In der vorliegenden 10. und 11. Auflage ist dieses Buch wiederum durch Verbesserungen, Zusatze und Streichungen dem gegenwartigen Stande der Wissenschaft angepaBt worden. Wie bisher soIl es auch jetzt in erster Linie allen Bediirfnissen der Studierenden und der Allgemeinpraktiker Rechnung tragen. Da es aber auch manche nicht anderweitig veroffentlichte Erfahrungen und Ansichten des Verfassers enthalt, wendet es sich auch an die Ohren-'und Kehlkopfarzte. Es ist aus klinischen V{)rtragen entstanden; jedoch wurde die auBere Einteilung in einzelne "Vorlesungen" aufgegeben, und die direkte Anrede ausgemerzt. Dagegen ist die freiere Anordnung des Stoffes, fiir die im klinischen Vortrage mehr didaktische als systematische Riicksichten maB gebend sind, beibehalten worden. Dadurch konnte manche Wiederholung vermieden und der Umfang des Buches in sehr maBigen Grenzen gehalten werden. Sehr ausfiihrlich ist alles dargestellt worden, was jeder Arzt von den Ohren-, Nasen- und Kehlkopfkrankheiten wissen und kennen muB. Auch wurde besondere Riicksicht auf die Bediirfnisse der auf dem Lande oder in kleinen Stadten, fern von spezialistischer Hilfe, wirkenden A.rzte genommen, damit sie sich in dringenden Fallen schnell und eingehend iiber das augenblicklich Notige orientieren konnen. In den der Therapie gewidmeten Abschnitten sind zwar solche Me thoden in den Vordergrund gestellt worden, fiir deren Brauchbarkeit der Verfasser aus eigener Erfahrung einstehen kann; doch wurden auch viele andere anerkannte Methoden beschrieben. Operative Eingriffe, die der Allgemeinpraktiker selbst ausfiihren kann, sind sehr genau, solche, denen nur der Spezialist gewachsen ist, mit wenigen \usnahmen nur kurz be schrieben worden."

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfangen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen fur die historische wie auch die disziplingeschichtliche Forschung zur Verfugung, die jeweils im historischen Kontext betrachtet werden mussen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfangen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen fur die historische wie auch die disziplingeschichtliche Forschung zur Verfugung, die jeweils im historischen Kontext betrachtet werden mussen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

Highly Commended by the BMA Medical Book Awards for Surgery! The gliding nature and dynamic planes of the face present one of the great challenges in aesthetic surgery and volume replenishment is a key component of the treatment algorithm. Facial Volumization: An Anatomic Approach by Jerome Lamb and Christopher Surek masterfully bridges the gap between the anatomy lab and injection clinic. It synthesizes a large body of facial anatomy publications into a "one-stop shop" covering a wide array of facial procedures - from the chin and perioral - to the midface and temple. In addition to vascular injury, lymphatic disruption can play a critical role in suboptimal aesthetic facial volumization outcomes. Chapter 2, The Lymphatic Anatomy of the Lower Eyelid and the Malar Region of the Face discusses new state-of-the art facial lymphatic discoveries. Key Features Numerous beautiful, full-page color illustrations systematically reveal each layer of the face - from deep to superficial - taking readers on a unique journey through the 3-D architecture of complex facial anatomy. The left side of each page features a written synopsis of the vascular, muscular, ligament, and adipose components of specific layers paired with cadaveric dissection photographs. More than 20 high-definition live patient injection videos posted in the Thieme online Media Center include detailed injector commentary. Augmentation and enhancement techniques, the latest facial fillers and lip injections, and illustrated guidance on preferred volumization approaches. Identification of danger zones and technical pearls for injecting safely, avoiding problems, and obtaining the best results. This invaluable resource will help residents and seasoned plastic surgeons, facial plastic surgeons, dermatologists, otolaryngologists, and aestheticians perform facial injections safely and achie

A unique guide to managing cranial neuropathy cost effectively-from diagnosis to treatment! Cranial neuropathy can be a symptom of a devastating, life-threatening condition or a benign disease with spontaneous full recovery in a majority of patients. While testing options are available, they can be costly and sometimes may be unnecessary. Cost-Effective Evaluation and Management of Cranial Neuropathy by Seilesh C. Babu, Neal M. Jackson, and an impressive team of multidisciplinary contributors reflect decades of experience. Combining evidence-based medicine from the literature with years of firsthand expertise, this reader-friendly book offers cost-effective methodology and in-depth insights for evaluating and managing cranial neuropathy. The textbook provides a clear-cut approach and practical algorithm for cranial nerve evaluation and management of neuropathy. Contributions from neurotologists, neurosurgeons, rhinologists, ophthalmologists, head and neck cancer surgeons, laryngologists, and speech language pathologists ensure a well-rounded and comprehensive approach. The text begins with an introduction to cost-effective management in medicine, laying a foundation for the book's primary focus. It concludes with cranial neuropathy radiology considerations and a helpful cost-effective summary with key points. Key Features: Unique algorithms provide clinicians with simple-to-follow, cost-effective methods for managing complex disorders that result in facial nerve weakness, hearing loss, and swallowing problems Pathology-specific chapters cover a wide range of conditions including olfactory disorders, vision disorders, audiovestibular disorders, facial and trigeminal nerve disorders, and spinal accessory nerve disorders Diagnosis and management of cranial nerve disorder symptoms such as vision loss, dysphagia, and dysphonia This excellent resource is a must have for all clinicians who potentially encounter patients with cranial nerve weakness, including primary care and emergency medicine physicians, otolaryngologists, neurologists, and neurosurgeons. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Hearing loss is one the commonest disabling diseases affecting populations of all ages worldwide. The impairment of hearing may be the cause of impaired language development in children, the cause of scholarly issues in adolescents, the cause of worsening of quality of life in the adults, and the cause of isolation of aged people. In this book, the authors present the hearing loss in all its facets, starting from the basis of pathophysiology and anatomy, passing through the clinical and instrumental diagnosis and, finally, describing the most important diseases causing hearing loss with reasonable treatment options. A section was dedicated to the imaging of the ear with about 100 original figures. The readers will find a complete classification of genetic hearing loss and all information related to congenital deafness as well. A wide section was reserved to the description and discussion of the most important pathology leading to hearing loss (Meniere's disease, otosclerosis, trauma and occupational hearing impairment, etc.). The treatment of hearing loss is continuously evolving with the progress of technology, and the authors gave a wide space to describe all treatment options available for the patients, providing all information useful to manage hearing disease correctly.

Genes causing hearing loss display various modes of inheritance, with autosomal recessive being the most common. With so many cases of hearing loss having a genetic etiology, audiologists are certain to encounter these patients on a fairly regular basis. Audiologists who possess basic knowledge about genetics are better equipped to recognize when a genetics referral is warranted, thereby enhancing patient care. In this chapter, it is determined that a genetics evaluation can yield valuable information for patients and their families, such as prognosis, estimates of recurrence risks, and diagnosis of other family members. The second chapter will review causes of revision surgery, how to diagnose cases of failed cochlear implants and will discuss surgical and audiological outcome of revision cochlear implant surgeries, Speech recognition ability with a replacement cochlear implant may significantly increase or decrease from that with the original implant. Experienced cochlear implant patients facing reimplantation must be counseled regarding the possibility of differences in sound quality and speech recognition performance with their replacement device. The purpose of the following chapter is to correlate the results obtained through questionnaires concerning self-reported restriction in social participation and patient satisfaction / benefit with objective time assessment of device use. This is a descriptive, cross-sectional study sample composed of and elderly and non-elderly adults of both sexes diagnosed with hearing loss and approved as candidates for hearing aid fitting at a university hospital. The goal of chapter four is to understand the main features of human posture and how it is possible to analyze it. The aim of this chapter is to investigate the influence of hearing loss and vestibular disorders on body posture. The objective of the concluding chapter was to analyze the auditory brainstem response (ABR) and frequency following response (FFR) in patients diagnosed with Sickle Cell Disease (SCD) who were referred to the outpatient hemoglobinopathy clinic at a public hospital in southern Brazil.

First published almost 17 years ago and in demand throughout, Evaluating Voice Therapy: Measuring the Effectiveness of Treatment was one of the first books to address the need for a robust evidence base for the treatment of functional voice disorders.

Now re-titled, and with a team of expert collaborators, this second edition addresses the major advances in the evaluation of treatment of a range of voice disorders. The book is almost doubled in size and still retains the practical appeal and hands-on value of its predecessor. The book is organized so that voice clinicians and researchers will be able to quickly locate and understand the evidence base for specific client groups. A number of core chapters are retained and re-written and there are five major chapters that identify, summarise and critically appraise the

literature pertaining to voice therapy efficacy for functional voice disorders, vocal nodules, organic voice disorders, unilateral vocal fold paralysis and voice disorders related to Parkinson's Disease.

'This remarkable book serves several purposes. It presents evidence upon which treating therapists may formulate session plans with maximal cost efficacy, while pointing the way to evaluation of the relevant outcomes, in the context of what is already known... [it] offers a comprehensive toolkit: literature appraisal; skills acquisition; highlights of key existing papers; and benchmarks against which to assess one's own practice.'

From the Foreword by Janet A Wilson, B.Sc., MD, FRCS(Ed), FRCS(Eng), FRCSLT(Hon)



'...an invaluable resource.... It provides an extremely logical and coherent approach to this topic [and it] provides a wealth of clearly presented information about the current state of the evidence for voice therapy effectiveness...'

From the Foreword by Robert E. Hillman, Ph.D.



'Voice therapy has come of age, and this book, as well as clearly laying out ways of treatment and research, is a wonderful celebration of this moment in time. I know both serious and casual readers will quickly join the party'.

From the Foreword by Martin Birchall, FRCS.

Skull base anatomy is extremely complex, with vital neurovascular structures passing through multiple channels and foramina. Brain tumors such as pituitary tumors, acoustic neuromas, and meningiomas are challenging to treat due to their close proximity to cranial nerves and blood vessels in the brain, neck, and spinal cord. Medical imaging is an essential tool for identifying lesions and critical adjacent structures. Detecting and precisely mapping out the extent of disease is imperative for appropriate and optimal treatment planning and ultimately patient outcome. Eugene Yu and Reza Forghani have produced an exceptional, imaging-focused guide on various neoplastic diseases affecting the skull base, with contributions from a Who's Who of prominent radiologists, head and neck surgeons, neurosurgeons, and radiation oncologists. The content is presented in a clear and concise fashion with chapters organized anatomically. From the Anterior Cranial Fossa, Nasal Cavity, and Paranasal Sinuses - to the Petroclival and Lateral Skull Base, an overview and detailed analysis is provided for each region. Key Highlights Fundamentals of skull base imaging, including recent developments in diagnostic modalities More than 400 radiographs, color anatomical drawings, and color intraoperative photos elucidate the imaging appearances of a wide spectrum of disease affecting the skull base, as well as important anatomic variants and pathways of disease spread Clinically oriented imaging approach focuses on diagnostic and prognostic features important in the evaluation of skull base abnormalities Atlas of skull base CT and MRI anatomy provides an easy to access, quick reference for identifying important anatomic landmarks Insights on the pathways of tumor growth and the role of clinical imaging in the management of skull base cancers Critical and contrasting viewpoints from multidisciplinary experts provide a well-rounded perspective This invaluable resource chronicles current knowledge in state-of-the-art skull base tumor imaging with clinical pearls on pathophysiology, prognosis, and treatment options. It is a must-have for radiology, neurosurgery, and otolaryngology residents and clinicians who care for patients with head and neck neoplasms.

Tonsillectomy is one of the most common procedures that otolaryngologists perform. Early in residency, most trainees are heavily influenced by their instructors in tonsillectomy technique and rarely revisit these procedures later in training. In practice, their surgical technique reflects these early experiences. Opinions regarding tonsillectomy are often difficult to change, possibly because of this early exposure. In 2000, Dr Peter Kotai described a radical new approach to tonsil surgery: intracapsular tonsillectomy. He questioned why otolaryngologists perform traditional extracapsular tonsillectomy (which was designed for infectious diseases) for children with obstructive symptomatology. As 19th century German philsopher Arthur Schopenhauer wrote, All truth passes through three stages. First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as being self-evident. Intracapsular tonsillectomy is a prime example of this acceptance process. When Kotai first described it, there were very few otolaryngologists who embraced this procedure. Over time, much data has been collected, and this procedure has gained increasing acceptance. This textbook was undertaken with several ideas in mind. First, it reviews the current understanding of tonsil and adenoid surgery in children, along with when to consider intracapsular tonsillectomy (IT) and when to consider extracapsular tonsillectomy (ET). It reviews the last 16 years of information regarding differences in the surgical techniques. Concepts and data supporting the use of the procedures are presented. Secondly, this text will serve as a surgical atlas for those in the beginning of training, those that have mastered many techniques but may have not had exposure to all options, and those that are looking for even more advanced surgical maneuvers that may enhance their results. This will be a new type of surgical atlas, one using different colors to depict basic and advanced techniques. Each photograph demonstrates specific points of the procedures, with basic portions designated in green and more advanced techniques depicted in blue. Full length videos of each technique are also included. The European Experience of Tonsillotomy is not included in this text because there are no centers in the United States experienced with that procedure. Tonsillotomy is described as removing the tonsil tissue to the level of the anterior tonsillar pillar with a CO2 laser. It does not approach the depth of dissection of intracapsular tonsillectomy and therefore provides difficulty with comparisons. The text begins with Dr. Peter Koltai's description of how he developed the concept of intracapsular tonsillectomy. Chapter One, Powered Adenoidectomy, introduces many concepts that are also common to tonsillectomy. Chapters Two - Four describe the authors technique of intracapsular tonsillectomy (IT), as well as those of Dr. Robert Ward (New York University), and Dr. John Bent (Albert Einstein Medical College). In Chapter Five, Drs. Goldstein and Gitman from SUNY Downstate review extracapsular tonsillectomy (ET) and include their interpretation of IT. In Chapter Six, Dr. Nina Shapiro, with Sophie Shay from University of California, Los Angeles, reviews her extensive experience with coblation assisted tonsillectomy, both for extracapsular and intracapsular techniques. In Chapter Seven, Drs. Rubinstein and Derkay from Eastern Virginia University discuss the results of both IT and ET from the perspective of treatment of sleep disturbances and compare the complication rates published over the past 16 years. In Chaper Eight, the recent controversy of post-tonsillectomy pain treatment is presented with recommendations from Drs. David Tunkel and Grace Tan of Johns Hopkins University School of Medicine. Finally, in the last chapter, conclusions are drawn and questions for the future are presented.

Vocal fold scar remains one of the most demanding and, in some ways, frustrating challenges of laryngology and voice therapy. Treatments for this complex condition are inconsistent and often produce suboptimal results. Yet, while hopes for full recovery remain slim, surgical methods and improving technologies, along with improved therapy techniques, have combined to yield better and better outcomes; and further advances are on the horizon. In this new book, Drs Moore and Sataloff have collaborated with world leaders in laryngology and speech-language pathology to compile the latest information on the pathophysiology of vocal fold scar, treatments, procedures and, importantly, look at the promising directions in research. The authors introduce the various causes and sequelae of scar, examine anatomy and pathophysiology, and take the reader through diagnostic procedures. Thereafter, they review pre-operative therapy options and providing practical guidance on surgical methods including medialization, techniques for freeing the epithelium, management of sulcus, grafting, and the use of lasers.The book discusses tissue engineering and newer treatment options, including epidermal growth factor (EGF) and transforming growth factor-beta 1 (TGF-beta1). The book summarises the state of the art in diagnosis and treatment of vocal fold scar and should be valuable for any clinician who cares for the patient with this vexing problem.