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.

Patients present to physicians with headache or facial pain and are certain that it is a "sinus headache.? Specialists of all types - otolaryngologists, allergists, neurologists, internists, and emergency physicians are confronted almost daily with these patients. "Headache in Otolaryngology: Rhinogenic and Beyond? describes headaches ascribed to other causes - migraine as well as headaches that actually are a result of sinusitis. This volume addresses the need for expertise of an otolaryngologist who can obtain a history of nasal and sinus disease, evaluate the interior of the nose, and correlate it to a computed tomographic (CT) scan, along with collaboration of neurologists/headache specialists. Because headaches are often a symptom of potentially dangerous medical conditions that may need emergency work-up and referral to the appropriate physician, information in this volume identifies these emergency conditions for the clinician. Topics include: Confusion about sinus headache; Diagnosing Adult and Pediatric Headache; Imaging for the headache patient; TMJ head pain; Signs of dangerous headache; Vertiginous headache; Rhinogenic headache; Medical treatment of headache; and Surgery for headache.

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.

The only text of its kind for practicing clinicians, Quick Reference Guide: Otolaryngology is a comprehensive, quick-access reference written specifically for nurses, physician's assistants, and medical students. Not only is it useful as a pithy reference guide for clinicians, it is a learning system designed to foster retention and comprehension, and an in-depth review for written boards and ENT certification. The book is authored by a nurse practitioner with two practicing otolaryngologists, who are among the most highly respected professionals in their fields, as consultants. The guide is consistently organized by anatomical region and contains, for each topic, easy-to-follow tables, charts, diagrams, and algorithms to guide in the work-up, differential diagnosis, diagnostic methods, medical therapy, and treatment alternatives. The text includes procedure protocols used in clinical settings and staging criteria for common cancer diagnoses. Another important feature is the guide's overview of surgical management for specific conditions. Topics are covered on a "need-to-know" basis for written boards and certification review. Key Features: Provides key differential diagnosis guidelines Includes fifteen 'how-to' Procedure Protocols used in clinical settings and Staging Criteria for eight of the more common cancer diagnoses Presents Overview of Surgical Management for specific conditions Serves as a concise reference guide and review for written boards and ENT certification Designed for clinicians in general practice, those entering the ENT field, and for use as a diagnosis guide for referral purposes Includes six videos illustrating actual procedures, including nasal endoscopy, flexible laryngoscopy, and others

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.

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.

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.

In this issue of Otolaryngologic Clinics, guest editors Drs. Jean Anderson Eloy, Christina H. Fang, and Vijay Agarwal bring their considerable expertise to the topic of Pituitary Surgery. The management of pituitary lesions has evolved significantly in recent decades, and practice patterns vary considerably depending on location, setting, and surgeon preference. In this issue, top experts in the field consider topics such as new advances in endoscopic techniques, current understanding of skull base anatomy, and the performance of extended approaches in a safe and efficient manner-all timely and valuable information to the practicing rhinologist, neurosurgeon, and comprehensive otolaryngologist, particularly those seeking to learn more about developing an integrated pituitary surgical practice. Contains 21 relevant, practice-oriented topics including anatomic considerations in endoscopic pituitary surgery; preoperative workup for patients with pituitary lesions; differential diagnosis and radiographic imaging of pituitary lesions; anesthetic considerations in endoscopic pituitary surgery; pediatric pituitary surgery; non-surgical interventions for pituitary lesions; and more. Provides in-depth clinical reviews on pituitary surgery, 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.

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.

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.

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.

Para la correcci n r pida, f cil y eficaz de las alteraciones de la voz y trastornos del habla, podemos utilizar la v a natural del reflejo humano otoneurofonatorio. Desde las funciones del o do, consideramos aqu el viaje del sonido captado, por v as hasta los centros auditivos temporales del cerebro, con nuevos descubrimientos en los grupos de teor as de audici n: de resonancia de Heltmoltz, telef nicas de R theford, filtraje sonoro del o do de Gribenski y de la "volley theory." Estudiamos el enigma del desarrollo desde ni o de lateralidad en o do humano rector y musical, sus reflejos especialmente la selectividad auditiva. Analizamos las teor as de nuestra fonaci n: mioel stica, neurocron xica, mucooscilatoria, neurooscilatoria como otras mec nicovibratorias, por el fuelle pulmonar, vibrador cuerdas vocales, resonadores supralar ngeos y reflejo de sinergia neumof nico, garantizando emisiones de voz y habla. Usted quiere comprender el misterio del reflejo humano otoneurofonatorio de la voz y del habla?

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.

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.

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!

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.

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

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 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

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.

This comprehensive volume examines the current state of free radical biology and its impact on otology, laryngology, and head and neck function. The chapters collectively highlight the interrelationship of basic and translational studies in each area, define the challenges to translation, and identify the existing basic issues that demand investigation as well as the opportunities for novel intervention to prevent and treat ENT pathology and impairment. In each chapter, or in some cases pairs of chapters, the author(s) have included or married issues of basic research with translational challenges and research, thus defining the pathway by which new basic insights may lead to interventions to prevent or treat impairment. The final chapter of this book reflects a meeting of all the contributors, culminating in a discussion and "white paper" that identifies the challenges to the field and defines the studies and collaborations that may lead to improved understanding of free radical biology in ENT and, subsequently, new interventions to medically treat ENT pathology.