Vestibular Disorders, Third Edition, uses a case-study approach to outline the principles and practice of the care of patients with dizziness and balance disorders. The text reflects the combined perspectives and experience of a neurologist (Dr. Furman) a neurotologic surgeon (Dr. Cass), and a physical therapist (Dr. Whitney). Each case study contains relevant material regarding history, physical examination, laboratory testing, differential diagnosis, and treatment. This material provides a springboard for discussion of either a concept in the field of vestibular disorders or the diagnosis or treatment of a particular disease state. Practical, specific treatment options are discussed throughout the book. The book is written to a wide audience and educational level of readers including Primary Care Physicians, Otolaryngologists, Neurologists, Physical Therapist, and Audiologists. The case-format style of the book lends itself to use in teaching programs involving medical students, residents, physical therapy students, and audiology students, and as a reference text for clinicians at the bedside. Each of the cases from the first and second editions have been updated, the background material has been expanded and eight new cases have been added. Vestibular Disorders, Third Edition, aims to span the gap between existing in-depth tests and the problems that arise whenever a patient presents with dizziness.

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.

"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.

Lehrbuch und Nachschlagewerk fur eine praxisnahe und moderne Allergiediagnostik, -therapie und -pravention. Umfangreiche Darstellung der Klinik und der Diagnostik mit allen Haut- und Provokationstests, der In-vitro-Serumdiagnostik und der zellularen Diagnostik. Der Weg zu einer erfolgreichen Therapie wird mit allen modernen Methoden gezeigt und die Moeglichkeiten der Pravention u.a. anhand von Patientenschulungen erlautert. Die neuesten Forschungsergebnisse finden sich in Grundlagenkapiteln zu Immunologie und Allergenen wieder. Alle klinischen Bilder aus Dermatologie, Pneumologie, Padiatrie, HNO- und Augenheilkunde, Gastroenterologie sowie aus anderen wichtigen Bereichen, wie der Psychosomatik und Berufsallergologie, werden dargestellt. Die vollstandig aktualisierte 2. Auflage ist ideal fur Allergologen in Klinik und Niederlassung und hervorragend geeignet fur die Ausbildung.

The definitive resource on the innovative use of DISE for obstructive sleep apnea Obstructive sleep apnea is the most prevalent sleep-related breathing disorder, impacting an estimated 1.36 billion people worldwide. In the past, OSA was almost exclusively treated with Continuous Positive Airway Pressure (CPAP), however, dynamic assessment of upper airway obstruction with Drug-Induced Sleep Endoscopy (DISE) has been instrumental in developing efficacious alternatives. Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications by Nico de Vries, Ottavio Piccin, Olivier Vanderveken, and Claudio Vicini is the first textbook on DISE written by world-renowned sleep medicine pioneers. Twenty-four chapters feature contributions from an impressive group of multidisciplinary international experts. Foundational chapters encompass indications, contraindications, informed consent, organization and logistics, patient preparation, and drugs used in DISE. Subsequent chapters focus on treatment outcomes, the role of DISE in therapeutic decision making and upper airway stimulation, pediatric sleep endoscopy, craniofacial syndromes, advanced techniques, and more. Key Highlights Comprehensive video library highlights common and rare DISE findings A full spectrum of sleep disordered breathing and OSA topics, from historic to future perspectives Insightful clinical pearls on preventing errors and managing complications including concentric and epiglottis collapse Discussion of controversial DISE applications including oral appliances and positional and combination therapies This unique book is essential reading for otolaryngology residents, fellows, and surgeons. Clinicians in other specialties involved in sleep medicine will also benefit from this reference, including pulmonologists, neurologists, neurophysiologists, maxillofacial surgeons, and anesthesiologists. 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 definitive resource on cutting-edge oculoplastic surgery of the upper face, eyelids, and eyebrows While an estimated 1.5 million brow and upper eyelid surgery procedures are performed worldwide each year, this book is the first published ophthalmologic text with detailed coverage focused solely on this topic. Ophthalmic Plastic Surgery of the Upper Face: Eyelid Ptosis, Dermatochalasis, and Eyebrow Ptosis by distinguished oculofacial plastic surgeons and educators Michael A. Burnstine, Steven C. Dresner, David B. Samimi, Helen A. Merritt, and an impressive group of international experts fills a void in the literature. The succinct, richly illustrated text covers classification, anatomy, evaluation, and a wide spectrum of surgical approaches for each condition. Surgical videos are included. Organized by 7 sections and 39 chapters, the book begins with clinical assessment of patients who present with upper eyelid and eyebrow conditions, followed by evidenced-based treatment protocols. All procedural chapters follow a consistent format, enabling readers to classify problems, review surgical steps, and consider key issues associated with each condition and corrective procedure. Mechanical, involutional, neurogenic, myogenic, and syndromic blepharoptoses detailed in Sections 2 to 6 include etiology, diagnosis, management, and diverse state-of-the-art resection, repair, lift, fill, and augmentation techniques. Key Features Each procedural chapter includes an introduction, risks, benefits, informed consent, indications, relative contraindications, a preoperative checklist, required instrumentation, a step-by-step approach for surgeons beginning their career, and refined tips for more experienced surgeons. High quality full-color operative photographs enhance knowledge of the most salient operative steps, while before and after photos demonstrate the evidence-based efficacy of each surgery. Chapters focused on brow surgery detail a full range of surgical and nonsurgical approaches-from contouring options and direct elevation to fillers and neuromodulators. This is a must-have surgical resource for ophthalmology, otolaryngology, and plastic surgery residents and practitioners. The highly practical, reader-friendly text facilitates greater understanding of the clinical implications of each ophthalmic surgery approach, thereby helping surgeons achieve improved cosmetic results. 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.

Unique resource from master facial plastic surgeon uncovers the secrets to a successful practice Written by internationally renowned facial plastic surgeon and prolific author E. Gaylon McCollough, The Elite Facial Surgery Practice: Development and Management offers 40 years of wisdom, all in one remarkable book. Instead of describing step-by-step techniques like traditional facial surgery textbooks, this exemplary guide covers issues rarely discussed in clinical literature. From preparing for a career in facial plastic surgery to everything it takes to achieve long-term excellence in clinical practice, readers will learn hard-earned trade secrets from this legend of facial plastic surgery. Much of the focus is on the enduring doctor/patient relationship, with discussion on how to attain and maintain patient confidence, deliver personalized post-operative care, and manage dissatisfied patients. Key Features Part I provides all the necessary steps for building a thriving facial surgery practice including selecting the right training, the golden rule of facial surgery, creating the ideal environment to deliver extraordinary care, the image of an elite facial surgeon, and leveraging social media. Part II and III cover core facial surgery procedures including minimally invasive and noninvasive methods. Enhanced with before and after photos, these chapters focus on indications for surgery, the aging process, facts versus myths, selecting the right approach, and lessons learned. Part IV reveals invaluable insights on topics most clinicians keep close to the vest such as how to create and maintain best practice models, dealing with unfortunate outcomes, managing and minimizing the risk of legal proceedings, and defending oneself in court. Aspiring and veteran facial surgeons alike will benefit from the invaluable pearls bestowed by an elite master who built a great foundation for next generations. Read this book cover to cover to enhance your surgical and business acumen - and ultimately - become a more compassionate, effective practitioner.

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.

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.

A stellar reference with the full spectrum of otolaryngology-head and neck surgery and facial plastic surgery! Now in full color, the revised and updated second edition of David Goldenberg's and Bradley Goldstein's acclaimed, award-winning Handbook of Otolaryngology-Head and Neck Surgery is the GOLD standard among pocket guides for this specialty. Packed with information in an all-encompassing scope, yet conveniently portable, this book's reader-friendly organization (and superb index) is designed for quick reference. Sections cover Otology, Rhinology, Laryngology and the Upper Aerodigestive Tract, Head and Neck Surgery, Pediatric Otolaryngology, Facial Plastic and Reconstructive Surgery, General Otolaryngology, and (new for this edition) Endocrine Surgery. Most chapters follow a standard format, beginning with a handy list of key points, followed by epidemiology, signs and symptoms, differential diagnosis, how to best conduct the physical exam, imaging, treatment options, outcomes, and appropriate follow-up. Detailed guidance on the full continuum of patient care-from pediatric to geriatric-is provided, which is indispensable for day-to-day practice. Key Highlights Color figures explain procedures, and numerous tables facilitate learning and recall. The latest TNM staging data is included within all cancer-related chapters. Where applicable, each section begins with emergency situations, providing speedy access when most needed. Three appendices provide basic procedures such as bronchoscopy, esophagoscopy, and tonsillectomy; illustrations of the twelve cranial nerves; and cross-referencing to help treat immediate emergencies. This book is the essential companion for residents, fellows, and beginning clinicians in otolaryngology, and for all physicians and allied professionals in other disciplines who can use rapid and reliable guidance on ENT medicine.

The definitive state-of-the-art guide on laryngeal cancer treatment from world-renowned experts Ongoing advances in innovative technologies have improved the diagnosis and treatment of laryngeal cancer, resulting in more optimal oncologic and functional patient outcomes. Laryngeal Cancer: Clinical Case-Based Approaches, by distinguished head and neck surgeon Rogerio R. Dedivitis and internationally recognized coeditors, is a comprehensive reference that presents multiple options for similar lesions. Contributions from a diverse group of globally renowned subspecialists reflect the multidisciplinary treatment of laryngeal cancer. The book focuses on diverse primary subsites of laryngeal cancer; local, early-stage, and advanced disease stages; and current available treatment modalities for each type. Case study chapters include insightful discussion of several potential approaches, rationale for surgical decision making, radiographic findings, pearls, and pitfalls. Key Features Diverse approaches to glottic cancer including radiotherapy, transoral laser surgery, supracricoid laryngectomy (SCL), vertical laryngectomy, transoral laser microsurgery, chemoradiotherapy, and combined SCL and cricohyoidoepiglottopexy. Treatment modalities for supraglottic cancers such as transoral laser microsurgery, radiation therapy, and horizontal supraglottic laryngectomy. Salvage surgery, preservation protocol, and reconstructive flap techniques including pectoralis major myocutaneous flap, latissimus dorsi myocutaneous flap, and antebrachial flap. High-quality images accompanying each case enhance clinical understanding of underlying pathologies and surgical approaches. Otolaryngologist-head and neck surgeons, radiation oncologists, medical oncologists, pathologists, radiologists, speech pathologists, and all clinicians who treat laryngeal disorders will benefit from this highly informative resource. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Cutting-edge neck dissection resource provides expert guidance on its use in a wide spectrum of head and neck pathologies Dissection of critical structures of the neck is integral to head and neck surgery, for both benign and malignant neck masses and diagnoses of the head, skull base, and cervicothoracic junction. Neck Dissection by Brendan Stack and Mauricio Moreno is a comprehensive treatise on state-of-the-art neck dissection. With contributions from an impressive cadre of international leaders in head and neck surgery, this in-depth, yet concise evidence-based guide covers fundamental and advanced principles of cervical lymphadenopathy surgery. The book begins with preoperative evaluation of cervical lymphadenopathy candidates, history of procedures, international nodal level classifications, and surgical neck anatomy. Subsequent chapters address the subtleties between different dissection modalities including radical, modified radical, selective, supraomohyoid, and salvage, as well as insights on complications and rehabilitation. Current imaging methods are discussed in context with anatomical structures and malignancies, including cross-sectional, ultrasound, and integrated FDG-PET/CT. Pathology and adjuvant therapies for malignant diseases of the neck are also discussed. Key Features The latest advances in immunology and cell signaling of neck metastatic disease, related to cervical lymph node and extracapsular spread Anatomic and pathophysiologic nuances encountered in the treatment of squamous cell carcinoma, melanoma, salivary gland malignancies, and thyroid carcinomas Special topics such as prophylactic neck dissection, robotics, intraoperative nerve monitoring, adjuvant therapy for neck nodal disease, and histopathologic neck dissection evaluation Nearly 200 radiographs and illustrations, as well as online supplementary video material enhance understanding of impacted anatomy and procedures All clinicians involved in the interdisciplinary diagnosis and treatment of head and neck pathologies will benefit from this outstanding operative guide. This book includes complimentary access to a digital copy on https://medone.thieme.com.

This authoritative guide provides a solid clinical foundation to help practitioners manage vertigo and balance disorders in practice This updated edition provides a comprehensive basis for understanding, identifying, and treating the underlying multifactorial etiologies of dizziness and imbalance. Vertigo is a common malady for which patients seek treatment, yet the vestibular system and its associated disorders are often misunderstood. This book effectively demystifies this topic, with clinical pearls and knowledge from foremost experts in the field. The first six chapters cover procuring a thorough patient history, examination techniques, computerized testing, radiological studies, surgical anatomy and physiology of the vestibular system, and laboratory testing. Subsequent chapters concisely detail the diagnosis and treatment of pathologies such as Meniere's disease, benign paroxysmal positional vertigo, labyrithinitis, superior semicircular canal dehiscence syndrome, and unilateral peripheral vestibulopathy. Key Features Covers the full age continuum - from congenital and pediatric vestibular disorders - to balance conditions associated with aging Highlights the most common pathologies such as BPPV, as well as fairly rare diseases like Mal de Debarquement syndrome and perilymph fistulas Discusses the impact of alcohol, migraines, and allergies on the vestibular system and the intrinsic roles they play in causing dizziness New insights on medications, rehabilitation, and the use of implantable vestibular devices Expanded video library provides guidance on testing modalities, visual disturbances, nystagmus patterns, and specific disorders Physicians who read this authoritative guide will gain knowledge that is essential for optimal management of patients with vertigo and disequilibrium. It is an invaluable resource for otolaryngologists, as well as neurologists, physical therapists, internists, geriatricians, family practitioners, audiologists, and even cardiologists.

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.