This book combines the complexities of neuro-ophthalmologic and neuro-otologic disorders into one concise guidebook. It focuses on the basics of these two challenging subspecialties, encountered by the neurologist, ophthalmologist, otolaryngologist, neurosurgeon, emergency medicine provider, and others. Comprehensive and succinct, the book contains chapters examining representative case vignettes that highlight typical historical elements and exam findings that aid in diagnosing a specific disease, disorder, or syndrome. Before each heading, chapters offer a brief review of relevant anatomy, physiology, and examination techniques. Additionally, symptom-based tables guide the practitioner to a focused history and examination for rapid real-time triage and diagnosis. Practical and case-based, Neuro-Ophthalmology and Neuro-Otology is an invaluable resource for practitioners, trainees, and residents in various fields.

The quintessential how-to guide on treating allergies for day-to-day practice While encyclopedic tomes on the treatment of allergies have a place on the library shelves of otolaryngologists, Handbook of Otolaryngic Allergy provides a user-friendly office resource clinicians can consult on a daily basis. Written by Christine Franzese, Cecelia Damask, Sarah Wise, and Matthew Ryan, the book encompasses the basic science of allergies, essential knowledge, and how to perform each procedure. Part one starts with basic immunology and allergic rhinitis definition and classifications, followed by discussion of sensitivities vs. clinical allergies, the unified airway concept, and different classes of inhalant allergens. Parts two and three detail all aspects of diagnosis and diverse skin testing methods such as Specific IgE testing. Subsequent parts discuss current treatment methods, allergy emergencies such as anaphylaxis, atopic disorders, and professional issues clinicians must tackle to successfully incorporate allergy treatment into practice. Key Highlights The use of diverse types of pharmacotherapy including decongestants, anti-cholinergics, and antihistamines, as well as biologics, alternative medicines, and monosensitization vs. polysensitization Discussion of immunotherapy approaches including subcutaneous, sublingual, sublingual tablets, and oral mucosal Managing associated atopic disorders such as penicillin allergy, asthma, food allergies, eosinophilic esophagitis, and atopic dermatitis Worksheets with correct answers enable self-testing and accurate vial mixing/preparation This user-friendly reference is a must-have companion for otorhinolaryngology residents and practitioners at any stage of their careers who treat patients with allergies. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Providing practical, multidisciplinary coverage of the latest diagnostic and multidisciplinary therapeutic approaches for head and neck cancer, the 5th Edition of this award-winning text helps you achieve the best possible surgical outcomes and preserve and restore form and function. Internationally renowned surgeon Dr. Jatin P. Shah, joined by colleagues Snehal G. Patel, Bhuvanesh Singh, and Richard Wong, guides you step by step through every aspect of this challenging field, helping you take advantage of every multidisciplinary management approach available for your patients. Offers complete coverage of the scalp, skull base, paranasal sinuses, oral cavity, pharynx, larynx, cervical lymph nodes, thyroid, salivary glands, and soft tissue and bone tumors - from incidence, diagnosis, and work up through treatment planning, operative techniques, rehabilitation, and outcomes. Features new diagnostic approaches, staging, algorithmic thought processes for therapy selection, and outcomes of treatment for head and neck tumors, allowing for a better overall understanding of head and neck oncology. Includes new information on multimodal management of head and neck cancer; a new Radiation Therapy Glossary; and hundreds of new surgical photographs presented in sequential order from the surgeon's point of view. Provides outcomes of therapy data from the NCDB, institutional data from MSKCC, and evidence-based information throughout. Covers key topics such as radiation oncology, medical oncology including targeted therapies, and maxillofacial prosthodontics and dental oncology. Addresses the day-to-day, practical care of patients with basic operating room techniques and technology, intraoperative decisions, and post-operative care for patients undergoing head and neck surgery. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Pediatric Dysphagia: A Multidisciplinary Approach is a comprehensive professional reference on the topic of pediatric feeding and swallowing disorders. Given that these disorders derive from abnormalities in the function and/or structure of the airway and digestive systems, multiple clinical specialists may be involved in the evaluation and management of affected children at any given point in time. This text therefore includes significant contributions from a wide range of experts in pediatric dysphagia, including all members of the Interdisciplinary Feeding Team at Cincinnati Children's Medical Center. These experts present an in-depth description of their roles in the diagnosis and management of dysphagic children, providing the reader with an understanding of why a multidisciplinary model of care is key to the optimization of outcomes. Pediatric Dysphagia is divided into five parts. In Part I, readers are provided with an overview of the embryologic development of aerodigestive structures that relate to swallowing, an introduction to neural organization related to swallowing function and physiologic aspects of swallowing, a synopsis of oral motor development, a discussion of the various etiologic categories of feeding and swallowing disorders, and an overview of genetic disorders associated with feeding and swallowing issues. Part II covers the clinical and instrumental assessment of patients, including the interdisciplinary feeding team infrastructure and function, the roles of individual members of the feeding team, the specific diagnostic tests commonly used in the assessment of feeding and swallowing issues, the classification of neonatal intensive care units, and the assessment and management of feeding and swallowing issues encountered in the neonatal intensive care unit. Part III focuses on the management of pediatric dysphagia, covering a wide range of treatment strategies and interventions for children with various categories of feeding disorders. Part IV includes an introduction to the concept of evidence-based practice and the application of evidence-based strategies in the management of dysphagia. Part V presents a brief overview of the role of ethics in healthcare and ethical considerations in the treatment of dysphagic children. In summary, the overall aim of this comprehensive text is to provide all pediatric professionals involved in the care of dysphagic patients with a basic understanding of the complexity of this disorder, the anatomic, neurologic, and physiologic components involved in this disorder, an overview of the diverse population of children who suffer with this disorder, and with a wide range of management approaches based on patient needs and capabilities. The authors also address clinical problem solving and decision making, inspiring readers to develop multidisciplinary models of care at their own institutions.

Anatomy for Plastic Surgery of the Face, Head, and Neck details the complex regional anatomy of the face, head and neck, providing plastic surgery and otolaryngology residents with a solid anatomical knowledge base. There are many danger zones involved in operating on the head and neck, and the detailed knowledge of anatomy that readers gain from this reference will help them avoid the surgical mishaps that often result in patient disfigurement. Key Features: Complex regional anatomy of the head and neck detailed with drawings, intraoperative photos and radiologic images Online access to videos in which authors walk readers through the anatomy of the face, head and neck Covers the latest anatomical topics, including arterial supply of the facial skin and sensory nerves of the head and neck This excellent anatomical reference will be read cover to cover by young plastic surgeons and otolaryngologists, as well as residents in these specialties. More experienced surgeons will refer to it whenever they need to learn about an unfamiliar area of the head and neck.

Illuminating neck dissection resource presents innovative techniques and insightful clinical pearls! This updated second edition of Functional and Selective Neck Dissection by Javier Gavilan, Alejandro Castro, Laura Rodriganez, and Jesus Herranz presents a unique point of view based on fascial dissection techniques developed by several generations of renowned surgeons at La Paz University Hospital. The book lays a foundation with in-depth discussion of fascial compartmentalization of the neck. The text covers the evolution of modern neck dissection, from George Crile in 1906 to current cutting-edge procedures, and details the transition from radical neck dissection to a less aggressive, equally effective approach for treating lymph node metastases in head and neck cancer. The relationship between functional and selective neck dissection is discussed from a pragmatic and nonconventional perspective, elucidating the connection from historical, anatomic, and surgical standpoints. The authors differentiate conceptual approaches, keystones in the evolution of scientific knowledge from surgical techniques, technical variations of a standard procedure designed to most effectively resolve a problem. The primary goal is providing the reader with expert guidance on a full spectrum of fundamental surgical techniques. Key Highlights Sequential operative photographs of actual procedures performed by the authors complemented by stellar illustrations further understanding of techniques Less radical operations discussed from American and Latin perspectives, ensuring a complete picture and integration of well-rounded best practices A chapter dedicated to hints and pitfalls offers insightful technical advice and precautions acquired through decades of practice Frequently asked questions and answers afford key insights on important surgical decisions, while suggested readings provide additional helpful materials This is an indispensable resource for practicing head and neck surgeons who treat patients with malignant tumors. Otorhinolaryngology, general surgery, and plastic surgery residents will also find it an invaluable source of information. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Dieses praxisnahe Buch enthalt Grundlagen, Methoden und Anleitungen zu den wichtigsten Prufverfahren der objektiven Audiometrie. Es lasst sich direkt fur die tagliche Arbeit nutzen und beantwortet schnell die Fragen: "Wie wende ich die Methoden an?" und "Wie kann ich die Ergebnisse richtig auswerten und interpretieren?" Objektive Hoerprufverfahren sind bei der Erkennung und Versorgung angeborener und erworbener kindlicher Hoerstoerungen und besonders zur Kontrolle des nicht bestandenen Neugeborenenhoerscreenings unverzichtbar. Das Buch gibt einen UEberblick uber das in jungster Zeit erheblich gewachsene Methodeninventar der Impedanzaudiometrie, der otoakustischen Emissionen und des vielfaltigen Spektrums akustisch evozierter Potentiale von der Elektrocochleographie bis zu den spaten und ereigniskorrelierten Potentialen und berucksichtigt aktuelle Empfehlungen und Leitlinien uber die audiologische Diagnostik im Kindesalter. Die vielen konkreten Praxistipps und Handlungsanweisungen machen das Buch fur HNO-AErzte, Padaudiologen und Padiater direkt anwendbar. Durch die klare Darstellung der Methodik lasst es sich auch von MTAs fur Funktionsdiagnostik sehr gut nutzen.

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.

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.

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.

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.