral cavity and oropharynx were overwhelming found in smokers and drinkers, a dramatic shift is occurring with a dramatic rise in the incidence of HPV-associated oropharyngeal cancers while oral cavity cancers and HPV-negative oropharyngeal cancers appear to be declining in incidence, reflecting the reduction in cigarette smoking. These trends also have implications for how Otolaryngologists prevent, diagnose, workup, treat, and follow these patients. The focus of information in this issue is on oral cavity and oropharyngeal cancer and the implications of the HPV epidemic on this disease. Amongst the medical community during this period of trying to better grasp the association of HPV with oropharyngeal cancers, there are misconceptions and a lack of knowledge of these important shifts which are addressed by Guest Editors Jeffrey Myers and Erich Sturgis of the University of Texas, MD Anderson Cancer Center. Topics include: Epidemiology- Control of a tobacco epidemic? But emergence of a HPV epidemic?; Oral cavity and Oropharyngeal Cancer Genomics; Why Otolaryngologists need to be aware of Fanconi anemia; Impact on HPV on Orpharyngeal Cancer Biology and Response to Therapy-Implications for Treatment; Oral premalignancy- The roles of early detection and chemoprevention; Evaluation and staging- Limitations despite technological breakthroughs; 7) Surgical treatment innovations; Radiotherapy- The "Particle-rs? of energy, dose, and delivery method; Systemic Treatment- Its role before, during, and after definitive treatment; How to maximize functional assessment/rehabilitation; Standardizing treatment for Cancers - An approach to cancer care or crisis?; Survivorship in Oral Cancer- Competing mortalities, morbidities, and second malignancies.

Dr. Pine has created a comprehensive issue that offers updates on the most commonly seen otolaryngologic symptoms and disease states. Articles are devoted to Tonsillectomy and Adenoidectomy; OSA and Other Sleep Disorders in Children; Otitis Media and Ear Tubes Hearing Loss and Cochlear Implants; Larygopharyngeal Reflux in Children; Voice Disorders in Children; Laryngomalacia; Enlarged neck lymph nodes in Children; Hemangiomas; Nasal Obstruction in Newborns; Chronic Cough in Children; Dysphagia in Children; Rhinosinusitis in Children; and Pediatric ENT simulation.

This book provides a detailed description of laryngeal procedures performed under topical anesthesia in an office setting. The last two decades have witnessed a major evolution in laryngology practice toward office-based surgery, thus reducing the risk of general anesthesia and containing healthcare costs while also hastening recovery rates from the time of diagnosis. Beginning with a comprehensive review of the anatomy and physiology of phonation, the book then provides systematic assessment of patients with voice dysfunction secondary to structural and functional laryngeal disorders. It offers detailed instructions on patient selection, safety, tolerance, and proper administration of topical anesthesia. The book supplies detailed descriptions of the various surgical techniques commonly used in office-based laryngeal surgery using color illustrations, photographs and videos. Different surgical approaches are presented including transcervical, transnasal and per-oral techniques. The book also supplies a thorough review of the literature on the current status of the most commonly performed office-based laryngeal surgeries including patient care, surgical outcome, and complications. Office-Based Laryngeal Surgery will help laryngologists operating on awake patients in an office setting to be both well-equipped and well-informed.

The subject of Endoscopic Ear Surgery is a cutting edge subject and this is one of the first practical guides on this subject. Presented here in Otolaryngologic Clinics are topics on Endoscopic Anatomy, Ventilation Routes, as well as the Endoscopic Management of Cholesteatomas, Neuromas and Inner ear surgery, Endoscopic Ear Surgery for Tympanic Perforations, for Otosclerosis, for Cochlear Implants, each topic discussing the current indications, advantages, disadvantages, instruments needed, surgical technique, and complications. The Editors take part in the International Working Group on Endoscopic Ear Surgery and bring to the Otolaryngologic Clinics the most practical and recent information for surgeons from their scientific and clinical presentations at ENT academy meetings in the United States and around the globe.

Information on office-based procedures in laryngology provides Otolaryngologists and other surgeons information on Patient selection, Topicals and anesthesia, Surgical approaches and techniques, and Risks and complications. Each procedure discussed provides key points and technique summaries. Topics include: Anesthesia for office procedures including the role of monitoring, Stroboscopy and other diagnostic tools including high speed larygoscopy, Transnasal esophagoscopy including biopsy, dilation, Bravo, TEP, etc, FEES and FEESST, Office-based laryngeal injections, and Office based procedures that includes biopsy and laser therapy.

Prasentieren, uberzeugen, sich behaupten - die Stimme ist im beruflichen Alltag essentieller Begleiter und Erfolgsfaktor. Sie spruht vor Freude, bebt vor AErger, zittert vor Unsicherheit oder durchdringt einen Raum mit UEberzeugungskraft. Eine starke Stimme gibt Ihnen das Gefuhl, etwas bewegen zu koennen. Erlangen Sie mit dem innovativen 3+1(c)-Konzept mehr UEberzeugungskraft! In diesem Buch finden Sie u.a. Grundlagen zu Funktionsweise und Wirkung der Stimme, zum Einfluss der Umgebung auf die Stimme und zahlreiche spannende UEbungen zur gezielten Starkung der Stimme fur den Job. "Wiltrud Foecking und Marco Parrino haben mir mit ihren UEbungen geholfen, als ich vor lauter Buhnenshows heiser war. Die Autoren sind beseelt von ihrem Fach. Ich wunsche diesem Buch viel Erfolg, damit jeder weiss, wie er seine Stimme erheben kann, ohne sie zu verlieren. Darauf ein Oh-Ah-Oh!" Dr. E. v. Hirschhausen "Den Autoren Foecking und Parrino ist in exzellenter Weise gelungen, die Grundlagen mit vielen praktischen UEbungen zu vereinen. Entstanden ist ein moderner und praxistauglicher Ratgeber fur jeden, der effektiv an seiner Stimme arbeiten moechte. Dr. med. J.-H. Lemke

The consummate guide on the contemporary management of complex skull base tumors from renowned multidisciplinary experts! An increased understanding of the biology and molecular characterization of skull base tumors has led to innovative new approaches. Endoscopic tumor resection, surgical reconstruction, and advances in radiation delivery, chemotherapy, and targeted biologic therapy, have greatly expanded treatment options for patients with these challenging tumors. The updated second edition of Comprehensive Management of Skull Base Tumors by master surgeons Ehab Hanna, Franco DeMonte, and an impressive group of global experts reflects expanded knowledge of skull base tumors and evidence-based advances. This generously illustrated second edition is organized into three sections with 42 chapters. Section I features expanded coverage of endonasal skull base anatomy and surgical principles, as well as radiotherapeutic advances such as proton therapy and stereotactic radiation. Section II is focused on site-specific procedures with emphasis on surgical approaches, and Section III focuses on tumor-specific considerations with emphasis on multidisciplinary treatment approaches. Core topics of this thorough book include pathology, genetics, diagnostic considerations, surgical reconstruction, rehabilitation, chemotherapy, functional outcomes, quality of life issues, neurocognitive assessment, and cerebrovascular management. Key Features In-depth discussion of anatomic regions of the cranial base, including surgical anatomy, regional pathology, differential diagnosis, clinical assessment, diagnostic imaging, and surgical approaches Incidence, epidemiology, pathology, staging, multidisciplinary treatment, outcome, and prognosis for a wide range of neoplasms including squamous cell carcinoma, chondrosarcomas, chordomas, meningiomas, schwannomas, paragangliomas, pituitary adenomas, craniopharyngiomas, epidermoids, and fibro-osseous lesions Outstanding illustrations, surgical and clinical photos, imaging, tables, and videos new to this edition, enhance understanding of complex skull base tumors The most comprehensive resource available today on the management and treatment of skull base tumors, this book is essential reading for neurosurgical and otolaryngology residents. It will also benefit surgeons who specialize in oromaxillofacial, craniofacial, and plastic and reconstructive surgery. This book includes complimentary access to a digital copy on https://medone.thieme.com.

For Otolaryngologists-Head and Neck Surgeons, the spaces in the neck are the sites of pathologies, from laryngeal cancers to skull base tumors and parotid cysts. This issue takes an in-depth look at these neck spaces through CT and MRI images, looking at normal anatomy and at disease. Beginning with complete anatomical description of the neck spaces, then working through the entire head and neck region with coverage of pharyngeal, masticator, carotid, parotid spaces, retropharyngeal and prevertebral space, larynx, nasopharynx and hypopharynx, base of skull, lymph node evaluation, all emphasizing diagnosis of diseases in these areas, and discussion of imaging in terms of interventional neuroradiology, along with changes in the head and neck post radiation treatment. Guest Editors Sangam Kanekar and Kyle Mannion create a focused presentation for daily clinical use for otolaryngologists and for residents.

The concept of Evidence Based Medicine (EBM) has flourished in recent years and it seems that clinicians, more than ever, crave evidence from the medical literature to inform their clinical care decision making. While it is heartening that great volumes of evidence may exist, it is a daunting task to assimilate, critically review, prioritize, grade, and operationalize this crucial information. This volume of Otolaryngologic Clinics attempts to do just that. This book examines Evidence Based Practices on topics of critical importance to otolaryngologists-head and neck surgeons. The evidence has been gathered and is presented by leaders in their respective fields. Topics cover evidence-based practice of: Management of Vertigo, Management of Adult Sensory Neural Hearing Loss, Cochlear Implantation, Reflux in Sinusitus, Balloon Dilation in Otolaryngology, Postoperative Care in Endoscopic Sinus Surgery, Functional Rhinoplasty, Sublingual Immunotherapy for Allergic Rhinitis, Adult Obstructive Sleep Apnea, Pediatric Obstructive Sleep Apnea, Pediatric Tonsillectomy, Management of Vocal Cord Paralysis, Management of Hoarseness, Endoscopic Skull Base Resection for Malignancy, Management of Glottic Cancer, Management of Thyroid Cancer, and Management of N0 Neck.

Special "hazards" for otolaryngologists to be cognizant of in working with pediatric patients with concomitant disease are noted in this resource. Topics include: Hemangiomas in pediatric otolaryngology; Otolaryngologic manifestations of craniofacial syndromes; Pediatric otolaryngology manifestations of skeletal dysplasia; The otolaryngologist's approach to the down syndrome patient; Management of allergic fungal sinusitis in children; Multi-System disease and pediatric laryngotracheal reconstruction; Evaulation and management of velopalatal insufficiency; Recurrent Respiratory Papilomatosis; Pierre Robin Sequence - evaluation, management, timing of surgery and pitfalls; and Endoscopic skull base techniques for juvenile nasopharyngeal angiofibroma.

The Year Book of Otolaryngology-Head and Neck Surgery brings you abstracts of the articles that reported the year's breakthrough developments in otolaryngology, carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. There's no faster or easier way to stay informed Topics in the Year Book include allergy and immunology; head and neck surgery and tumors; laryngology; otology; pediatric otolaryngology; rhinology and skull base surgery; and thyroid and parathyroid.

HPV is a growing epidemic in head and neck cancer and specialists working with these diseases are provided information on shifting trends in HPV in head and neck cancers along with challenges and controversies in treating this disease. With this virus related cancer, there is a different approach to managing this patient population. Novel therapeutic treatments are actively being developed for this type of head and neck cancer. Topics include: Epidemioloygy of HPV-head and neck cancer; Clinical detection of HPV; Clinical evaluation and disease patterns of HPV-related head and neck cancers; Impact of HPV-related head and neck cancer in clinical trials; Molecular biology of HPV and head and neck cancer and targeted therapies; Transoral robotic surgery: new surgical techniques for oropharyngeal cancers; Economic impact of HPV-related cancers; Rehabilitation needs of oropharyngeal cancer patients; Psychosocial care needs of HPV-head and neck cancer patients; and a Multi-disciplinary approach to head and neck cancers.

Imaging and Anatomy of the Cochlea; Genetics of Hearing Loss, Testing, and Relevance to Cochlear Implantation; Candidacy Evaluation, Medical and Surgical Considerations for Cochlear Implantation, Expanding Criteria in Children; Surgical Technique for Cochlear Implantation and Accepted Variations in Children; Bilateral Cochlear Implantation; Implanting Obstructed and Malformed Cochleae; Device Programming NRT, NRI, Streamlined Programming; Cochlear Implants and Music; Rehabilitation and Educational Considerations in Cochlear Implantation; Outcomes and Variables Affecting Outcomes in Cochlear Implantation; Language Development and Cochlear Implantation; New Frontiers in Cochlear Implantation: electroacoustic, hearing preservation; Revision Cochlear Implantation in Children; Current and Future Device Options for Cochlear Implantation

Guest Editors Orrett Ogle and Harry Dym present a comprehensive look at surgery of the nose and paranasal sinuses. Topics include surgical anatomy of the paranasal sinuses, instrumentation and techniques for examination of the ear, nose, throat and sinuses, imaging of the paranasal sinuses, microbiology of the paranasal sinuses, surgery of the paranasal sinuses, removal of parotid, submandibular and sublingual glands, oro-antral and oro-nasal fistulas, turbinectomy and surgery for nasal obstruction, cysts and benign tumors of paranasal sinuses, tonsillitis, peritoinsilar and lateral pharyngeal abscesses, and much more!

Non-neoplastic Lesions of the Oral Cavity; Odontogenic Lesions;? Nasal Cavity, Paranasal Sinuses, and Nasopharynx; Squamous Cell Carcinoma of the Oral Cavity and Oropharynx; Larynx and Hypopharynx; Salivary Glands; Bone Lesions

The far reach of telehealth for patients living in remote areas, in areas isolated by war, and those who cannot travel is quickly becoming a practical and efficient way to practice medicine. Otolaryngologists and other physicians wishing to become familiar with the role of telehealth in diagnosis and treatment of patients will find topics in this publication that include: ?

Teleconsultation in Neuro-otology;? Telehealth and Humanitarian Partnerships in Otolaryngology; Successful Models for Tele-otolaryngology;? Consumer Directed Telehealth;? Remote Audiology;? Remote Management of Voice and Swallowing Disorders;? Robotics and Tele-Surgery in Otolaryngology;? Training and Simulation in Otolaryngology;? Cell Phones in Telehealth;? The Alaska Experience: Impact of Telehealth in Treating Ear Disease in Alaska;? Legal issues and Licensing;? Future prospects of Teleotolaryngology

The skull base is a meeting point for anatomical regions, surgical specialties, and surgical philosophies. Skull base surgery is a dynamic subspecialty and the last decade has witnessed the application of endoscopic techniques to the ventral skull base using an endonasal corridor. The transition from external approaches to an endonasal corridor has not been without controversy. In this volume, we explore the nascent field of neurorhinology, a term that emphasizes the multidisciplinary collaboration between neurosurgeons and rhinologic head and neck surgeons. Authors have applied evidence-based medicine techniques to critically evaluate the literature and attempt to answer some of the most important clinical questions. This first of two volumes focuses on the more common pathologies seen by Otolaryngologists in neurorhinology.

Topics include: Spontaneous CSF leaks; Traumatic CSF leaks; Osteoma; Fibrous dysplasia of sphenoid and skull base; Orbital apex and orbit; Endoscopic endonasal transphenoidal resection of pituitary adenomas with adjunctive intraoperative magnetic resonance imaging; Craniopharyngioma; Tuberculum meningioma; Olfactory groove meningioma; Endoscopic endonasal surgery for nasal dermoids; Juvenile nasopharyngeal angiofibroma; Hypothalamic/ pituitary morbidity in skull base pathology

The skull base is a meeting point for anatomical regions, surgical specialties, and surgical philosophies. Skull base surgery is a dynamic subspecialty and the last decade has witnessed the application of endoscopic techniques to the ventral skull base using an endonasal corridor. The transition from external approaches to an endonasal corridor has not been without controversy. In this volume, we explore the nascent field of neurorhinology, a term that emphasizes the multidisciplinary collaboration between neurosurgeons and rhinologic head and neck surgeons. Authors have applied evidence-based medicine techniques to critically evaluate the literature and attempt to answer some of the most important clinical questions. This second of two volumes focuses on the more complex lesions seen by Otolaryngologists in neurorhinology and includes a discussion of training in neurorhinology.

Topics include: Diseases of the odontoid and craniovertebral junction with management by endoscopic approaches; Cholesterol granuloma of petrous apex; Carotid artery injury following endonasal surgery; Sinonasal malignancy; Endoscopic nasopharyngectomy and its role in managing locally recurrent nasopharyngeal carcinoma; Skull base chordomas; Proton role in chordoma; Functional Outcomes for endoscopic and open skull base surgery: an evidence-based review; Training in Neurorhinology

Topics include: History of Allergy;? Epidemiology of Allergy;? Types of Rhinitis;? Differential Diagnosis including Allergy Mimics;? Immunology;? Physical Findings in Allergy;? Diagnosis including lab testing and physical examination;? Associated Conditions and Comorbidities;? Role of Allergy in Serous Otitis Media;? Role of Allergy in Meneire's Syndrome;? Asthma;? Polyposis;? Allergic Fungal Sinusitis;? Treatment - Environmental Controls;? Pharmacotherapy;? Traditional Immunotherapy;? Sublingual (SLIT) Immunotherapy;? The Allergic March;? Surgical Treatment of Allergies;? Inhalant Allergies in Children;? Food Allergies in Adults and Children.

Topics in this publication include Thyroid Disease and Where the Field is Going; Surgical Anatomy of Thyroid and Parathyroid Glands; Ultrasonography and Thyroid Disease; FNA Cytopathology; Surgical Management of Thyroid Disease; Surgical Management of Cervical Lymph Nodes in Well Differentiated Thyroid Cancer; Management of Locally Invasive Disease; Post-operative Management of Well Differentiated Thyroid Cancer; Reoperation for Recurrent/Persistent Well Differentiated Thyroid Cancer; Molecular Biology and Targeted Therapies for Well Differentiated Thyroid Cancer; Imaging of Parathyroid Glands; Surgical Management of Parathyroid Disease; Considerations for 2-degree and 3-degree Hyperparathyroidism; and Management of Parathyroid Carcinoma; among others.

A unique perspective on neuroendoscopic versus microsurgical techniques from world-renowned neurosurgeons In the last two decades, neuroendoscopy has evolved from a fringe neurosurgical tool to an established subspecialty focusing on the treatment of diverse cranial and spinal diseases. Today, neuroendoscopic technology is widely used to treat supratentorial diseases, skull base pathologies, craniocervical diseases, and spinal pathologies. Despite the expanded use of neuroendoscopy across several subspecialties, its benefits and disadvantages versus those of traditional microsurgical methods remain highly controversial. Contradictory evidence in the neurosurgical literature adds to the surgical decision-making challenges for veteran and novice practitioners alike. Controversies in Neuroendoscopy by Peter Nakaji and Hasan Zaidi fills an unmet need for a book encompassing best practices, patient selection, and limitations and advantages of neuroendoscopic surgical approaches. Each case presents firsthand knowledge of internationally esteemed neurosurgeons, with a moderator, an endoscopic expert, and an expert in traditional microsurgical approaches. The unique discussion of neuroendoscopy versus microsurgery enables readers to compare the benefits and pitfalls of endoscopic and open microsurgical procedures for a wide range of conditions. In-depth comparative guidance on applications of the flexible endoscope, rigid endoscope, 3D endoscope, and high-definition 2D endoscope versus the microscope A full spectrum of neurological conditions across the age continuum with comparative approaches for skull base surgery, pituitary surgery, hydrocephalus, spinal surgery, peripheral nerve surgery, and arachnoid cyst fenestration Radiological imaging and intraoperative photographs enhance cases and provide precise, insightful technical guidance High-quality color illustrations from the skilled medical illustrators at Barrow Neurological Institute reinforce key points and surgical techniques Neurosurgery residents, neurosurgeons, and spine surgeons will all benefit from reading this remarkable book cover to cover, and they will no doubt use it as a go-to resource for specific cases. This book includes complimentary access to a digital copy on https://medone.thieme.com.

This publication presents topics on Head and Neck Ultrasound relevant to the Otolaryngologist. Topics include Head and ultrasound by the Otolaryngologist- why now?; Principles of Ultrasound; Head and Neck Anatomy and Ultrasound Correlation; Ultrasound Interpretation; Scanning Techniques for Head and Neck; Role of Ultrasound in Thyroid Disorders; Parathyroid localization with Ultrasound; Ultrasound-guided procedures for the office; Ultrasound in the pediatric population;? Ultrasound Applications in Trauma/military Settings; Emerging Technology in Head & Neck Ultrasound.