The title of this book may at first appear to be somewhat restrictive in its use of terminology. However, this is far from the intention of the writer; on the contrary, the following chapters seek to reflect a departure from the traditional segmentally orientated approach to this type of disability. Indeed one reason why the book has been written is the sense of frustration arising out of the largely ineffectual static and structural methodology of remedial work. Alternative titles could have been Disorders of Speech Production, or Neurogenic Speech Disorders, but neither would have encapsulated the essence of the book. Much of the recent research in the neurophysiology of motor control and also in the field of neurolinguistics has been concerned with ways in which intention and planning of movement is effected. Such models are still in their infancy, but it seems the potential value of their application to speech is considerable. In the case of verbal dysp'taxia, for example, we have long since in rather vague terms described it as a disorder of organization and programming without ever stating exactly what may be disorganized or not properly planned. This book does not provide the answer for as yet there is insufficient data on which to work so that formulated theories may be tested and further defined. But as we move from speculative guess-work towards established fact so the likelihood grows of providing more positive help for those who suffer these drastic limitations in communication.

Contemporary laryngology had its beginnings near the close of the 19th century and is probably best exemplified in the work of Morel McKenzie and of Czermak. Subsequent to their pioneering efforts, another surge of interest could be said to have centered about the efforts of the Chevalier Jacksons in the 1920's. After those bold steps, and for almost 40 years, research in laryngology and interest in laryngology continued, but at considerably and increasingly less intense levels, certainly so far as the otolaryngologist population was concerned. In the 1940's Julius Lempert sparked a renaissance in otologic research, deVelopment, and surgery, and exciting new frontiers opened in otology. In our own time, otology remains a large basic and fundamental segment of the otolaryngologic purview, but the flood of new discoveries which followed Lempert, like those which had followed the Jacksons in the 1920's in laryngology, appears to have diminished. When the authors of this publication made acquaintance in the late 1960's, there were approximately 10 centers in the United States for laryngologic research which could be truly designated as voice research facilities. The senior author was at that time instrumental in formulating the major criteria for laboratories to be so designated. In the early 1980's interest in laryngology has revived. At a recent meeting it was possible to list over 40 such laboratories which now were known to the authors over a broad geographic sweep, covering the entire United States.

Hearing From Sensory Processing to Perception presents the papers of the latest International Symposium on Hearing, a meeting held every three years focusing on psychoacoustics and the research of the physiological mechanisms underlying auditory perception. The proceedings provide an up-to-date report on the status of the field of research into hearing and auditory functions.

The 59 chapters treat topics such as: the physiological representation of temporal and spectral stimulus properties as a basis for the perception of modulation patterns, pitch and signal intensity; spatial hearing and the physiological mechanisms of binaural processing in mammals; integration of the different stimulus features into auditory scene analysis; physiological mechanisms related to the formation of auditory objects; speech perception; and limitations of auditory perception resulting from hearing disorders."

Cochlear implants have instigated a popular but controversial revolution in the treatment of deafness. This book discusses the physiological bases of using artificial devices to electrically stimulate the brain to interpret sounds. As the first successful device to restore neural function, the cochlear implant serves as a model for research in neuroscience and biomedical engineering. These and other auditory prostheses are discussed in the context of historical treatments, engineering, psychophysics and clinical issues as well as implications for speech, behavior, cognition and long-term effects on people.

In spite of great advance made by ENT and maxillofacial surgeons as well as radiotherapists to improve therapy of cancer of the oral cavity and oropharynx, it has not been possible in the past 4 decades to raise the chances of patient survival above 40%-45%. However, recent studies with different combination therapies indicate that better results can be expected in the future. In this volume, the current status and results of therapeutic studies are presented by distinguished clinicians in the three disciplines. The book provides up-to-date information and encourages interdisciplinary cooperation.

The Springer Handbook of Auditory Research presents a series of compreh- sive and synthetic reviews of the fundamental topics in modern auditory - search. The volumes are aimed at all individuals with interests in hearing research including advanced graduate students, postdoctoral researchers, and clinical investigators. The volumes are intended to introduce new investigators to important aspects of hearing science and to help established investigators to better understand the fundamental theories and data in ?elds of hearing that they may not normally follow closely. Each volume presents a particular topic comprehensively, and each serves as a synthetic overview and guide to the literature. As such, the chapters present neither exhaustive data reviews nor original research that has not yet appeared in peer-reviewed journals. The volumes focus on topics that have developed a solid data and conceptual foundation rather than on those for which a literature is only beginning to develop. New research areas will be covered on a timely basis in the series as they begin to mature.

Addressing disease of the frontal sinus successfully remains, perhaps, one of the most technically challenging issues encountered by otolaryngologists. The intricate anatomy, combined with a narrow aperture and relatively acute angle of approach, leads to complexity not encountered elsewhere in surgery of the sinuses. This comprehensive volume with contributions by over 30 of the world's leading rhinologists will help to shed light on this difficult topic. Thorough discussions of anatomy and pathophysiology of a variety of frontal sinus diseases provide a background for in-depth chapters on aspects of both medical and surgical management. A variety of surgical approaches are discussed, including the latest endoscopic techniques, as well as more traditional open and microscopic approaches. Heavily illustrated, this volume will be a "must have" for the rhinologist managing disease in the frontal sinus.

Simplified Facial Rejuvenation is divided into sections that include anatomy and anesthesia, classifications, dermatologic procedures, suture lifts, surgical variations of the face, surgical variations of the eyes, brow, neck, lips, nose ear, and scalp, and medical legal aspects. The book presents multiple variations of suture lift procedures to allow the physician to decide which is best. Unique surgical procedures of the face are presented, many of which are techniques of minimal incision facelift. The book brings together the more popular procedures for patients that include simpler methods of facial rejuvenation with less pain, shorter recovery time, lower cost, and fewer complications.

Both the major and minor salivary glands can be the site of a wide variety of diseases and functional disturbances. This monograph covers both the common lesions and conditions of the salivary glands as well as the rare ones. Much attention is given to the problematic complaint of dry mouth and the even more cumbersome diagnostic aspects of Sjogren's syndrome. Emphasis is on the clinical aspects and the management of the various disorders. The vast experience of the authors is reflected in their clear and concise style. The illustrations are well chosen and updated references are provided, where appropriate."

Our common interest in surgery of the vertebral artery was born in 1976, when as residents in the same hospital, we attended an attempt by two senior surgeons to treat an aneurysm of the vertebral artery at the C 3 level. Long discussions had preceded this unsuccessful trial, to decide if surgery was indicated and to choose the surgical route. Finally a direct lateral approach was performed, but access was difficult and correct treatment was impossible, resulting in only partial reduction of the aneurysmal pouch. Following this experience, we decided to seek a regular and well defined approach for exposition of the vertebral artery. Review of the literature indicated some surgical attempts, but the descriptions did not give the impression of safety and reproducibility. No landmark on the described surgical route appeared sufficiently reliable. Henry's anatomical work (1917) gave the only accurate description on vertebral artery anatomy, and it became the basis for our work. When the same patient was referred again one year later, after a new stroke in the vertebro-basilar system, we had behind us repetitive experience on cadavers of an original approach to the distal vertebral artery.

In Videofluorscopic Studies of Speech in Patients with Cleft Palate, Drs. M.L. Skolnick and E.R. Cohn present multiview videofluoroscopy as a technique for the radiological evaluation of speech defects in patients with cleft palate. Dr. Skolnick's invaluable contributions as both the originator and leading authority on the subject are discussed in a concise, clinical fashion. Topics examined include the anatomy and imaging of the velopharyngeal portal; the equipment and techniques of multiview videofluoroscopy; the interpretation of results and various patterns of velopharyngeal closure; Passavant's Ridge and patterns of velopharyngeal closure; normal and abnormal speech production; and the evaluation of test results. This book is the only source which concisely and completely describes the technique and its interpretations for those who need a description of the clinical procedure.

Many books from symposia describe the current status in well established fields of research, where much is known and where the loose ends are only details in the picture. The topic dealt with here does not fall into this pattern. The study of time as a parameter in its own right is difficult, and the loose ends tend to do minate the present picture. Although the book does provide the reader with an overview of the field, its main value is probably to act as a source of "food for thought" for those interested in the function of sense organs and nervous systems as substrates for behaviour. The Introduction is intended to provide the readers of the book with a short guide to the topiCS discussed in the different chapters. The rather detailed Index may help those looking for information on specific topiCS. The Index also explains most of the abbreviations used in the book. The basic idea of the Danavox symposia is to invite a small group of experts to discuss a rather narrow theme in sound communication. The small number of active par tiCipants has the advantage of encouraging intense dis cussions and of avoiding overloading the program. On the other hand, selecting the partiCipants is difficult."

The cerebello-pontine angle has always posed a challenge to the neurosurgeon, the otoneurosurgeon, and the neuroradiologist. Angle masses which are very small and difficult to detect frequently produce symptoms, but may remain silent while growing to exceptional size. The neuroradiologist must have firm knowl edge of the clinical manifestations of the diverse angle lesions in order to tailor his studies to the patients' needs. The majority of angle lesions are benign; thus successful surgery has the potential for complete cure. Angle lesions typically arise in conjunction with vital neurovascular structures, and often displace these away from their expected positions. Large lesions may attenuate the vestibulocochlear and facial nerves and thin them over their dome. Since the nerves often remain functional, the surgeon then faces the need to separate the tumor from the contiguous nerve, with preservation of neurological function. Depending on the exact location and extension of the lesion, resection may best be attempted via otologic or neurosurgical approaches. The neuroradiologist must determine - precisely -the presence, site, size, and extension( s) of the lesion and the displacement of vital neurovascular structures as a guide to selecting the line of surgical attack. Since the arteries, veins, and nerves that traverse the angle are fine structures, the neuroradiologist must perform studies of the highest quality to do his job effectively."

This book is based largely upon a series of articles which originally appeared in Update. The purpose of the series was to give medical practitioners an insight into dental and oral disease. The diagnosis of oral disease is not a subject which receives particular emphasis in most medical curricula and it is almost com pletely absent from many. Postgraduate courses in this field are not generally available to medical practitioners. The prevention and early detection of dental and oral disease can be a very positive contribution to the health of our patients. The dental profession sees only about half the population on a regular basis, though it has been shown that over 99 per cent of the population will suffer from oral disease at some time. This places the burden of responsibility on the shoulders of the medical practitioner. There are many diseases which originate in and are peculiar to the oral cavity. Many systemic diseases have their early visible manifestations in this area. The early detection and identification of disease and deformity of the oral cavity is an important part of diagnosis in the field of general medicine. The book is designed to present basic knowledge about the diseases found in the mouth, which will aid in their early recognition, prompt referral and treatment."

A brilliant collection of colour pictures, augmented by appropriate discussion, describing both common and unusual afflictions. Sections on clinical manifestations, histologic findings, differential diagnosis, and treatment, complemented by significant references, have been written by selected authorities in the field. Dermatologists, dentists, and even primary care physicians will find this an indispensable volume in their practices.

Endoscopic Techniques in Plastic and Aesthetic Surgery comprehensively addresses both the aesthetic and reconstructive aspects of endoscopic surgery as applied to plastic surgery. The editors, renowned pioneers of these techniques, have assembled a group of distinguished contributors to present, step-by-step, the operative strategies for incorporation of endoscopic procedures to the armamentarium of the practicing plastic surgeon. The procedures are precisely and exquisitely rendered by 721 illustrations, including over 300 full color endoscopic views and operative photographs. This book is the essential, definitive source for mastery of these state-of-the-art techniques.

Although speech is the primary behavioral medium by which humans communicate, its auditory basis is poorly understood, having profound implications on efforts to ameliorate the behavioral consequences of hearing impairment and on the development of robust algorithms for computer speech recognition. In this volume, the authors provide an up-to-date synthesis of recent research in the area of speech processing in the auditory system, bringing together a diverse range of scientists to present the subject from an interdisciplinary perspective. Of particular concern is the ability to understand speech in uncertain, potentially adverse acoustic environments, currently the bane of both hearing aid and speech recognition technology. There is increasing evidence that the perceptual stability characteristic of speech understanding is due, at least in part, to elegant transformations of the acoustic signal performed by auditory mechanisms. As a comprehensive review of speech's auditory basis, this book will interest physiologists, anatomists, psychologists, phoneticians, computer scientists, biomedical and electrical engineers, and clinicians.

Although the disease is not very often, every otorhinolaryngologist will experience some patients suffering from vocal fold paralysis.

This is the first and unique book solely devoted to this topic.

Offers step-by-step descriptions and evaluations of the materials and/or methods of well-established techniques and new therapeutic options and approaches.

Written by leading experts: Blitzer is speaker of the American Academy of Otorhinolaryngology and Head and Neck Surgery (AAO-HNS); Sulica, also a speaker of the AAO-HNS, works in his department.

Vocal Fold Paralysis is a clinically useful reference for evaluation and treatment, as well as a summary of current knowledge and investigational approaches.

Not all cochlear implant cases present in a traditional manner, which calls for audiologists to seek a second opinion in more intricate and difficult cases. Complex Cochlear Implant Cases: Management and Troubleshooting offers both new and experienced cochlear implant audiologists the opportunity to tap into the knowledge and experience of skilled colleagues who have handled unique and challenging clinical situations with current or potential implant recipients. The book includes pediatric and adult complex cases pertaining to issues in mapping because of various medical conditions, equipment issues, improper device programming, lack of objective methods, and more. Each case starts with a clinical presentation, audiological testing, device programming, and suggested reading with research-backed references. The addition of questions for the reader offers time for the clinician to work through the case in their mind before providing answers, insights, summary, and key points. In addition to cases, the book also includes information on common methods for troubleshooting, objective measures, and instruction, as well as supplemental information regarding programming electrical-acoustic stimulation (EAS) cochlear implants. Key Features Includes pediatric and adult complex cases Cases are descriptive and offer highly illustrative insights Cases written by experienced cochlear implant audiologists working in high-volume cochlear implant centers in hospital and university settings 125+ figures including audiograms, mapping, and objective measures provide a visual representation to each case, helping the reader rationalize recommendations from leaders in the field "In this book you'll be exposed to a variety of complex cases that will help you improve your clinical skills. You'll learn about practices that clinicians use to alleviate problems and improve outcomes. Some of these practices are standard while many are unique steps you may never have considered." -Terry Zwolan, PhD, CCC-A, Clinical Professor Emerita, Department of Otolaryngoloay, Head & Neck Surgery, Michigan Medicine, Universtiy of Michigan, Ann Arbor

Auditory neuropathy is gaining more attention as new findings come to light and as hearing screening of newborns has been introduced in many countries in the past decade. A compilation of research topics from around the world, this book provides the latest knowledge on the neuropathy of the auditory and vestibular eighth cranial nerves, with valuable information on pathophysiology and genetics, new subtypes, and recent research on cochlear implants in patients with auditory neuropathy, including children. Among the several major sections of the book, one presents neurological cases and another focuses on historical issues. Covering a wide range of related topics, the book provides a wealth of insights on this disease entity and on auditory and vestibular neuropathy in particular. It is a useful and informative reference for all those interested in and concerned with auditory nerve disease, especially for medical students, researchers, and clinicians.

Panoramic radiology systems are currently being used in more practices than at other any time in the past. The practitioner now has decisions to make regarding detector technology selection for image acquisition and must remain informed about appropriate usage. This book is applicable to all panoramic dental images and equipment. It approaches panoramic radiology usage in the context of general and specialty applications.

This Great Ormond Street Handbook provides a stepwise illustrated description of the surgical procedures used for correction of congenital deformities of the auricle. The content features over 600 intraoperative high-quality photographs of every step of each of the surgical procedures in addition to photographs of the preoperative planning and preparation.Chapters and topics covered: Microtia reconstruction, Prominent ear correction, Lop ear, Cryptotia, Stahl's ear, Mirror ear, Cleft earlobe correction, Reconstruction of absent earlobe. Registrars and Residents aswell as more experienced surgeons in the specialties of Plastic Surgery, and Otolaryngology Head & Neck Surgery will benefit from this useful surgical guide.

Osteomyelitis of the Jaws is the first textbook of its kind covering exclusively all aspects of this challenging disease. A clear classification of osteomyelitis of the jaws is provided. Clinical presentation and diagnosis are meticulously described and illustrated. Radiological imaging from conventional radiographs to CT, MRI and PET diagnosis are outlined for all types of osteomyelitis of the jaws. Pathology and Pathophysiology of this disease are described in a clear way. All therapeutic modalities from surgery to antibiotic and hyperbaric oxygen therapy are comprehensively outlined and discussed. Each type of Osteomyelitis of the jaws are additionally described and illustrated in case reports giving this book a very practical approach to the subject."

Recognizing the clinician's need for quick access to a comprehensive and immediately useful presentation of evidence-based material, the authors and editors have condensed the research on the most common otorhinolaryngological complaints into this indispensable volume. Their unique approach color-codes the level of research backing each set of evidence in order to make assessment of the evidence as quick and useful as possible. Each clinical problem is presented with a "color key," letting the physician know the level of evidence available: green (high-level evidence), yellow (low-moderate levels of evidence), or red (major disagreement or only minimal low-level evidence). The content of each chapter is structured in the same manner so the reader quickly becomes accustomed to finding precisely the information needed for each new case.

Featuring sections on general otolaryngology, head and neck surgery, pediatrics, and otology, Evidence-Based Otolaryngology not only presents the research, but gives the clinician immediately applicable recommendations for patient treatment.

To date, more than three thousand brain and skull base tumors, along with various vascular problems, have been treated by using advanced, fully endoscopic, minimally invasive surgical techniques. In this book, Dr. Hrayr K. Shahinian, director of the Skull Base Institute, compiles these techniques. The book is highly specific and amply illustrated. The step-by-step operating room procedures provide a definitive guide to the difficult yet essential art of skull base surgery.