This is the first Q&A-based revision book specifically aimed at candidates sitting the viva component of the FRCS(Plast) examination. It provides a selection of common clinical scenarios presented in a realistic way and presents a guide to answering the FRCS (Plast) questions, as well as advice on how to approach the revision process itself. Crucially, this will help to prepare candidates to organise their thoughts, demonstrate higher order thinking and present a robust answer in the face of grey areas and controversies. The text covers all topics from the syllabus including Trauma, Burns, Facial and Soft Tissue Injuries, Acute Head and Neck Tumours, Cleft and Craniofacial, Congenital anomalies, Facial Palsy, Vascular anomalies, Trunk & Perineal, Skin Cancer, Basic Sciences, Aesthetic, Ethics & Medico-legal, and Consent. Candidates using this book will be able to realistically recreate the exam scenario either in private or in a group setting. This book is equally useful for candidates sitting plastic surgery post graduate exams with equivalent syllabuses to that of the FRCS(Plast) such as the EBOPRAS exam, as well as others. In addition, it also makes an excellent companion for trainees throughout the course of their six-year training rotation, allowing more junior plastic surgery trainees the opportunity to become acquainted with the format and content of the FRCS (Plast) exam. Lastly it may be helpful to consultants who are interested in coaching their trainees in topics other than their subspeciality.

Vertigo, dizziness, and imbalance rank amongst the most common presenting symptoms in neurology, ENT, geriatric medicine, and general practice. These symptoms can originate from many different organs and systems, such as the inner ear, general medical conditions, neurological and psychological disorders. The Oxford Textbook of Vertigo and Imbalance provides an up-to-date summary of the scientific basis, clinical diagnosis, and management of disorders leading to dizziness and poor balance. This textbook is conceptually divided into three sections, detailing the scientific basis, general clinical issues, and specific diseases diagnosed in clinical practice that are responsible for complaints of dizziness and imbalance. Individual chapters address benign paroxysmal positional vertigo, vestibular migraine, vestibular neuritis, stroke, and Meniere's disease. Additional chapters follow a syndrome-based approach and cover multiple conditions, including cerebellar disorders, bilateral vestibular failure and gait, and psychological disorders. The print edition is complemented by an online version, which allows access to the full content of the textbook, contains links from the references to primary research journal articles, allows full text searches, and provides access to figures and tables that can be downloaded to PowerPoint. It serves a useful clinical reference for neurologists, otorhinolaryngologists, audio-vestibular physicians, and senior trainees in those specialties.

Indispensable for all otolaryngologists who see children in their practice, as well as fellows and others in training, Cummings Pediatric Otolaryngology offers comprehensive, state-of-the-art coverage for evaluation and treatment of children with otolaryngologic disorders. The 2nd Edition features revised and updated content and numerous new chapters throughout, making it your #1 resource for the latest information, techniques, and treatments on improving otolaryngologic outcomes for children. Offers expanded discussion of common comorbidities occurring in children as well as challenging clinical problems in both healthy and medically complex children. Includes extensive new content on otology, as well as new chapters on pediatric speech disorders, 22q11.2 deletion syndrome, pediatric cochlear implantation, laryngotracheal clefts, pediatric tracheotomy and decannulation, and more. Covers hot topics such as evaluation and management of pediatric vestibular disorders and ankyloglossia and tight maxillary frenula. Provides detailed, authoritative coverage of every area of head and neck surgery, authored by leading experts in the field and carefully edited by a senior pediatric otolaryngologist, Dr. Marci M. Lesperance. Includes an all-new electronic appendix with supplemental pediatric content from Cummings Otolaryngology Head and Neck Surgery, 7th edition and additional references. Features superb, full-color illustrations throughout. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This clear and concise text covers all the assessable aspects of the ENT curriculum for the FRCS. Although technique and presentation of knowledge will no doubt be attained through viva practice, the comprehensive content ensures that all candidates have the relevant knowledge not only to succeed, but also to excel in their viva examination. Covering both the theoretical and clinical aspects of the examination, as well as other equally critical aspects, including communication skills, clinical examination and miscellaneous sections, this handbook is a high yield revision aid for all surgical trainees in the early stages of their Otolaryngology careers, and simultaneously acts as an emergency information source for those cross-covering the specialty. ENT and Otorhinolaryngology surgical trainees and Residents will find the scope of this guide highly relevant to obtain FRCS accreditation or equivalent.

Written specifically for non-sleep medicine specialists, this one-of-a-kind reference guides you through every aspect of this complex field with authoritative advice from Dr. Meir Kryger and other experts. Vibrantly illustrated in full color, it thoroughly covers the types of patients you're most likely to see in the outpatient setting and brings you up to date with the latest treatment methods, both surgical and non-surgical. Complete coverage of the patients you're most likely to encounter, including special populations such as those with COPD, obesity hypoventilation, pregnancy, neuromuscular disorders, stroke, and more. Specific information on topics of interest to a wide variety of physicians: heart failure and sleep disordered breathing; surgical treatments, including hypoglossal nerve stimulation; oral appliances and the treatment of sleep apnea; home sleep testing; and different types of PAP devices. Ideal for pulmonologists, otolaryngologists, cardiologists, primary care physicians, dentists, and other healthcare providers who encounter patients with sleep and breathing disorders. Full-color illustrations throughout, including a profusely illustrated chapter on physical diagnosis. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

Hearing loss is the most common form of sensory impairment in humans, affecting 360 million persons worldwide. In parallel, tinnitus disorder, the perception of a phantom sound often described as a ringing or buzzing, affects around 10-15% of the general population and interferes with daily life. Hyperacusis, defined as a hypersensitivity to moderate-intensity sounds often co-occurs with tinnitus suggesting a common mechanism of dysfunction for these two perceptual disorders. Whereas some drug candidates are in the process of being developed, nowadays no effective treatment exists to cure hearing loss and tinnitus. The topic of this book was selected with the goal of emphasizing mechanisms that induce hearing loss and tinnitus which lead the selection of promising targets for hearing disorder treatment. Hair cells (HC) are the sensory cells of the inner ear required for both auditory and vestibular functions in all vertebrates. HC are progressively lost during ageing and they are in addition sensitive to physical and acoustic traumas, infectious diseases and chemicals present in commonly used treatments such as anticancer, antimalarial or antibiotics. As adult mammals--including humans--cannot regenerate dead HC, all the possible injury could result in irreversible and permanent hearing loss. It has been shown, however, that a limited capacity to regenerate HC exists in mouse at an early stage of development. The regenerative capacity of HC then appears simply "repressed" in adult mammals, and one could expect it will be possible to re-activate it with an appropriate therapeutic approach which is still to be defined. Immune-mediated inner ear disease has been introduced and accepted as one SNHL pathophysiology; it responds to immunosuppressive therapy and is one of the few reversible forms of bilateral SNHL. Macrophages are always present in the spiral ligament of the lateral wall and are activated in response to various types of stimuli, including noise exposure, ischemia, mitochondrial damage, and surgical stress. Recent studies have also revealed another type of immune cell, called perivascular melanocyte-like macrophages (PVM/Ms), in the stria vascularis. The book will include a review of inflammatory/immune cells in the cochlear lateral wall, the pathways involved in cochlear damage and their potential as therapeutic targets. The final chapter provides an overview of current animal model of tinnitus and hyperacusis. Nowadays no effective treatment exists to cure tinnitus and hyperacusis. One major obstacle to arises from the fact that tinnitus is a subjective phenomenon, the only possible diagnosis relies on self-reports of the subjects. The main constraint of the use of animal models is the subjective character of tinnitus. This chapter describe the advancement in animal models which play an important role in revealing the underlying mechanisms and treatment for tinnitus and hyperacusis.

Visual-Gestural Communication is a truly unique volume in non-language communication devoted to the study of universal gestures, facial expressions, body language, and pantomime. Readers develop the skill and confidence to interact -- sans shared language -- with individuals, such as someone who is deaf or hard of hearing, or who speaks a foreign language. The text and accompanying online resources feature a wealth of icebreakers, sequenced yet modular activities and assignments, as well as resources, student exercises, and teacher-guided tasks that explore aspects and amalgamations of nonverbal communication, theatre, and sign language. It is a tremendous resource for students of visual-gestural communication, sign language interpretation, American Sign Language (and other foreign sign languages), nonverbal communication, theatre, and performance studies, as well as community educators in deaf awareness and advocacy. In addition to the text's vital use in the theatrical arena, it is also applicable to teachers who wish to help their students maximize the use of their facial expressions, gestures, and body language as a prerequisite to learning ASL.

This book provides information and resources to assist in all stages of a client' s implant program, building on a transdisciplinary model of practice. It includes material covering a wide variety of topics including assessment, switch-on, client focused auditory rehabilitation, techniques for telephone training, communication therapy for social interactions, speech-language therapy intervention and psychosocial aspects of implant work. This is a practical text, and should appeal to a range of professionals new to cochlear implants including audiologists, hearing therapists and psychologists while providing the experienced clinician with new insights and fresh materials. The text' s structure makes it ideal as a training tool for students.

The series entitled "Advances in Noise Research" has developed from the European Commission Concerted Action Programme on Protection Against Noise (PAN). The first volume in the series is devoted to the biological effects of noise and covers six main topics: physiological mechanisms, diagnosis, otoacoustic emissions, tinnitus, pharmacology and non-auditory effects in relation to noise.

Improve your hearing, enhance your life With new advice on just-released over-the-counter hearing aids Hearing loss can be frustrating, but in fact it's common and treatable. Hearing Loss For Dummies, written by top experts in the field in collaboration with AARP, walks you through how to get the help you need to clearly hear the sounds of life--whether you're at home, at work, or out and about. And hearing health is critical: Hearing loss can increase your risk of falls and injuries, isolation and depression, and even cognitive decline and dementia. Authors Frank Lin and Nicholas Reed at the Johns Hopkins School of Medicine lay out the steps to hearing health: Understanding how hearing works--and how it changes as we age Finding specialists you can trust Determining whether you need testing and, if so, where to turn Learning practical solutions for hearing better at home, at work, on the phone, and in restaurants and theaters Choosing the right hearing aid, including just-approved over-the-counter hearing aids, and getting them adjusted to work for you Exploring the pros and cons of cochlear implants and other surgical options Covering the costs of hearing health care If you're concerned about your own or a friend or relative's hearing, this is the one book you'll need. For what can seem like a complicated, stressful and lengthy process, Hearing Loss For Dummies tackles the topic head-on and provides you with expert guidance to put your mind at ease on the path to better hearing.

The tremendous amount of work that goes into the diagnosis and subsequent management of a young child with a permanent sensori-neural hearing loss involves both professionals from health and education services and parents. Though it is now widely accepted by professionals that parents should be regarded as full members of the team supporting the hearing-impaired child, many still do not have a clear idea of what this means in practice. The purpose of this book is to share information about this work among all those involved. Written by professionals who have long experience of working in real co-operation with parents and who allow the voice of parents to come through clearly, the book has two main aims. First, to convey in a clear and readable way what professionals do, the language they use, what influences their decision-making and some of the ramifications of hearing impairment; and, secondly, to convey to professionals what it is like to discover that your child has a hearing impairment and to show what professionals can learn from parents about the experience of living twenty-four hours a day with a child who does not hear well.

With chapters from audiology professionals from around the world, Advances in Audiology and Hearing Science presented in two volumes-provides an abundance of information on the latest technological and procedural advances in this ever-improving field. Volume 1 primarily focuses on revised clinical protocols and provides information on new research to help guide decisions and criteria regarding diagnosis, management, and treatment of hearing-related issues. Topics include new clinical applications such as auditory steady-state response, wideband acoustic immittance, otoacoustic emissions, frequency following response, noise exposure, genomics and hearing loss, and more. The volume also includes a section on canine audiology, allowing students and professionals a broader exposure to hearing science.

Gain a clear understanding of the entire spectrum of today's rhinology and anterior skull base surgery with Atlas of Endoscopic Sinus and Skull Base Surgery, 2nd Edition. This thoroughly updated title increases your knowledge and skill regarding both basic or advanced procedures, taking you step by step through endoscopic approaches to chronic sinus disease, nasal polyps, pituitary tumors, cerebrospinal fluid leaks, sinonasal tumors, and more. All-new videos provide real-time guidance for procedures such as endoscopic anterior craniofacial resection, endoscopic approach and removal of orbital tumors, sphenoidotomy, and many more. Covers the full range of modern rhinology and anterior skull base surgery, from septoplasty and sphenoethmoidectomy to extended frontal sinus procedures, endoscopic craniofacial resections and complex skull base reconstructions. Clearly conveys the anatomy and detailed steps of each procedure with concise, step-by-step instructions; visual guidance features high-definition, intraoperative endoscopic photos paired with detailed, labeled anatomic illustrations. Features all-new videos expertly narrated by Dr. Palmer and Dr. Chiu. Includes new content on anterior skull base surgery that reflect new developments in the field. Helps you provide optimal patient care before, during, and after surgery with detailed information on relevant anatomy and surgical indications, instrumentation, potential pitfalls, and post-operative considerations. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

The syllabus for the FRCS (ORL-HNS) is vast, and sound preparation for the exams has traditionally involved assimilating knowledge from a wide range of sources. This book provides a focused guide for exam candidates. More than a question and answer book, this book is a coaching manual. Each section features a combination of model answers, pearls of wisdom, checklists and pointers for further reading. Detailed advice is provided for both Part 1 and Part 2 of the examination. Viva topics that have featured in the exam in recent years have been included. and are supplemented by invaluable editorial contributions from leaders in each of the subspecialties. Trainees frequently comment that exam preparation is an enlightening process and the knowledge gained would have served them well during their time as an ENT registrar or Otorhinolaryngology resident.This book will also serve as a valuable learning tool for trainees as early as ST3 and will facilitate the development of effective and safe clinical practice.

Common forms of preventable hearing loss are drug and noise-induced hearing loss which are believed to be produced by a similar mechanism. The generation of reactive oxygen species appears to be a common mechanism mediating hearing loss produced by these different sources. As such, a number of laboratories have focused their research towards identifying the sources of ROS production in the cochlea following administration of chemotherapeutic agents or noise exposure. This led to the identification of ROS generating enzymes, such as xanthine oxidases, nitric oxide synthase, and NADPH oxidases which are activated and/or induced during the development of hearing loss. A consequence of these findings was the implementation of antioxidants in preclinical studies for the treatment of hearing loss. These antioxidants have provided different levels of protection in animal and human studies, but none of these have been approved by the US Food and Drug Administration for the treatment of hearing loss. More recently, it was shown that noise-induced hearing loss was associated with recruitment of inflammatory cells and mediators in the cochlea. This finding would suggest that noise could produce injury to the cochlea which stimulates local and/or circulating inflammatory cells. A similar finding was observed in the cochlea following administration of the anticancer drug, cisplatin. In addition, our laboratory and others have provided a plausible mechanism by which noise or chemotherapeutic agents could stimulate the inflammatory response. Surprisingly, this mechanism involves ROS activation of transcription factors linked to inflammatory processes in the cochlea. These studies have led to the use of anti-inflammatory agents for the treatment of hearing loss. Preliminary studies targeting inflammatory cytokines appear especially promising in preclinical studies. A primary goal of this project is to describe our current understanding of the oxidant hypothesis of noise and drug-induced hearing loss and show how this relates to cochlear inflammation. Several different aspects of the cochlear inflammatory process will be discussed in detail, ranging from the sources of inflammatory cells, chemokines, inflammatory cytokines, and cochlea resident immune cells. Molecular pathways leading to activation of the local inflammatory process will be highlighted and treatment options will be discussed. The relevance of certain clinically used anti-inflammatory interventions, such as trans-typmanic steroids will also be discussed. Furthermore, we will examine recent patents focusing on the use of anti-inflammatory agents for the treatment of drug and noise-induced hearing loss.

This textbook is a product of William Bennett's work in developing and teaching a course on the physics of music at Yale University to a diverse audience of musicians and science students in the same class. The book is a culmination of over a decade of teaching the course and weaves together historical descriptions of the physical phenomena with the author's clear interpretations of the most important aspects of the science of music and musical instruments. Many of the historical examples are not found in any other textbook available on the market. As the co-inventor of the Helium-Neon laser, Prof. Bennett's knowledge of physics was world-class. As a professor at one of the most prestigious liberal-arts universities in the world, his appreciation for culture and humanities shines through. The book covers the basics of oscillations, waves and the analysis techniques necessary for understanding how musical instruments work. All types of stringed instruments, pipe organs, and the human voice are covered in this volume. A second volume covers the remaining families of musical instruments as well as selected other topics. Readers without a background in acoustics will enjoy learning the physics of the Science of Musical Sound from a preeminent scientist of the 20th century. Those well versed in acoustics will discover wonderful illustrations and photographs depicting familiar concepts in new and enlightening ways.

By far, the most widely used subjects in psychological and biological research today are rodents. Although rats and mice comprise the largest group of animals used in research, there are over 2,000 species and 27 families of rodents, living all over the world (except Antarctica) and thriving in many different habitat types. The vast environmental diversity that rodents face has led to numerous adaptations for communication, including vocalizing and hearing in both the sonic and ultrasonic ranges, effectively communicating in the open air and underground, and using vocalizations for coordinating sexual behavior, for mother-pup interactions, and for signaling an alarming situation to the group. Some rodent species have even developed foot drumming behaviors for communication. Comparative studies from around the globe, using both field and laboratory methodologies, reveal the vast differences in acoustic communication behavior across many rodent species. Some rodents are amenable to training and have been domesticated and bred purely for research purposes. Since the early 1900s, rats and mice have been indispensable to research programs around the world. Thus, much of what we know about hearing and vocalizations in rodents come from these two species tested in the laboratory. The sequencing of the mouse genome in 2002, followed by the rat genome in 2004, only increased the utility of these animals as research subjects since genetically engineered strains mimicking human diseases and disorders could be developed more easily. In the laboratory, rats and mice are used as models for human communication and hearing disorders and are involved in studies on hearing loss and prevention, hormones, and auditory plasticity, to name a few. We know that certain strains of mice retain hearing better than others throughout their lifespan, and about the genes involved in those differences. We know about the effects of noise, hormones, sex, aging, and circadian rhythms on hearing in mice and other rodents. We also know about normal hearing in many families of rodents, including the perception of simple and complex stimuli and the anatomy and physiology of hearing and sound localization. The importance of acoustic communication to these animals, as well as the significance of these mammals to biomedical research, are summarized in the chapters.

The evolution of vertebrate hearing is of considerable interest in the hearing community. However, there has never been a volume that has focused on the paleontological evidence for the evolution of hearing and the ear, especially from the perspective of some of the leading paleontologists and evolutionary biologists in the world. Thus, this volume is totally unique, and takes a perspective that has never been taken before. It brings to the fore some of the most recent discoveries among fossil taxa, which have demonstrated the sort of detailed information that can be derived from the fossil record, illuminating the evolutionary pathways this sensory system has taken and the diversity it had achieved.

This volume will serve as the first Handbook of its kind in the area of hearing aid research, often the least-defined, least-understood, part of the multi-disciplinary research process. Most scientific training is very advanced within the particular disciplines but provides little opportunity for systematic introduction to the issues and obstacles that prevent effective hearing-aid related research. This area has emerged as one of critical importance, as signified by a single specialized meeting (the International Hearing Aid Conference, IHCON) that brings together specialists from the disparate disciplines involved, including both university and industry researchers. Identification of the key steps that enable high-impact basic science to ultimately result in significant clinical advances that improve patient outcome is critical. This volume will provide an overview of current key issues in hearing aid research from the perspective of many different disciplines, not only from the perspective of the key funding agencies, but also from the scientists and clinicians who are currently involved in hearing aid research. It will offer insight into the experience, current technology and future technology that can help improve hearing aids, as scientists and clinicians typically have little or no formal training over the whole range of the individual disciplines that are relevant. The selection and coverage of topics insures that it will have lasting impact, well beyond immediate, short-term, or parochial concerns.

This volume presents a set of essays that discuss the development and plasticity of the vertebrate auditory system. The topic is one that has been considered before in the Springer Handbook of Auditory Research (volume 9 in 1998, and volume 23 in 2004) but the field has grown substantially and it is appropriate to bring previous material up to date to reflect the wealth of new data and to raise some entirely new topics. At the same time, this volume is also unique in that it is the outgrowth of a symposium honoring two-time SHAR co-editor Professor Edwin W Rubel on his retirement. The focus of this volume, though, is an integrated set of papers that reflect the immense contributions that Dr. Rubel has made to the field over his career. Thus, the volume concurrently presents a topic that is timely for SHAR, but which also honors the pioneer in the field. Each chapter explores development with consideration of plasticity and how it becomes limited over time. The editors have selected authors with professional, and often personal, connections to Dr. Rubel, though all are, in their own rights, outstanding scholars and leaders in their fields. The specific audience will be graduate students, postdoctoral fellows, and established psychologists and neuroscientists who are interested in auditory function, development, and plasticity. This volume will also be of interest to hearing scientists and to the broad neuroscience community because many of the ideas and principles associate with the auditory system are applicable to most sensory systems. The volume is organized to appeal to psychophysicists, neurophysiologists, anatomists, and systems neuroscientists who attend meetings such as those held by the Association for Research in Otolaryngology, the Acoustical Society of America, and the Society for Neuroscience.

Insect Hearing provides a broadly based view of the functions, mechanisms, and evolution of hearing in insects. With a single exception, the chapters focus on problems of hearing and their solutions, rather than being focused on particular taxa. The exception, hearing in Drosophila, is justified because, due to its ever growing toolbox of genetic and optical techniques, Drosophila is rapidly becoming one of the most important model systems in neurobiology, including the neurobiology of hearing. Auditory systems, whether insectan or vertebrate, must perform a number of basic tasks: capturing mechanical stimuli and transducing these into neural activity, representing the timing and frequency of sound signals, distinguishing between behaviorally relevant signals and other sounds and localizing sound sources. Studying how these are accomplished in insects offers a valuable comparative view that helps to reveal general principles of auditory function.

Translational Research is the interface between basic science and human clinical application, including the entire process from animal studies to human clinical trials (phases I, II, and III). Translational Research moves promising basic science results from the laboratory to bedside application. Yet, this transition is often the least-defined, least-understood part of the research process. Most scientific training programs provide little or no systematic introduction to the issues, challenges, and obstacles that prevent effective research translation, even though these are the key steps that enable high-impact basic science to ultimately result in significant clinical advances that improve patient outcome. This volume will provide an overview of key issues in translation of research from "bedside to bench to bedside", not only from the perspective of the key funding agencies, but also from the scientists and clinicians who are currently involved in the translational research process. It will attempt to offer insight into real-world experience with intellectual property and technology transfer activities that can help move auditory technologies ahead, as scientists and clinicians typically have little or no formal training in these areas. Translational Research in Audiology and the Hearing Sciences will be aimed at graduate students and postdoctoral investigators, as well as professionals and academics. It is intended to function as a high-profile and up-to-date reference work on Translational Research in the auditory sciences, emphasizing research programs in the traditional areas including drugs and devices, as well as less traditional, still emerging, areas such as sensorineural hearing loss, auditory processing disorder, cochlear implants and hearing aids, and tinnitus therapies.

The International Symposium on Hearing is a prestigious, triennial gathering where world-class scientists present and discuss the most recent advances in the field of human and animal hearing research. The 2015 edition will particularly focus on integrative approaches linking physiological, psychophysical and cognitive aspects of normal and impaired hearing. Like previous editions, the proceedings will contain about 50 chapters ranging from basic to applied research, and of interest to neuroscientists, psychologists, audiologists, engineers, otolaryngologists, and artificial intelligence researchers.