This atlas gives careful step-by-step guidance for endoscopic sinus surgery. In doing so, it provides exciting firsthand accounts of modern advanced endoscopic sinus procedures. In the first part of the book the surgical anatomy of the nose and sinuses and the basic surgical techniques are described. The second part deals with advanced techniques and postoperative care. The detailed, step by step narratives - integrated with many intraoperative photographs - accurately convey both surgical fundamentals and nuances. For each procedure the authors give a piece of advice ("golden rules"), making it ideal for those who want to implement well-coordinated surgical approaches to sinus disease.

Secondary Rhinoplasty begins with the basic anatomy of the nose that often predetermines which technique is possible and which is realistic. Each region of the nose and its particular anatomy is analyzed and explained as a specific unit and as part of the total aspect of management. Reconstruction of the nose, biologic deteriorations, tumors, the effects of aging, and associated congenital abnormalities are also dealt with. Nothing of substance has been left out, and yet the primary value of this text is the presentation of the most optimal surgical methods of correction.

The research described in this book represents important steps toward understanding the development of inner ear medicine and new perspectives in regenerative medicine, including efficacy in cochlear implants and various other treatments. The book depicts the mechanisms that underlie inner ear diseases, their experimental models, and proposals for new strategies to treat their symptoms. As well, the exciting future prospects for dealing with the very common problem of inner ear diseases are explained. These disorders occur among many people and include sensorineural hearing loss (SNHL), sudden deafness, senile deafness, noise-induced deafness, tinnitus, dizziness-vertigo, and Meniere's disease. In Japan alone, there are more than 6 million deaf patients including those with middle-range deafness. There is currently no effective treatment, and regardless of the underlying cause, the damage has been considered irreversible. However, the results of recent research show that these patients actually can recover. The study of hair cells, spiral ganglion neurons, and stem cells for inner ear diseases such as SNHL, tinnitus, dizziness, and vertigo is at the forefront of regenerative medicine and may provide solutions to some of these problems. The information presented here makes this book a valuable professional reference work for all doctors and researchers in the field of otolaryngology who focus on regenerative treatments for inner ear diseases.

The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is a comprehensive manual on how to properly and compliantly code for both surgical and non-surgical services. It is a practical guide for all otolaryngology providers in the United States, including physicians early in their career requiring a working knowledge of the basics, experienced providers looking to understand the latest updates with ICD-10-CM and CPT changes, related specialists providing otolaryngologic health care, and office administrative teams managing coding and billing. Included are sections on how to approach otolaryngology coding for all sub-specialties in both the office and operating room. Foundational topics, such as understanding the CPT and ICD-10-CM systems, use of modifiers, managing claim submissions and appeals, legal implications for the provider, coding for physician extenders, and strategies to optimize billing, are presented by experts in the field. Focused on a practical approach to coding, billing, and practice management, this text is user friendly and written for the practicing physician, audiologist, speech pathologist, physician extender, and coder. The income and integrity of a medical practice is tied to the effectiveness of coding and billing management. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the upmost importance. The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is vital not only for new physicians but for experienced otolaryngologists. New to the Second Edition: Strategies for integrating 2021 guidelines for coding and documenting office visits New and evolving office and surgical procedures, including Eustachian tube dilation and lateral nasal wall implants Updated coding for endoscopic sinus surgery and balloon sinus dilation Information on billing for telehealth visits Revision of all sub-specialty topics reflecting changes in coding and new technologies Key Features: All chapters written by practicing otolaryngologists, health care providers, practice managers, legal experts, and coding experts Discussion of the foundations of coding, billing, and practice management as well as advanced and complex topics Otolaryngology subspecialty-focused discussion of office-based and surgical coding Tips on how to code correctly in controversial areas, including the use of unlisted codes A robust index for easy reference

The new edition of this book provides an up-to-date and comprehensive overview of whiplash-associated disorders, focusing in particular on a functional approach to clinical and instrumental diagnosis and rehabilitative treatment. It fully reflects the changes in our understanding of whiplash injuries since the first edition, and in particular the increased awareness that whiplash is a whole-body trauma in which forces act progressively from the lumbar region to the brain, through the cervical spine. Detailed attention is paid to the functional connections between the sense organs of the inner ear, the sympathetic system, and the spine with a view to optimizing diagnosis and treatment. It is explained how various treatment options can be employed to best effect in patients with different symptoms, following, but updating, the well-known Quebec Task Force guidelines. Underestimated aspects such as positional vertigo, somatic tinnitus, temporomandibular disorders, and back pain are also considered. This book will be an invaluable tool in everyday clinical practice for all who are involved in the diagnosis and treatment of whiplash injury.

Guidelines, operative techniques, and postoperative management for rhinoplasty of the non-Caucasian nose. Starting with the basics of Black, Hispanic, and Asian nasal anatomy, the book goes on to encompass preoperative nasal evaluation and surgical planning. The author demonstrates his renowned techniques, including those for nasal septum and turbinates, nasal dorsum and bridge, alar rim and nasal base reduction, and the nasal tip. Close to 200 clinical and operative illustrations - 50 in full colour - are backed by important protocols for revision rhinoplasty as well as for the management of risks and complications. A must for all plastic surgeons wishing to add the latest in non-Caucasian nasal refinement techniques to their office practice.

Hearing loss in the pediatric population is often a source of anxiety both for families and health professionals, with current rehabilitation options mainly consisting of hearing aids and cochlear implants. As such, the authors of Sensorineural Hearing Loss: Prevalence, Risk Factors and Treatment present an overview of the causes of progressive hearing loss (both congenital and acquired) and explore the management of this condition. Sensorineural hearing loss, if not properly treated, may likely compromise speech and, consequently, the psychosocial development of the affected child. Therefore, early diagnosis and treatment has a significant impact on the likelihood of hearing rehabilitation and on social development. The authors provide an analysis of the prevalence, stratification of risk factors, and the most appropriate treatment for sensorineural hearing loss. The authors go on to review the role of the gender medicine in the field of audiology. Currently, there is growing interest on the effects of gender differences on the pathophysiology and pharmacology of several disorders; however, there are still few data about the relation between gender-related factors and hearing loss. This compilation also proposes hyperbaric oxygenation as an adjunct therapy in the treatment of sudden sensorineural hearing loss. The authors take into consideration the physiologic, biochemical and cellular effect of oxygenation on the human brain and body. The authors discuss congenital cytomegalovirus infection, the most common cause of nonhereditary sensorineural hearing loss during childhood worldwide. It affects 0.2% to 2.5% of all live-born neonates and the highest incidence occurs in developing countries, where 1% to 5% of all live births can be infected. An overview of hearing loss caused by the Zika virus infection (both congenital and adult) is provided and recent discussion on the management of this condition is explored. First isolated in 1947, Zika virus rose to prominence after its outbreak in Latin America in 2015. Due to a high incidence of microcephaly in the Brazilian northeast, the correlation between Zika virus infection during pregnancy and this congenital malformation was recognized. With 30-35% of people suffering from presbycusis, also known as age-related hearing loss, it is the leading cause of hearing impairment among the elderly. Even though it is a multifactorial disease, its prevalence increases with aging and is higher among men. The authors propose that once age-related hearing loss has been diagnosed, the possibility of benefitting from conventional hearing aids should be taken into account according to hearing test results.

The one-stop guide to microsurgical and endoscopic treatment of skull base lesions from global experts A deep knowledge of regional anatomy, improved understanding of pathologies and their behaviors, technological advances, and multidisciplinary collaboration have led to more effective treatments for once inoperable skull base lesions. Microsurgical and Endoscopic Approaches to the Skull Base: Anatomy, Tactics, and Techniques by renowned skull base neurosurgeons Luis A. B. Borba and Jean G. de Oliveira presents a balanced, anatomy-based perspective on microsurgical and endoscopic approaches to manage these highly challenging lesions. The text leverages the best current scientific literature on this topic and insights from global skull base surgery experts. Organized into 9 sections and 52 chapters, the book starts with discussion of microsurgical and endoscopic instrumentation and neurophysiological monitoring. The subsequent sections cover diverse approaches for skull base lesions involving the sphenoid and parasellar, orbit, anterior fossa, cavernous sinus, temporal bone and jugular foramen, and foramen magnum regions. Each of these sections starts with an introduction, followed by a microsurgical description of the anatomy of the impacted region. Key Highlights Contributions from an impressive group of internationally renowned neurosurgeons and otolaryngologists specializing in skull base pathologies Indications, preoperative and postoperative concerns, nuances, pitfalls, tactics, techniques, and references for further reading provide a comprehensive guide to treatment A stepwise description of the approach, high-quality four-color drawings, and illustrative cases facilitate acquisition and retention of knowledge High-quality figures provide greater visual insights and step-by-step guidance on how to perform specific procedures This unique textbook will help residents, fellows, and practitioners in neurosurgery and otolaryngology make an evidenced-based decision on using the most effective microsurgical and/or endoscopic approach to achieve the best outcomes in patients with skull base lesions. This book includes complimentary access to a digital copy on https://medone.thieme.com.

The aim of this book is to give a short and practical account of the problems related to the ear, nose and throat. The presenta tion is orientated towards arriving at a diagnosis based on the presenting symptoms and signs and aid the management of the case. While it is specifically intended for those who have not had the opportunity of devoting much time to the subject, I hope that it may be of some service to the more experienced practitioner. Padman Ratnesar Farn boro ugh, 1984 7 Series Foreword This series of books is designed to help general practitioners. So are other books. What is unusual in this instance is their collective authorship; they are written by specialists working at district general hospitals. The writers derive their own experience from a range of cases less highly selected than those on which textbooks are traditionally based. They are also in a good position to pick out topics which they see creating diffi culties for the practitioners of their district, whose personal capacities are familiar to them; and to concentrate on contexts where mistakes are most likely to occur. They are all well accustomed to working in consultation.

The latest techniques in utilising ultrapulsed CO2 lasers in aesthetic plastic surgery. Edited by an expert and pioneer in the field, this handy manual teaches practitioners the clinical applications of lasers in facelifts, blepharoplasty, resurfacing of the skin, pigmented lesions, vascular lesions, and sun damage, etc. - including material on surgical "pearls", complications, patient selection and management, together with the advantages and disadvantages of each technique. With over 200 full-colour illustrations, and chapters by top contributors, plastic surgeons, cosmetic surgeons, and dermatologists will all find this to be a valuable resource in becoming skilled in the use of lasers.

This volume of the Keio University International Symposia for LifeSciences and Medicine contains the proceedings of the eleventh symposium held under the sponsorship of the Keio University Medical Science Fund. As explained in the Opening Remarks by the President of Keio University, the fund was established by the generous donation of Dr. Mitsunada Sakaguchi. The Keio University International Symposia for Life Sciences and Medicine constitute one of the core activities sponsored by the fund, the objective of which is to contribute to the international community by developing human resources, promoting scientific knowledge, and encouraging mutual exchange. Each year, the Committee of the International Symposia for Life Sciences and Medicine selects the most significant symposium topic from applications received from the Keio medical community. The publication of the proceedings is intended to publicize and disseminate the information arising from the lively discussions of the most exciting and current issues presented during the symposium. On behalf of the Committee, I am most grateful to Dr. Mitsunada Sakaguchi, who made the symposia series possible. Weare also grateful to the prominent speakers for their contribution to this volume. In addition, wewould liketo acknowledge the efficientorganizational work performed by the members of the program committee and the staff of the fund. Naoki Aikawa, M.D., D.M.Sc., EA.C

In this first volume of the series Update in Plastic Surgery, internationally acknowledged experts give an up-to-date view of the clinical possibilities in plastic surgery which result from video-assisted microsurgery with the endoscope. Advantages and disadvantages are discussed, and reasons are presented why it can be assumed that this technique will be the standard in plastic surgery within a few years.

The International Symposium on Hearing is a highly-prestigious, triennial event where world-class scientists present and discuss the most recent advances in the field of hearing research in animals and humans. Presented papers range from basic to applied research, and are of interest neuroscientists, otolaryngologists, psychologists, and artificial intelligence researchers. Basic Aspects of Hearing: Physiology and Perception includes the best papers from the 2012 International Symposium on Hearing. Over 50 chapters focus on the relationship between auditory physiology, psychoacoustics, and computational modeling.

Historically, disorders of salivary glands tend to be 'underdiagnosed and overtreated'. In the vast body of literature on this subject, emphasis has usually been put on therapeutic modalities of various diseases of the salivary glands. Whereas therapy and pathology have been treated in numerous thorough studies, the (patho )physiology of the salivary glands has remained rather poorly understood. Even less attention has been given to the diagnostic methods. Until a few decades ago, diagnosis consisted mainly of a clinical examin ation which included the patient's history, inspection, and palpation. These methods remain crucial, but a variety of new diagnostic tools have appeared since then. Their clinical value is still subject to controversy; each method has its advocates and opponents. The indications for enrolling a patient at a given point in a series of diagnostic procedures are interpreted differently. One of the most striking examples is the use of sialography. This has become a classic diagnostic procedure. Although sialography is still a useful method, it has considerable disadvantages, limitations, and even contraindications. In the major teaching hospitals, residents still tend to consider sialography as a panacea for the majority of their diagnostic problems, whereas the infor mation provided is actually rather restricted. Other modern methods such as CT and MRI have taken over the role of sialography to a certain extent. This also applies to ultrasonography and scintigraphy. Moreover, microbiol ogy, sialometry, sialochemistry, cytology, and histopathology may give super ior information in certain cases."

This book covers the entire spectrum of cerebellopontine angle lesions, from the most common to the rarest. All aspects are considered, including biological and radiological characteristics, neurological presentation, diagnosis, treatment options and follow-up care. The main focus, however, is on surgical management, which is presented in detail with the aid of numerous figures and images documenting technical particularities. Emphasis is placed on an individualized approach tailored to the particular tumor type and extension pattern. Both novice and experienced surgeons will find the book to be an invaluable source of information and guidance. It will enable neurosurgeons in the initial years of training to understand and become familiar with the main steps in surgical management while simultaneously providing their senior colleagues with details and technical tips that will help to improve treatment results.

The comprehensive nature of this text will appeal To many physicians, the study of sinus disease to a wide range of physicians including generalists, reflects a discipline only slightly less interesting otolaryngologists, and allergists. Family physi than a Johnson and Johnson gauze pad, a pursuit cians, internists, pediatricians, and allergists will followed by dilettanti and eccentric professors. To each profit from having a single source that pro others, it represents a subsection of an undefined vides an in-depth review of topics pertaining to discipline that crosses barriers of internal medi sinus diseases. The otolaryngologist will benefit cine, pediatrics, allergy, chest disease, and oto from having a single text that provides a detailed laryngology. To patients, sinus problems are discussion of the many ancillary medical problems synonymous with headaches and a chronic source of morbidity. Yet few physicians have been pre that influence sinus function and, therefore, surgi cal outcome. We hope that all readers will enjoy the pared, until recently, to do much more than pre international choice of authors whose topics have scribe antibiotics, intranasal steroids, antihistamines, been purposely allowed to overlap in an effort to and commiserate for the misery involved. Fortu provide the broadest possible scope of informa nately, this picture shows significant signs of tion. We expect Diseases of the Sinuses to serve as impending remission. The disciplines of clinical immunology, allergy, and otolaryngology have the foundation of an ever-stronger ongoing effort to combat sinus disease.

For the middle ear to maintain its most important function, sound con duction, its pressure always needs to be kept around atmospheric level. The eustachian tube has long been believed to be the only organ playing the important role of pressure regulation of the middle ear. However, several phenomena that cannot be explained solely by reference to eustachian tube function have gradually emerged. For instance, otitis media with effusion cannot always be produced experimentally by selectively eliminating the ventilatory function of the eustachian tube by excising the tensor veli pala tini muscle and the hamulus pterygoideus. Also, most cases of otitis media with effusion (OME) in children can heal in spite of persistently poor tubal function even in the convalescent stage. In recent decades, gas exchange in the middle ear, particularly through the mastoid mucosa, has gradually come to light as another ventilation or pressure-regulation system for the middle ear. Although numbers of studies have revealed important information about the physiology and patho physiology of this function, there have been only a few studies related to gas exchange that directly contributed to the field of clinical otology by clarifying the pathogenesis of otitis media or to improving its treatment. One of the biggest reasons for the paucity of studies appears to be lack of an appropriate clinical method for assessing the gas exchange function."

For the beginner or for the accomplished sinus surgeon, mastering the anatomy of the lateral nasal wall is an ongoing challenge. Even though there are excellent standard anatomical references and equally outstanding sinus courses with cadaver dissection, a reference depicting the surgical anatomy is needed. A step-by-step surgical approach on the anterior nasal spine to the anterior wall of the sphenoid is presented. The sinus surgeon is confronted with a wide range of different spaces created by the ethmoid bone. No other bone in the human body has so many anatomical variations. Four critical anatomical structures are emphasized as the foundation for a precise approach to surgery of the maxillary, anterior ethmoid, frontal, and posterior ethmoid sinuses. The goal of this book is to meet the tremendous challenge of offering an anatomical approach which will serve the sinus surgeon of every level of experience and expertise.

This work reviews the basic concepts of immunology and introduces the reader to the latest findings on immunological aspects of diseases of the head and neck. In the past two decades, there has been an explosion of new knowledge in immunology. The contributors to this volume, all of whom have been active in clinical and basic research, describe how recent discoveries in immunology play an increasingly vital role in the understanding and care of patients with head and neck diseases. An important teaching tool for the resident in training and a valuable reference work for physicians in practice, this book will be of special interest to otolaryngologist-head and neck surgeons, surgical oncologists, pediatricians, allergists, rheumatologists and edu cators desiring an advanced text in the field. Jacques F. Poliquin, MD Allen F. Ryan, PhD Jeffrey P. Harris, MD, PhD INTRODUCTION Immunology has been traced back at least to 1000 AD. when the Chinese discovered that the inhalation of smallpox crusts had some value in prevention of the disease. However, immunology as a science has developed almost entirely within the last 100 years."

In the past two decades the radiological investigation and imaging of paranasal sinus disease has been revolutionised by the introduction of two new techniques: magnetic resonance and computerised tomography. These have made the diagnosis and localisation of neoplastic and non-neoplastic disease a far more exact process and they have completely replaced con ventional pluridirectional tomography as a means of augmenting the initial plain radiographic examination of the paranasal sinuses. The recent introduction into clinical practice of the paramagnetic contrast agent gadolinium DTPA has extended further the range of magnetic resonance in the demonstration of naso-sinus disease. The account which follows is an attempt to summarise present knowledge in this division of otorhinolaryngology imaging. The format of the chapters has been arranged in two halves: the initial nine chapters are concerned with investigative techniques and non-neoplastic disease. while the second half of the book is entirely devoted to benign and malignant tumours. The latter chapters are arranged according to the nomenclature proposed by my two ex-colleagues. Professor I. Friedmann and the late Dr D. A. Osborn. in their book The Pathology of Granulomas and Neoplasms of the Nose and Paranasal Sinuses (Churchill Livingstone. 1982)."

"Principles of Deglutition" is the first in class comprehensive multidisciplinary textbook to encompass the entire field of normal and disordered deglutition. It is designed as the definitive text for all those who desire to further their knowledge of the dynamic and expanding field of deglutology. The text is created to serve as a treasured reference for clinicians, educators and trainees from such diverse backgrounds as gastroenterology, speech language pathology, otolaryngology, rehabilitation medicine, radiology and others.

"Principles of Deglutition" brings together the state-of-knowledge from 12 disciplines involved in dysphagia through contributions of over one hundred thought leaders and master clinicians for the benefit of patients and providers alike. It concisely organizes the wealth of knowledge that exists in each of the contributing disciplines into one comprehensive information platform.

"Principles of Deglutition" provides a one-stop destination for members of all specialties to obtain state-of-the-art and critically reviewed information regarding deglutition physiology, pathophysiology, diagnosis and management. It delivers a comprehensive and in depth review of deglutition related cerebral cortical, brainstem, peripheral nerves, and neuromuscular mechanisms, advanced diagnostic modalities and standard of care and cutting edge medical, rehabilitative and surgical treatments. It is an essential reference for all deglutologists.

In their preface, the authors highlight the great social and medical importance of hearing loss in the elderly, an ever-increasing prob lem. It is, therefore, most appropriate that a monograph, devoted to research in this field, features as an addition to the Bloomsbury Series in Clinical Science. Written by two leading authorities, the book reviews the past and present literature, details the clinical aspects and considers the electrophysiological and histopatho logical issues basic to the overall problem. It continues the high standard and excellence fostered by previous issues in the Series. London, August 1990 Jack Tinker Preface The number of very old people in the community is steadily increasing so the hearing loss that many of them endure has become a disorder of social and medical importance. Only by a greater scientific knowledge of old age deafness can there be any possibility for improvement in the care offered to its sufferers.

This manual is conceived as an aid to AO course participants both in grasping theoretical principles and in performing practical exercises, as well as a practical guide for clinicians in the application of AO principles. These principles are discussed in Part I and related to notions of stability, biomechanics, and technique. In addition to interfragmentary fixation and load bearing, the technique of external fixation is explained. The use of rigid external fixators with the mandible is proposed as a replacement for pin fixation, which has been obsolete for over two decades. Part II is a practical guide to the theoretical principles set forth in the first section of the volume, with the focus on case studies classified according to fracture type. This section provides a solid empirical basis of particular value in establishing indications and selecting appropriate techniques. Equally important is the anatomy of surgical points of access. In Part III, the increasing variety of indications for rigid internal fixation is confirmed. Three areas take on particular relevance here: the surgical treatment of pseudarthrosis, the by-pass of primary defects as an integral part of mandibular tumor surgery, and sagittal splinting and condylar replacement for orthopedic interventions involving the locomotor system of the mandible. A foldout entitled "AO Classification of Mandibular Fractures" is inserted at the back of the book. Its purpose is to help the clinician confronted by an acute case to determine its classification.