This book discusses the causes of various tonsillar diseases and conditions along with their treatments, including adenoids and related diseases in childhood; markers of lymphoid follicle function in chronic tonsillitis; oral ribosomal immunotherapy in recurrent pharyngotonsillitis; post-tonsillectomy hemorrhage; peritonsillar abscess and tumour necrosis factor producing cells in chronic tonsillitis.

Lavishly illustrated second edition of the classic text on acoustic neurinoma microsurgery Authored by pioneers in the field, Acoustic Neurinoma Microsurgery -- now in a fully updated second edition -- provides step-by-step descriptions of the most common surgical approaches complemented by clearly labeled, full-color intraoperative photographs. Numerous cases derived from the expert authors' own experience accompany each description to demonstrate the clinical application of the various techniques as well as to offer practical examples of what to do when faced with surgical complications. Concise, tightly focused chapters cover everything from surgical anatomy and operating room setup to detailed explanations of how to perform the full range of surgical procedures, including the enlarged middle cranial fossa approach, the transotic approach, the modified transcochlear approach, and much more. Features: New chapters on the general features of acoustic neurinomas; functional surgery and intraoperative monitoring of the facial and cochlear nerves; imaging of acoustic neurinomas; facial nerve reanimation; and treatment options for patients with neurofibromatosis type 2 In-depth information on key aspects of patient care, such as patient selection, preoperative care, and postoperative follow-up 1,034 high-quality images -- including more than 900 full-color intraoperative photographs -- precisely display each step of the different procedures Multiple cases in each chapter prepare the reader for clinical situations Reflecting the latest technical advancements in acoustic neurinoma microsurgery, this visual guide will develop the surgical skills of every otolaryngologist and neurosurgeon that performs this delicate and complicated form of surgery. Dr. Sanna is part of The Gruppo Otologico, a world-renowned specialist center for the diagnosis and medical and surgical treatment of diseases of the ear, skull base, facial nerve, head and neck, and paranasal sinuses. More information is available on the group's website, www.gruppootologico.it/eng.

Head and Neck Cancers: Evidence-Based Treatment presents a practical, state-of-the-art resource for any clinical oncologist treating or managing patients with head and neck cancers, including oropharyngeal cancer, cancer of the oral cavity, laryngeal cancer, nasopharyngeal cancer, hypopharyngeal cancer, cancer of the sinuses and the skull base, salivary gland cancer, and neck lymphadenopathy. Section 1 of the book covers the most pertinent details on the epidemiology, biology, diagnosis and staging of the disease including topics such as the genomic landscape of squamous cell carcinoma of the head and neck and novel imaging modalities. Section 2 discusses the evidence-based treatment modalities for conventional and novel chemotherapy regimens, the evidence behind emerging radiation therapy techniques and the minimally invasive surgical advances changing the landscape of care. The chapters in Section 3 are dedicated to site-specific management, including management guidelines, tables with FDA-approved therapies and relevant ongoing clinical trials as well as instructive clinical cases with important discussion on outcomes and follow up care. Finally, Section 4 focuses on recurrent and metastatic disease and Section 5 provides the essentials on supportive care, including managing the elderly, managing patients suffering from dysphagia and oral complications, and must-know details of quality of life assessment and patient-reported outcomes. Emphasizing the practice-changing techniques and the latest evidence-based treatment advances including targeted therapies, immunotherapy, transoral robotic surgery, and radiation therapy precision, this comprehensive yet accessible textbook is indispensable for any clinical oncologist of each discipline wanting a balanced and evidence-based reference on managing patients with head and neck malignancies. Key Features: Includes didactic clinical cases for each type of head and neck cancer Numerous tables highlight FDA approved therapies and ongoing clinical trials Provides evidence-based recommendations for treating head and neck cancers at each stage of the disease with conventional and novel treatment strategies Covers strategies for managing acute and late complications to treatment Includes access to the fully-searchable downloadable e-book

Temporal bone anatomy is arguably the most complex anatomy in the human body. The proximity of vital neural and vascular structures, the intricate three-dimensional relationships involved, and the manner in which these structures are encased in a labyrinth of bony canals pose a major challenge to the preparation for and performance of surgery. It follows that specialized anatomy teaching courses are indispensable, and these are most effective when executed with the help of dissections on cadaver preparations. Mario Sanna's Temporal Bone is a guide to the dissection courses that the author himself would have sought to have while he was receiving training—as such, creating it has been a "dream come true" for the author. The manual is designed to complement and reinforce the experiences of course participants, comprehensively covering the normal and surgical anatomy of the temporal bone and all aspects of basic and advanced otologic and neurootologic surgery. Key Features: The surgical anatomy is shown with the help of specially prepared cadaveric dissections The approaches/techniques in these dissections are described step-by-step For every approach/technique, the surgical anatomy, indications, surgical steps, and hints and pitfalls are described The Temporal Bone effectively transmits Mario Sanna's passionate dedication in otologic teaching and training to excellence. Residents and fellows should definitely find it indispensable.

"This book will be a valuable resource for novice surgeons approaching one of the most challenging anatomical subsites, since it provides a stepwise approach to understanding the anatomical background, the radiological aspects, and the broad spectrum of different surgical approaches to the frontal sinuses.The authors are to be congratulated for this masterpiece, which will become the gold standard for experts and beginners." -Paolo Castelnuovo Edited by renowned rhinologists and skull base surgeons Christos Georgalas and Anshul Sama, this complete guide to frontal sinus surgery covers surgical anatomy and radiology, frontal-specific pathology, surgical techniques, technical advancements, and controversies. It focuses on those starting surgical practice and it is also of interest to well-established surgeons. This book brings together some of the leading surgeons across the globe to provide varied and complementary perspectives. The content is organized in five sections: surgical anatomy, specific conditions of the frontal sinus, open surgical approaches, endoscopic surgical approaches, and controversies. Key Features More than 600 full-color images and diagrams illustrating surgical concepts and demonstrating detailed techniques Stepwise descriptions of surgical techniques with a "tips and tricks" section in each chapter drawn from the authors' experience Clinical case presentations in each chapter illustrating key concepts and techniques A truly global and balanced perpective with world-leading authors from all continents Controversial topics analyzed from evidence-based medicine (EBM) perspective This is a must-have resource for otolaryngology-head and neck surgery residents, fellows, and specialists that may also benefit neurosurgeons, maxillofacial surgeons, plastic surgeons, and other clinicians who deal with this challenging and complex area. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Obesity and Voice: Current Views and Future Trends examines obesity-related voice research and suggests future research trends on the link between weight loss, weight gain, obesity, and phonation. Obesity is becoming one of the leading causes of disabilities and death. This unique text highlights the various means by which excessive weight, and weight loss, may jeopardize voice quality and endurance. All three components of voice production, the respiratory system and abdominal back and thoracic muscles as the power source, the vocal folds as the oscillator, and the vocal tract as the resonator, are targets of anatomic and systemic obesity-induced changes. Consequently, phonatory effects of obesity are inevitable. Considering the epidemic nature of obesity, obesity-related voice research is a critical topic for anyone interested in conditions affecting the voice, especially professional voice users and physicians.

The most comprehensive, state-of-the-art guide available on the use of botulinum neurotoxin for head & neck disorders! Senior author Andrew Blitzer is an internationally renowned pioneer on the use of botulinum neurotoxin for functional disorders, with unparalleled expertise on this topic. Joined by esteemed co-editors Brian Benson and Diana Kirke, with multidisciplinary contributors, Botulinum Neurotoxin for Head and Neck Disorders Second Edition fills a gap in the medical literature. The unique textbook focuses on the use of botulinum neurotoxins for functional disorders of the head and neck, though with some aesthetic indications. The second edition reflects the latest advances and understanding of existing and emerging applications for botulinum neurotoxins, including new treatment paradigms, revised pharmacology, and an updated review of the literature in all chapters. Twenty superbly illustrated chapters cover the management of hyperfunctional, pain, and hypersecretory syndromes of the head and neck. Hyperfunctional motor disorders are discussed in chapters focused on blepharospasm, facial dystonia, Meige syndrome, oromandibular dystonia, spasmodic dysphonia (laryngeal dystonia), and cervical dystonia. Specific treatment approaches for pain are addressed in chapters on migraine and chronic daily tension headaches, temporomandibular disorders, and trigeminal neuralgia. The treatment of autonomic nervous system disorders is covered in chapters dedicated to Frey syndrome, facial hyperhydrosis, and sialorrhea. Key Features A 30-year review of spasmodic dysphonia data includes new insights encompassing comprehensive treatment, management and outcomes results, and neuropathophysiology A new chapter details the emerging role of botulinum neurotoxin to treat radiation-induced spasm and pain Updates on the management of palatal myoclonus, temporomandibular joint disorder, and sialorrhea An impressive compendium of professional injection videos, including a new video on sialorrhea and an updated migraine video Clinical pearls throughout the book focus on best practices, how to avoid pitfalls, and achieving the most optimal outcomes This is a must-have resource for otolaryngologists–head and neck surgeons, neurologists, dentists, pain specialists, physical medicine and rehabilitation specialists, and others health professionals who use botulinum neurotoxin to treat motor, sensory, and autonomic disorders of the head and neck region. This book includes complimentary access to a digital copy on https://medone.thieme.com.

In this book we have tried to collect the state of the art of nasal and paranasal sinus surgery, deepening the most modern techniques and addressing every single pathology with great dedication. In the first chapter, thanks to the help of Professor Enrique Perello, leader of ENT surgery in Spain and with an international reputation, we tried to trace the history of nasal surgery. We found photos of ancient treatises, analyzing the origins of some techniques, still used but perfected with the help of technology. In the following chapters, we have dealt with the basic surgery of the nose and paranasal sinuses, with evident help on the septal endoscopic part by Professor Andrea Gallo, director of the Polo Pontino of the La Sapienza University in Rome. The chapters on oroantral communications and odontogenic sinusitis were written by Professor Cosme Gay-Escoda, leader in the maxillofacial and oral cavity surgery sector throughout Spain. The chapter on inverted papillomas was written by the professor of the University of Genoa Frank Rikki Canevari, a surgeon of national and international fame, expert on the nasal cavities. We wrote a chapter on dacryocistorinostomy, with the help of Professor Maurizio Catalani, of the University of Turin and in collaboration with a team of ophthalmologists led by professors Meduri, Aragona and doctor Migliardi. We thank the whole ENT team of the University of Palermo, led by Professor Gallina, for the chapter on the complications of endonasal surgery. We received special help from the team of the Insubria University of Varese, led by professors Bignami and Castelnuovo, world leaders in this type of surgery. They wrote the chapters on rhino-liquor fistulas and on the treatment of nasal tumors, giving us the precious images of their most interesting clinical cases. Thanks to external contributions, this book can be considered a handbook for nose surgery, updated to the most modern surgical techniques in use and with an analysis of the possible future developments of this type of surgery.

A key new reference dedicated to the surgical management of sleep-disordered breathing... The importance of unobstructed respiration in sleep, and the long-term risks of sleep apnea, cannot be overemphasized. The therapeutic efficacy of the widely prescribed "gold standard," CPAP, is compromised by low patient acceptance and compliance. In light of the limits of CPAP and other forms of conservative therapy (e.g., mandibular advancement devices), there is a growing tendency to explore and expand the role of surgery in the treatment of severe sleep apnea. New insights and developments in pathophysiology, surgical techniques, and implants have opened the way to increased success in treating sleep apnea surgically. This new work by leading international specialists provides a detailed, evidence-based approach to selected advanced surgical techniques, beginning with patient selection criteria, discussion of indications for and against surgery, choice of procedure (also in combinations), and more. Key Features: Systematic, practice-oriented approach to examination, diagnosis, and treatment Step-by-step description of surgical concepts and techniques Superbly illustrated with full-colored photographs and drawings Focus on those procedures that have been shown to be successful in specific situations Discussion of outcomes, success rates, risks, and potential complications; where evidence-based data are not available, expert opinion is provided Current Concepts of Sleep Apnea Surgery will be welcomed by residents, fellows, and board-certified surgeons in otorhinolaryngology and head and neck surgery. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Unique skull-base surgical resource features strategic, technical, and philosophical pearls from master surgeons In a sense, surgeons go into battle every time they enter the OR. Like soldiers, they must be prepared to make profound sacrifices to protect innocent people (their patients), while putting egos aside and resisting the call of fame. Skull Base Surgery: Strategies by Walter Jean and distinguished contributors provides eloquent expression to the inner voices that speak to surgeons during each stage of battle. Unlike other textbooks that only emphasize the technical building blocks surgeons need, this resource focuses on state-of-the-art skull-base procedures, important thought processes, and vital strategies required to perform them. Size and shape variations, diverse biological characteristics, different anatomic locations and extensions, and specific relationships and entanglements with nerves and vessels make all skull base tumors unique and highly challenging. In addition to anatomy, two other important factors need to be considered every time a surgeon enters the OR - the particular circumstances of the patient and surgeon. Throughout this remarkable book, master neurosurgeons take readers on an insightful journey exploring the decision-making process of choosing and executing a surgical approach, with firsthand pearls from the battlefield. Key Highlights Nine sections organized by anatomy cover tumors in the anterior, anterolateral, lateral, central, postero-superior, and postero-inferior skull base regions, and clivus, petrous bone, and ventricles Thirty-two systematically organized chapters flow from clinical presentation and radiographic/anatomical findings of specific patients and tumors - to decision-making and execution of the surgical approach Real-life cases enhance understanding of all the elements that go into each operation Perspectives sections at the end of each chapter embrace the concept of diverse surgeon viewpoints on similar ideas, techniques, and approaches This exemplary book is essential reading for neurosurgery and otolaryngology residents, fellows, veteran practitioners, and allied health personnel who care for patients with skull base tumors. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Deafness: Current Perspectives and Research Developments presents the theoretical foundations for miscue analysis, its utilization with diverse and bilingual students, and prior research conducted with deaf and hard-of-hearing individuals. The authors focus on a significant challenge to improving the reading achievement of deaf and hard-of-hearing individuals: finding non-biased assessments and compiling test pools of sufficient size in order to identify meaningful patterns. The viability of vibrotactile stimulation as an alternative to complement and foster linguistic development in the profoundly deaf, particularly those with a prelingual age of onset, is examined. The challenges, opportunities, and goals of researchers and clinicians working in the field of deafness and autism spectrum disorder are explored, emphasizing the need for training more culturally and linguistically competent deaf and hearing adults to conduct research and intervention with deaf children. In an effort to improve validity, the authors re-design a previous cross-sectional study to measure resilience when deaf/hard of hearing or blind/low vision students entered high school as well as when they exited, usually four years later, and compare the two data points. The first known project conducted within the United States to evaluate the use of assistive technology for healthcare interactions between student pharmacists and simulated deaf/hard of hearing patients is also discussed.

The benchmark reference on endoscopic surgery of the orbit from international experts! The use of endoscopic orbital surgery is rapidly expanding in modern day rhinology and oculoplastic practice. In the past two decades, endoscopic techniques have been adapted for lacrimal and orbital surgery. Significant advances have been made in endoscopic endonasal and periocular approaches to the orbital apex and skull base, especially in the last 3 years. There has been no book dedicated to these recent surgical innovations until Endoscopic Surgery of the Orbit: Anatomy, Pathology, and Management by Benjamin Bleier, Suzanne Freitag, and Raymond Sacks filled this void. This landmark text and its accompanying videos bring together the global experience of thought leaders and pioneers with multidisciplinary backgrounds. The collective expertise shared throughout 20 chapters codifies the current state of endoscopic orbital surgery and sets the stage for future developments. The opening chapters cover anatomy, physiology, and radiologic aspects pertaining to the orbit, paranasal sinuses, and surrounding structures. Subsequent chapters detail evaluation and endoscopic management of a full spectrum of pathologies utilizing orbital and optic nerve decompression, reconstruction, transorbital approaches, and anesthetic techniques. Key Features State-of-the-art evidence-based medicine including the pros and cons of different treatment approaches Management of operative complications such as sinusitis and iatrogenic intraorbital injury, and postoperative challenges Pathology-specific topics including congenital and acquired lacrimal obstruction, thyroid-related eye disease, trauma, orbital neoplasms, and skull-base neoplasms with orbital involvement 138 original illustrations help elucidate complex anatomy High definition, narrated surgical videos delineate specific surgical techniques This is a must-have resource for otolaryngologists in rhinologic and general practice and ophthalmologists in general and oculoplastic practice. It will also benefit neurosurgeons and plastic & reconstructive surgeons. The comprehensive text, clinical pearls, and accompanying videos facilitate incorporating these techniques into practice, whether one is a surgical trainee or veteran practitioner. This book includes complimentary access to a digital copy on https://medone.thieme.com.

An updated edition of a bestselling pediatric otolaryngology reference FOUR STARS from Doody's Star Ratings (TM) This revised edition of Surgical Pediatric Otolaryngology provides readers with step-by-step instructions for performing the surgical procedures necessary to treat children suffering from head and neck disorders. This atlas covers routinely performed procedures in pediatric otolaryngology. Key Features: More than 800 high-quality, detailed line drawings help teach young practitioners the latest techniques and procedures Authors are affiliated with two of the best children's hospitals in the world and are luminaries in the field Focuses on common procedures that surgeons perform on a daily basis Residents will frequently consult this book before performing surgery and pediatric otolaryngologists will use it as a refresher for certain surgical procedures that they haven't recently performed.