The skull base is a meeting point for anatomical regions, surgical specialties, and surgical philosophies. Skull base surgery is a dynamic subspecialty and the last decade has witnessed the application of endoscopic techniques to the ventral skull base using an endonasal corridor. The transition from external approaches to an endonasal corridor has not been without controversy. In this volume, we explore the nascent field of neurorhinology, a term that emphasizes the multidisciplinary collaboration between neurosurgeons and rhinologic head and neck surgeons. Authors have applied evidence-based medicine techniques to critically evaluate the literature and attempt to answer some of the most important clinical questions. This first of two volumes focuses on the more common pathologies seen by Otolaryngologists in neurorhinology.

Topics include: Spontaneous CSF leaks; Traumatic CSF leaks; Osteoma; Fibrous dysplasia of sphenoid and skull base; Orbital apex and orbit; Endoscopic endonasal transphenoidal resection of pituitary adenomas with adjunctive intraoperative magnetic resonance imaging; Craniopharyngioma; Tuberculum meningioma; Olfactory groove meningioma; Endoscopic endonasal surgery for nasal dermoids; Juvenile nasopharyngeal angiofibroma; Hypothalamic/ pituitary morbidity in skull base pathology

Topics include: History of Allergy;? Epidemiology of Allergy;? Types of Rhinitis;? Differential Diagnosis including Allergy Mimics;? Immunology;? Physical Findings in Allergy;? Diagnosis including lab testing and physical examination;? Associated Conditions and Comorbidities;? Role of Allergy in Serous Otitis Media;? Role of Allergy in Meneire's Syndrome;? Asthma;? Polyposis;? Allergic Fungal Sinusitis;? Treatment - Environmental Controls;? Pharmacotherapy;? Traditional Immunotherapy;? Sublingual (SLIT) Immunotherapy;? The Allergic March;? Surgical Treatment of Allergies;? Inhalant Allergies in Children;? Food Allergies in Adults and Children.

Dizziness comes in many forms in each age group - some specific to an age group (e.g. benign paroxysmal vertigo of childhood) while others span the age spectrum (e.g., migraine-associated vertigo).? This content organizes evaluation and management of the dizzy patient by age to bring a fresh perspective to seeing these often difficult patients.
The pediatric section begins with a review of vestibular embryology and physiology and moves toward a comprehensive discussion of methods - both bedside and in the vestibular lab - to evaluate the child with dizziness, or "clumsiness, concluding with an exploration of the differential diagnosis of dizziness and relevant findings. Dizziness in the adolescent points to migraine headache as a common cause, enumerates treatment strategies for migraine-associated vertigo, and offers guidelines for when to image the adolescent with dizziness.
Adult dizziness is more a compilation of the relevant diagnoses, but the section starts with dizziness that can affect young adults - especially members of our Armed Forces fighting overseas - traumatic brain injury/blast injury. This content also has relevance for patients in
motor vehicle accidents and head injury patients. Medicolegal aspects of evaluation and management of dizzy patients are succinctly
covered in "Evaluation of Dizziness in the Litigating Patient. The final chapter in this section, "Other Causes of Dizziness, ? provides
a very thorough overview of unusual causes of dizziness in the adult population.
Dizziness associated with advancing age is quite common and often multifactorial, as is highlighted in the chapter "Dizziness in the
Elderly. A comprehensive review of the posterior cerebral circulation, transient ischemic attacks, and posterior circulation stroke is
presented in the chapter, "Vertebrobasilar Insufficiency. No coverage of dizziness in the elderly is complete without an exposition of polypharmacy and medication effects.? Other common diagnoses of dizziness in the elderly are thoughtfully reviewed along with a survey
of new and old techniques to rehabilitate the older patient with dizziness or disequilibrium.
Patients presenting with dizziness can harbor serious, if not life-threatening, conditions such as stroke, brain abscess, or severe chronic
?ear disease. At the end of several articles, the reader will find a relevant table - What Not To Miss - a list of clinically significant signs
and symptoms not to ignore, or conditions (differential diagnosis) that may masquerade as that discussed in the chapter but critically
important that the practitioner should not overlook in the evaluation of the patient. Many articles in this edition start with a clinical
scenario so the reader can recognize common presenting symptoms, demographic features, and factors in the medical history that
will aid in making the diagnosis.

Expert guidance on minimizing and managing risks for a wide array of facial procedures The demand for minimally invasive facial procedures has increased exponentially over the past 20 years. In fact, an AAFPRS survey estimated that 80% of cosmetic facial procedures performed by their surgeons in 2019 were minimally invasive. Given the vast number of patients and underqualified practitioners administering facial surgery treatments, complications and poor outcomes are a significant issue. Complications in Minimally Invasive Facial Rejuvenation: Prevention and Management by internationally prominent facial plastic surgeon Paul J. Carniol, renowned dermatologists Mathew M. Avram and Jeremy A. Brauer, and esteemed colleagues fills a gap in the literature. Organized in five sections and 19 chapters, the book starts with discussions of appropriate patient selection, anesthesia considerations, relevant anatomy, and potentially toxic smoke plumes generated by laser treatments and electrocautery. Section two details fillers and fat transfers for volume restoration, neuromodulators to reduce the appearance of wrinkles, and deoxycholic acid to treat submental fat. Section three covers high-energy devices and procedures such as laser resurfacing, chemical peels, vascular and pigment laser and light sources, radiofrequency, and microneedling. The final two sections feature discussion of liposuction and cryolipolysis, followed by the minimally invasive procedures threadlifting, face and neck lifts, hair transplantation, and blepharoplasty. Key Highlights Important insights on avoidance and management of adverse complications such as diplopia, ptosis, deformities, and asymmetry, as well as potentially life-threatening cerebrovascular accidents, visual loss, skin loss, and infection Extensive detailed illustrations and surgical photographs improve visual understanding of anatomical topography High-quality videos enhance knowledge of surgical nuances, potential pitfalls, and preventive measures to avoid problems This is an essential reference for dermatology, plastic surgery, and otolaryngology residents and fellows. Practitioners who specialize in cosmetic dermatology and facial plastic surgery will also find this an invaluable surgical companion. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Topics include: History and physical exam and diagnostic tests and procedures; Oral manifestations of smokeless tobacco use; Infections; Recurrent oral ulcerations; Lichen planus; White lesions; Vesiculobullous eruptions; Common oral manifestations of systemic disease; Oral manifestations of hematologic and nutritional diseases; Burning mouth syndrome; Early detection of premalignant lesions and oral cancer; Taste disorders; Candidiasis

Salivary endoscopy and lithotripsy are completely new, and rapidly emerging medical fields for the United States and North America. Salivary endoscopy is now mainly known in Europe, having been utilized there since the early 1990s. Sialendoscopy can be either a diagnostic or interventional procedure. As a treatment, sialendoscopy is used for blocked salivary glands and is branching out for diagnosis in terms of ductal pathology and treatment of other conditions as well. Diagnostic sialendoscopy can replace most of the radiological examinations of the salivary ductal system. Lithotripsy is used therapeutically for salivary stones. Topics include: Causes, Incidence, and Natural History of Salivary Gland Duct Stones and Obstructions; Radiologic Diagnosis of Salivary Gland and Duct Obstructions; Technology of Sialendoscopy; Basic Sialendoscopy Technique for Salivary Stones; Treatment of Juvenile Recurrent Parotitis and Sjogren's Disease among others.

Topics in this publication include Thyroid Disease and Where the Field is Going; Surgical Anatomy of Thyroid and Parathyroid Glands; Ultrasonography and Thyroid Disease; FNA Cytopathology; Surgical Management of Thyroid Disease; Surgical Management of Cervical Lymph Nodes in Well Differentiated Thyroid Cancer; Management of Locally Invasive Disease; Post-operative Management of Well Differentiated Thyroid Cancer; Reoperation for Recurrent/Persistent Well Differentiated Thyroid Cancer; Molecular Biology and Targeted Therapies for Well Differentiated Thyroid Cancer; Imaging of Parathyroid Glands; Surgical Management of Parathyroid Disease; Considerations for 2-degree and 3-degree Hyperparathyroidism; and Management of Parathyroid Carcinoma; among others.

A unique perspective on neuroendoscopic versus microsurgical techniques from world-renowned neurosurgeons In the last two decades, neuroendoscopy has evolved from a fringe neurosurgical tool to an established subspecialty focusing on the treatment of diverse cranial and spinal diseases. Today, neuroendoscopic technology is widely used to treat supratentorial diseases, skull base pathologies, craniocervical diseases, and spinal pathologies. Despite the expanded use of neuroendoscopy across several subspecialties, its benefits and disadvantages versus those of traditional microsurgical methods remain highly controversial. Contradictory evidence in the neurosurgical literature adds to the surgical decision-making challenges for veteran and novice practitioners alike. Controversies in Neuroendoscopy by Peter Nakaji and Hasan Zaidi fills an unmet need for a book encompassing best practices, patient selection, and limitations and advantages of neuroendoscopic surgical approaches. Each case presents firsthand knowledge of internationally esteemed neurosurgeons, with a moderator, an endoscopic expert, and an expert in traditional microsurgical approaches. The unique discussion of neuroendoscopy versus microsurgery enables readers to compare the benefits and pitfalls of endoscopic and open microsurgical procedures for a wide range of conditions. In-depth comparative guidance on applications of the flexible endoscope, rigid endoscope, 3D endoscope, and high-definition 2D endoscope versus the microscope A full spectrum of neurological conditions across the age continuum with comparative approaches for skull base surgery, pituitary surgery, hydrocephalus, spinal surgery, peripheral nerve surgery, and arachnoid cyst fenestration Radiological imaging and intraoperative photographs enhance cases and provide precise, insightful technical guidance High-quality color illustrations from the skilled medical illustrators at Barrow Neurological Institute reinforce key points and surgical techniques Neurosurgery residents, neurosurgeons, and spine surgeons will all benefit from reading this remarkable book cover to cover, and they will no doubt use it as a go-to resource for specific cases. This book includes complimentary access to a digital copy on https://medone.thieme.com.

This publication presents topics on Head and Neck Ultrasound relevant to the Otolaryngologist. Topics include Head and ultrasound by the Otolaryngologist- why now?; Principles of Ultrasound; Head and Neck Anatomy and Ultrasound Correlation; Ultrasound Interpretation; Scanning Techniques for Head and Neck; Role of Ultrasound in Thyroid Disorders; Parathyroid localization with Ultrasound; Ultrasound-guided procedures for the office; Ultrasound in the pediatric population;? Ultrasound Applications in Trauma/military Settings; Emerging Technology in Head & Neck Ultrasound.

Topics include: Current day incidence of Meniere's disease -IMS data; Endolymphatic hydrops: pathophysiology and experimental models; Physiologic effects on the cochlea in Meniere's disease; Physiologic effects on the vestibular system in Meniere's disease; Audiovestibular testing in Meniere's patients; Clinical hints and Precipitating Factors in patients suffering from Meniere's disease; Hypothetical mechanism for vertigo in Meniere's disease; Meniere's disease and the menstrual cycle; Meniere's disease in the elderly; Allergy and Meniere's disease; Imaging of inner ear in patients with Meniere's disease; Medical and non-invasive therapy for Meniere's disease; In situ therapy for Meniere's disease; Endolymphatic sac shunt, labyrinthectomy, vestibular nerve section in Meniere's disease; Early vestibular rehab in patients with Meniere's disease; The Role of Regenerative Medicine in Meniere's Disease; Genetics (molecular biology) and Meniere's disease.

Topics include: Cilia dysfunction; Innate immunity; Superantigen; Local & systemic IgE; Biofilm; Fungus; Novel topical therapeutics; Systemic therapies in managing sinonasal inflammation; Application of minimal ESS techniques; Role of maximal ESS techniques; Surgical salvage for the non functioning sinus; Quality of life outcomes of FESS; Extended endoscopic techniques for sino-nasal resections; Endoscopic skull base and trans-nasal craniectomy; Evolving materials and techniques for ESS; Rhinologic surgical training.

Topics include: Pre and Intra-operative Maneuvers to Optimize Surgical Outcomes;? Pre-operative CT evaluation to optimize surgical outcomes; Complications in the use of systemic steroids for sinusitis; Post-operative management for the prevention of complications after sinus surgery; Prevention and management of Lacrimal Duct Injury; Prevention and management of Orbital Hematoma; Prevention and management of Medial Rectus Injury; Prevention and management of skull base injury; Prevention and management of arterial injuries in sinus and skull base surgery; Prevention and management of complications in frontal sinus surgery; Prevention and management of complications in sphenoidotomy; Prevention and management of complications in ethmoidectomy; Prevention and management of complications in maxillary surgery; Prevention and management of complications in endoscopic skull base surgery; Prevention and management of complications following septoplasty; Medicolegal issues in endoscopic sinus surgery; Informed Consent Process and Patient Communication after Complications in Sinus Surgery; Malpractice claims in nasal and sinus surgery - a review of cases; 10 Pearls for Safe Endoscopic Sinus Surgery; 10 Pearls for Safe Endoscopic Skull Base Surgery

Recent Advances in Otolaryngology: 9 provides a selection of review articles that present important advances within the field of ENT medicine. Written by renowned experts and covering topics such as stem cells in head and neck cancer, balloon dilation Eustachian tuboplasty and audiovestibular regeneration, Recent Advances in Otolaryngology: 9 is essential reading for trainees and practising ENT surgeons wanting to remain up to date with the latest developments in this field. 10 chapters summarising important recent advances within the field of otolaryngology All topics are written in a practical and clinically relevant manner, further enhanced by the 'key points for clinical practice' sections at the end of each chapter Provides an effective exam revision tool for the DO-HNS, MRCS(ENT) and the FRCS(ORL-HNS) All chapters written by expert authors ensuring authoritative and accurate content Full colour photographs throughout

The key reference dedicated to surgery for cholesteatoma... The cholesteatoma, strictly speaking a cyst and not a cancer, nevertheless shows expansive and destructive growth patterns that may give rise to serious symptoms and consequences, including fatality, not unlike those seen for malignant neoplasms. The great challenge of therapy is to eradicate the pathologic growth while preserving hearing and other critical functions of the middle ear and petrous bone, respecting the proximity of vital neural and vascular structures, and the intricate three-dimensional relationships involved. Mario Sanna's Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma is the ultimate illustrated guide to complete management of the cholesteatoma, including assessment of the full expansion and degree of destruction caused by the growths, and short- and long-term follow-up to assess and treat for recurrence. Key Features Brilliantly illustrated with diagnostic images from otoscopy and radiology, both normal and pathological Step-by-step description of approaches and techniques for the procedures Special coverage of petrous bone cholesteatoma, which is less frequent than other forms but more difficult to diagnose and treat, with introduction and description of a new function-sparing procedure, the subtotal petrosectomy Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma extends Mario Sanna's passionate dedication to excellence in otologic teaching and training into this highly complex surgical area. Practitioners, residents, and fellows will find it indispensable. This book includes complimentary access to a digital copy on https://medone.thieme.com.

The fully updated comprehensive anatomical guide on surgery of the paranasal sinuses and skull base As in the acclaimed prior editions, Endoscopic Sinus Surgery, Fourth Edition focuses strictly on anatomy, 3D reconstruction, and step-by-step surgical techniques. Written by Peter-John Wormald, the richly illustrated text details anatomy and operative treatment of sinonasal conditions such as nasal polyposis, chronic rhinosinusitis (CRS), Samter's triad, eosinophilic mucus CRS, exophthalmos, acute orbital hemorrhage, orbital subperiosteal abscess, and a wide array of tumors. The fourth edition reflects simplified anatomical nomenclature published in 2016 by Wormald et al, including reclassification of cells in the frontal recess and the extent of surgery of frontal sinus surgery (EFSS). This enables clearer understanding of impacted anatomy, most notably the frontal sinus drainage pathways. New and revised evidence-based procedures include the mega-antrostomy and pre-lacrimal approach to the maxillary sinus and use of anterior based pedicled flaps for frontal drillout. Refinements in other surgical techniques include endoscopic medial maxillectomy and resection of sinonasal neoplasms. Anatomy and surgical approaches elucidated through 1,000 images including CTs, illustrations, and diagrams Exquisite dissections by Rowan Valentine, who worked in the anatomy laboratory of the late Albert L. Rhoton Jr., internationally renowned author, educator, brain anatomist, and neurosurgeon Delineation of variations in frontal recess anatomy and difficult regions adjacent to the sinuses provides important surgical guidance Seventy operative videos detail potential anatomical variations seen in the frontal sinuses, ancillary procedures such as DCR, orbital decompression, CSF leak closure, and skull base surgical approaches This classic reference is a must-have for otolaryngologist-head and neck surgeons, as well as residents and fellows seeking a robust tutorial on the latest functional endoscopic sinus surgery (FESS) techniques. It enables 3D understanding of diseased anatomy, associated surgical treatment decision making, and safer surgery.

Endoscopic sinus surgery has quickly become one of the most commonly performed operations in otolaryngology, with over 400,000 cases performed annually. The narrow confines of the sinonasal tract and the complex relationships with adjacent vital structures, demands a high degree of technical precision and provides little room for surgical error. The potential for disorientation during surgery is heightened when surgical landmarks are obscured because of bleeding, extensive disease or previous surgery, and when operating with angled-view endoscopes. Due to the proximity of the orbit and skull base, complications from sinus surgery can be catastrophic. Negative outcomes following endoscopic sinus surgery continue to be a leading cause of malpractice suits against otolaryngologists. It is therefore not surprising, that the introduction and continued proliferation of technological innovations has been met with such robust enthusiasm by the Rhinology community. The application of surgical navigation technology to sinonasal and skull base procedures, as an example, has ushered in a new era of surgical approaches to inflammatory as well as non-inflammatory conditions of this region. The endosopic approaches to the nearby orbit and skull base have expanded in part, due to technological advances; but these novel techniques have themselves also fostered the development of unique instrumentation. This issue of The Clinics appraises new technological developments in endoscopic sinus and skull base surgery and also critically examines recent updates to existing instrumentation. Each of the structured articles within is written by leading experts with extensive experience with the technology. The authors provide a description of the technology and how it works, and analyze the current role of the technology; including an evidence-based review of its impact on clinical outcomes, where appropriate.

Accurately diagnosing the myriad of diseases that can affect the mouth, guiding patients correctly, and offering treatment with competence is a permanent challenge for dental surgeons and health professionals. Often, the diagnosis of these diseases is neglected or wrongly performed. This concise book guides health professionals in clinical decision making in oral diseases, assisting them not only on the diagnosis and treatment of oral and maxillofacial diseases, but also in terms of value and benefit of who treats the condition and, above all, who will be treated. The work provides guidelines formulated by a compilation of specific protocols of conduct, focusing on the scientific evidence and enriched by the authors' critical analyses. The book is divided into eight main sections that include twenty-eight chapters. Most of them have no more than 5 pages and follow the same format to standardize their use. Each chapter begins with a summary of the topic, a brief description of the main disease that fall into this diagnostic category, and their main definitions. Then, the clinical characteristics, ways of making the diagnosis, and a protocol for treatment for each lesion are presented. Additionally, the experienced authors interestingly discuss their perceptions on how to give bad news in the Oral Medicine setting; and the last section is especially dedicated to the dental management of medically complex patients or with little-known diseases, such as Burning Mouth Syndrome and COVID-19. More than 140 high resolution clinical images illustrate the book. Clinical Decision-Making in Oral Medicine targets is designed for health professionals and physicians from various specialties, who are interested in diseases with systemic repercussions that affect the oral and maxillofacial complex and in oral repercussions of treatments for complex diseases such as head and neck cancer. Students in dentistry may also find the book of value.

Both acute and chronic cough are responsible for a significant number of ambulatory medical visits annually. The recent comprehensive understanding that "cough? is a reflection of underlying disease pays tribute to the multifactorial causes, as well recognition of the respiratory and upper digestive tract as a "physiologic unit.? This publication highlights the advances made in managing cough and brings these to otolaryngology practitioners in a concise forum, as well as presenting issues of special interest to laryngologists such as paradoxical vocal fold motion, disordered breathing, irritable larynx, evolution of the vagus as a protective circuit, the importance of cough in deglutition, and surgical interventions. Some of the topics include: The cough reflex, sensory receptors, and neurogenic mediators; Mucus and mucins; Cough and Swallowing dysfunction; Cough due to asthma, cough-variant asthma, and nonasthmatic eosinophilic bronchitis; Occupational, environmental, and irritant induced cough; Pharmacologic management; Unexplained cough; Cough in the pediatric population; and Rhinogenic laryngitis, cough and the unified airway; among others.

Interventional Neuroradiology is a minimally invasive approach in the treatment of vascular diseases of the central nervous system. This exciting new issue of Neuroimaging Clinics, Guest Edited by Dheeraj Gandhi, includes such topics as CT guided percutanous biopsies of the head and neck, dangerous collaterals in the head and neck, and treatment of carotid-cavernous fistulae. This issue is a must-have clinical resource.

A complete review of salivary gland infections for the oral and maxillofacial surgeon. Topics in this issue include epidemiology, microbiology, diagnostic imaging, diagnosis and management of chronic and acute salivary gland infections, salivary gland infections and HIV, viral salivary gland infections, pediatrics, sialoendoscopy, extirpation, and an algorithm for diagnosis and management of salivary gland infections.