This practical ENT reference guide includes over 100 clinical case scenarios, ranging from basic ENT issues to more challenging clinical cases, presented randomly as they would occur in real life. Each scenario includes thought-provoking questions followed by reasoned answers and is superbly illustrated with diagrams and high quality photographs. This is an invaluable text for otorhinolaryngologists in practice and in training, from hospital-based surgeons preparing for higher examinations to established physicians for their continuing professional development.

Revised and expanded for the third edition, this book is both a guide for your first ENT job and a tried and tested revision guide covering all aspects of the MRCS (ENT) OSCE. Written by a team of ENT specialists, the accessible text follows a step-by-step approach with each OSCE station based on the style of past questions. Recent changes in the structure of the examination, together with the nature of the examination in both COVID and post-COVID contexts are included. With over 120 colour images, the guide remains unrivalled as a tool with which to prepare for ENT exams. It is essential reading for candidates of the MRCS (ENT) OSCE and will also aid trainees in preparation for specialty registrar national selection interviews. It is highly recommended for GPs wishing to refresh their knowledge of how to assess common ENT problems and will also be an ideal reference for any junior doctor learning to take histories and examinations in their first ENT post. Finally, it is an invaluable resource for medical students undertaking their ENT attachment and in preparation for final examinations.

The impetus for this volume is the growing awareness within the mental health and larger community of a culturally affirmative model for understanding and assisting deaf people. In contrast to the "medical-pathological" model which treats deafness as a disability, the "cultural" model guides us to view deaf persons in relation to the deaf community--a group of people with a common language, culture, and collective identity. A primary tenant of culturally affirmative psychotherapy is to understand and respect such differences, not to eradicate them.

The contributors to this volume present a practical and realistic model of providing culturally affirmative counseling and psychotherapy for deaf people. The three dimensions of this model have been delineated by the multicultural counseling literature. These dimensions assert that culturally affirmative psychotherapy with deaf persons requires therapist self-awareness, knowledge of the deaf community/culture, and understanding of culturally-syntonic therapeutic interventions.

The first to exhaustively delineate the implications of the cultural model of deafness for counseling deaf people, this book is essential reading for anyone who works in an educational or counseling capacity with the deaf. This audience includes not only psychotherapists, but also vocational, guidance and residence counselors, teachers, independent living skills specialists, interpreters, and administrators of programs for the deaf.

The impetus for this volume is the growing awareness within the mental health and larger community of a culturally affirmative model for understanding and assisting deaf people. In contrast to the "medical-pathological" model which treats deafness as a disability, the "cultural" model guides us to view deaf persons in relation to the deaf community--a group of people with a common language, culture, and collective identity. A primary tenant of culturally affirmative psychotherapy is to understand and respect such differences, not to eradicate them.

The contributors to this volume present a practical and realistic model of providing culturally affirmative counseling and psychotherapy for deaf people. The three dimensions of this model have been delineated by the multicultural counseling literature. These dimensions assert that culturally affirmative psychotherapy with deaf persons requires therapist self-awareness, knowledge of the deaf community/culture, and understanding of culturally-syntonic therapeutic interventions.

The first to exhaustively delineate the implications of the cultural model of deafness for counseling deaf people, this book is essential reading for anyone who works in an educational or counseling capacity with the deaf. This audience includes not only psychotherapists, but also vocational, guidance and residence counselors, teachers, independent living skills specialists, interpreters, and administrators of programs for the deaf.

This book covers all the relevant areas in the laryngology, from basic science to disorders and diseases to in-clinic procedures and the future of laryngology. It is helpful for those who want to learn more about the larynx, its disorders, and therapeutic interventions.

This book provides the reader with a text that encompasses the full range of oral and maxillofacial surgery while also addressing the core competencies necessary for undergraduates and those in basic specialist training.

This book addresses the impact of genetic deafness/hearing impairment on people' s lives and those around them. It includes the perspectives of those who are deaf or hard of hearing as well as those working in the field. Professional topics include genetic counselling, social science, psychology, social work and - within medicine - audiological and ENT medical and audiological paediatrics. These practitioners are both hearing and hearing impaired.

The impact of deafness on children, those of working age and elderly people is discussed highlighting the specific effect of genetic factors. In particular there are chapters on deafblindness and otosclerosis and NF2 (a potentially lethal condition). The Who definitions and ICF are used as a framework for considering the effect on people' s lives of impairment and their participation in society.

This provides a bridge between the medical and social models of disability. Contributors write from both their professional and personal experience in order to try and address some of the issues raised by the real impact of genetic deafness on everyday life and how these can best be tackled by those working in the field.

The third edition of Clinical Audiology: An Introduction provides a comprehensive enhancement of all the introductory material available in previous editions of this stimulating textbook. Students can gain an understanding of the scope of the field of audiology and feel prepared to dive deeper into the subject as they progress through their courses. This essential book, now with even more exciting content and features, focuses on the clinical nature of audiology to familiarize students with the many challenging questions encountered by an audiologist. This textbook is intended primarily for beginning-level students in the fields of audiology and speech-language pathology. It is intended for the first major courses in audiology, whether it be at the undergraduate or graduate level. Whether your goal is to pursue a career as an audiologist or a speech-language pathologist, Clinical Audiology: An Introduction, Third Edition is the most comprehensive, accessible book available to provide you with the clinical understanding to advance in your chosen field. New to the Third Edition: *New Coauthor: Virginia Ramachandran, AuD, PhD *Two new chapters on implantable hearing technology and hearing assistive and connectivity technologies *Updated descriptions of hearing disorders and their causes *Expanded focus on diagnostic approach strategies *Expanded audiological treatment section *Updated hearing aid technology and verification approaches *An introduction to vestibular system assessment Key Features: *Chapter objectives at the beginning of each chapter preview the concepts to be discussed. *End of chapter discussion questions aid students in applying concepts. *End of chapter summaries outline the key points from the chapter improve retention *Margin notes provide key terms and definitions. *Bolded key terms draw attention to important concepts throughout the text. *Clinical notes describe particular techniques students might consider using. *Comprehensive glossary and index

The major aim of this book is to introduce the ways in which scientists approach and think about a phenomenon -- hearing -- that intersects three quite different disciplines: the physics of sound sources and the propagation of sound through air and other materials, the anatomy and physiology of the transformation of the physical sound into neural activity in the brain, and the psychology of the perception we call hearing. Physics, biology, and psychology each play a role in understanding how and what we hear.
The text evolved over the past decade in an attempt to convey something about scientific thinking, as evidenced in the domain of sounds and their perception, to students whose primary focus is not science. It does so using a minimum of mathematics (high school functions such as linear, logarithmic, sine, and power) without compromising scientific integrity. A significant enrichment is the availability of a compact disc (CD) containing over 20 examples of acoustic demonstrations referred to in the book. These demonstrations, which range from echo effects and filtered noise to categorical speech perception and total more than 45 minutes, are invaluable resources for making the text come alive.

Clinics in Developmental Medicine No. 163

Children with craniosynostosis are born with congenital deformities of the face and skull. In severe cases associated problems are common. The child who is not properly cared for can end up blind, deaf and with severe learning difficulties. In addition, they may be left with unacceptable facial deformities. Outside specialized craniofacial units, there is at present nowhere for those involved in primary or secondary care to go for help with the many practical problems that these children present. In this book, a distinguished team of editors have assembled experts in the field to introduce the non-craniofacial specialist to what can be achieved and how they can contribute to the child's welfare. It will be essential reading for paediatricians seeking practical information about the management of these disorders, and for specialists in neurosurgery, ENT, ophthalmology, plastic surgery, maxillo-facial surgery, orthodontics, psychology, genetics, anaesthesia, audiology and speech therapy.

This book provides the basics of cardiac anatomy and physiology and how they relate to the electrocardiogram (ECG). It also provides nursing colleagues with a detailed yet readable introduction to ECG interpretation, supplemented by clinical information about how to act upon their findings.

The Routledge Handbook of Communication Disorders provides an update on key issues and research in the clinical application of the speech, language and hearing sciences in both children and adults. Focusing on areas of cutting-edge research, this handbook showcases what we know about communication disorders, and their assessment and treatment. It emphasizes the application of theory to clinical practice throughout, and is arranged by the four key bases of communication impairments: Neural/Genetic Bases Perceptual-Motor Bases Cognitive-Linguistic Bases Socio-Cultural Bases. The handbook ends with an integrative section, which looks at innovative ways of working across domains to arrive at novel assessment and treatment ideas. It is an important reference work for researchers, students and practitioners working in communication science and speech and language therapy.

Hearing loss is a common chronic condition which is often poorly recognized but can have multiple negative impacts, not just on the lives of those directly affected, but also those living with them. People with impaired hearing may begin a long and uncertain journey involving a number of key stages, from emerging awareness and help-seeking, to diagnosis, adjustment, and self-evaluation. Based on a model of person-centered audiological rehabilitation, this book explains why it is important to understand both patients' own experiences, and those of their communication partners, over time. It focuses particularly on the human dynamics of hearing loss, exploring the broader consequences of hearing loss for the individual, family members, and wider society. In particular the book: gives insight into the patients' and their communication partners' experiences and perspectives through clear and telling first-hand narrative accounts; examines how people understand their own hearing loss, reflect on their experiences with hearing aids - both positive and negative - and evaluate treatment options; considers the changes needed to conversations in order to include all communication partners, whether with impaired hearing or not; and discusses consequences of hearing loss using the International Classification of Functioning, Disability and Health (ICF). With its explicit aim to increase awareness of the need to include the patient and close relatives in the process of rehabilitation, this new text makes an important contribution to further improve evidence-based practice in the field of audiological rehabilitation. An ideal text for audiology, ENT, and nursing students of all levels.

Hearing loss is a common chronic condition which is often poorly recognized but can have multiple negative impacts, not just on the lives of those directly affected, but also those living with them. People with impaired hearing may begin a long and uncertain journey involving a number of key stages, from emerging awareness and help-seeking, to diagnosis, adjustment, and self-evaluation. Based on a model of person-centered audiological rehabilitation, this book explains why it is important to understand both patients' own experiences, and those of their communication partners, over time. It focuses particularly on the human dynamics of hearing loss, exploring the broader consequences of hearing loss for the individual, family members, and wider society. In particular the book: gives insight into the patients' and their communication partners' experiences and perspectives through clear and telling first-hand narrative accounts; examines how people understand their own hearing loss, reflect on their experiences with hearing aids - both positive and negative - and evaluate treatment options; considers the changes needed to conversations in order to include all communication partners, whether with impaired hearing or not; and discusses consequences of hearing loss using the International Classification of Functioning, Disability and Health (ICF). With its explicit aim to increase awareness of the need to include the patient and close relatives in the process of rehabilitation, this new text makes an important contribution to further improve evidence-based practice in the field of audiological rehabilitation. An ideal text for audiology, ENT, and nursing students of all levels.

"Tinnitus: A Multidisciplinary Approach" provides a broad account of tinnitus and hyperacusis, detailing the latest research and developments in clinical management, incorporating insights from audiology, otology, psychology, psychiatry and auditory neuroscience. It promotes a collaborative approach to treatment that will benefit patients and clinicians alike.

The 2nd edition has been thoroughly updated and revised in line with the very latest developments in the field. The book contains 40% new material including two brand new chapters on neurophysiological models of tinnitus and emerging treatments; and the addition of a glossary as well as appendices detailing treatment protocols for use in an audiology and psychology context respectively.

Preparing Deaf and Hearing Persons with Language and Learning Challenges for CBT: A Pre-Therapy Workbook presents 12 lessons to guide staff in hospital and community mental health and rehabilitation programs on creating skill-oriented therapy settings when working with people who don't read well or have trouble with abstract ideas, problem solving, reasoning, attention, and learning. Drawing from the worlds of CBT, current understandings of best practices in psychotherapy, and the emerging clinical specialty of Deaf mental health care, the workbook describes methods for engaging people who are often considered poor candidates for psychotherapy.

This first-of-its-kind volume focuses on the anatomy, imaging, and surgery of the dural venous sinuses and the particular relevance to neurosurgery and trauma surgery. Knowledge of the fine clinical anatomy involved in neurosurgery and skull base surgery has progressed greatly in recent years, and this title reflects new information of particular importance to neurosurgeons, trauma surgeons, neurologists, interventional radiologists, and others who need a complete, up-to-date understanding of this complex anatomical area. Provides thorough coverage of the clinical anatomy of the dural venous sinuses, highlighted by 250 clear, high-quality illustrations and clinical photographs. Covers imaging techniques and surgery in separate chapters following extensive anatomy coverage. Presents the knowledge and experience of recognized experts and authors in the field. Consolidates today's available information and guidance into a single, convenient resource.

Hearing is essential for normal communication. We are able to localise sound with surprising accuracy and can detect time differences as small as the time it takes for sound to pass from the mouth of one person to the ear of another. However, hearing loss is underdiagnosed, poorly understood and a common cause of social isolation. Hearing: An Introduction and Practical Guide provides a basic understanding of the science of hearing, the causes of hearing loss and how hearing loss can be clinically assessed and effectively treated. The book is divided into three sections, beginning with a review of the basic anatomy, physiology and principles of hearing. The second section addresses clinical and audiological assessment of hearing as well as imaging of the ear. The third section features an extensive series of chapters on focused topics covering the range of causes of hearing loss, their management and options for hearing rehabilitation. Clear, concise and comprehensive, Hearing: An Introduction and Practical Guide is an excellent source of information for ENT surgeons, general practitioners and trainees. It presents a quick reference and practical guide for assessing and managing patients with hearing loss.

Otitis media (OM) is the most common diagnosis at medical visits in preschool-age children, and the literature suggests that as many as 80% of children will suffer from at least one episode. Written by acknowledged experts, this is a state of the art reference on the disesase and controversies in the field. Recent important advances in our understanding of predisposition to the disease and vaccine development are described and diagnostic best practices are presented. Otitis Media: State of the Art Concepts and Treatment is for any health care provider who works with children, and their ability to diagnose and appropriately manage OM is therefore an essential skill. The roles of antibiotics, tympanostomy, and surgery in the treatment of OM are carefully examined, with discussion of the impact of guidelines and future directions. Otitis Media: State of the Art Concepts and Treatment is an invaluable source of up-to-date information for all involved in research into OM and its management.

The human species is largely defined by its use of spoken language, so integral is speech communication to behavior and social interaction. Despite its importance in everyday life, comparatively little is known about the auditory mechanisms that underlie the ability to understand language. The current volume examines the perception and processing of speech from the perspective of the hearing system. The chapters in this book describe a comprehensive set of approaches to the scientific study of speech and hearing, ranging from anatomy and physiology, to psychophysics and perception, and computational modeling. The auditory basis of speech is examined within a biological and an evolutionary context, and its relevance to applied domains such as communication disorders and speech technology discussed in detail. This volume will be of interest to scientists, engineers, and clinicians whose professional work pertains to any aspect of spoken language or hearing science.

Designed for trainees at all levels, ENT and Head and Neck Procedures: An Operative Guide provides concise, step-by-step instructions to the core otolaryngology, head and neck, and facial plastics procedures that surgeons are likely to encounter in daily practice. Convenient and portable, this guide provides enough information to allow trainees to perform the operations themselves under appropriate supervision. Concise surgical steps for each procedure are followed by detailed explanations. Clear diagrams and photographs demonstrate the important stages of each operation. Surgeons' tips bridge the gap between the theory and what actually works on the operating table. The book also includes an easy reference table of complications that should be discussed with the patient when obtaining consent. The authors have used their wealth of experience to write a practical guide that that will give trainees the skills as well as the confidence they will need in the surgical arena.

This book represents the first interdisciplinary text on the emerging field of rehabilitative surgery, in which state of the art procedures from multiple surgical specialties are combined. It proposes a completely new framework for understanding, coordinating, and providing treatment for paralyzed or severely neurologically impaired patients and explains the potentially critical impact of surgery in creating a new baseline of functional status, thereby improving the patient's daily life. Every major aspect of reconstructive surgical treatment is considered, including anesthesia, orthopedic surgery, plastic surgery, neurosurgery, general surgery, vascular surgery, and otolaryngology. The most up-to-date and evidence-based surgeries are clearly described and evaluated, with coverage of treatment of pressure sores, placement of feeding tubes, and upper extremity interventions to improve function and hygiene. Cutting-edge protocols are presented for the surgical treatment of severe nerve injuries, spinal cord injuries, and stroke or cerebrovascular accidents, and a first description and evaluation of phrenic nerve repair to assist weaning of paralyzed patients from ventilators is provided. Both surgical and nonsurgical readers will find this book to be an ideal guide and reference.

Developments in the field of hearing health care have been significant over the last five years. This complete revision of Deafness reflects these changes and is not only an updating of the previous information but also adds new areas such as social aspects of deafness and mental health and deafness. The book maintains its original aim to be targeted at a wide range of readers who have a need for information on deafness. It will provide easily digested information for a wide range of professionals who have no experience in the field as well as for lay people such as parents of deaf children and deaf people themselves. As it covers a very wide range of topics in one volume it will also serve as an initial reference work for professionals already working with deaf and hard of hearing people. The 27 chapters are written by experts currently practising in their respective subjects. The chapters describe the nature and number of people with hearing loss, the anatomy and physiology of the ear, causes of deafness and their treatment, the measurement of hearing and screening for hearing loss, hearing loss in children and its diagnosis treatment and management, the effects of ageing and noise on hearing, psychological and psychiatric aspects of deafness, hearing aids and assistive devices, cochlear and other implanted devices.

The common cavity deformity (CCD) of the inner ear is characterized by cochlea and vestibule forming a single cavity. It indicates cochlear implantation (CI) and about 15% to 25% of inner ear malformation. However, complications such as facial nerve injury, penetration of the electrode array into the internal auditory canal (IAC) and electrode displacement are common, leading to unsatisfied outcomes. This book describes the embryology of CCD, preoperative auditory, balance and vestibular evaluation, and electrophysiology and radiology aspect for CCD. In addition, the surgical technique and CI outcomes will be focused. The electrode array design is also a highlight for CCD surgery, and will be discussed in details. Last but not least, the balance and vestibular function research of CCD patients before and after surgery is also thoroughly reviewed. It will be a good reference for otologist and practitioners in related field to understand more about CCD.

A recent study indicates that 20 million people in the United States have significant sensorineural hearing loss. Approximately 95% of those people have partial losses, with varying degrees of residual hearing. These percentages are similar in other developed countries. What changes in the function of the cochlea or inner ear cause such losses? What does the world sound like to the 19 million people with residual hearing? How should we transform sounds to correct for the hearing loss and maximize restoration of normal hearing?
Answers to such questions require detailed models of the way that sounds are processed by the nervous system, both for listeners with normal hearing and for those with sensorineural hearing loss. This book contains chapters describing the work of 25 different research groups.
A great deal of research in recent years has been aimed at obtaining a better physiological description of the altered processes that cause sensorineural hearing loss and a better understanding of transformations that occur in the perception of those sounds that are sufficiently intense that they can still be heard. Efforts to understand these changes in function have lead to a better understanding of normal function as well. This research has been based on rigorous mathematical models, computer simulations of mechanical and physiological processes, and signal processing simulations of the altered perceptual experience of listeners with sensorineural hearing loss. This book provides examples of all these approaches to modeling sensorineural hearing loss and a summary of the latest research in the field.