Manual of Allergy and Clinical Immunology for Otolaryngologists presents the most up-to-date knowledge related to allergy and immunology directed towards the unique needs of otolaryngologists. Many of the clinical conditions treated by otolaryngologists have an allergic or immunologic pathogenesis, including sinusitis, rhinitis and otitis, and otolaryngologists are often required to use allergic methodology in treating these problems. This book is a resource to which physicians can refer to help them manage allergic aspects of common ENT problems and their diagnosis and management.The book begins with an introduction to the fundamental immunologic processes necessary to understand allergic mechanism and diseases and goes on to include food and drug allergies, anaphalaxsis, immune deficiencies, occupational allergic diseases, and tumor immunology, among other topics. Otolaryngologists across all specialties as well as residents will benefit from the current information that focuses on the most important aspects of each topic in a concise, easy to reference format. **From the Foreword: "The fields of allergy, immunology, and otolaryngology are inextricably linked.Immunologic dysregulation is recognized to be the underpinning of a wide variety of diseases of the head and neck, and on a daily basis the practicing otolaryngologist must draw upon principles of allergy and immunology in the diagnosis and treatment of patients. For example, it is a rare patient presenting with a sinonasal complaint in whom consideration of allergic etiologies is not relevant. The otolaryngologist must also have a strong understanding of autoimmune illnesses to recognize the unique array of potential head and neck manifestations associated with autoimmune disease. Equally important, a deeper understanding of immunopathology may be the key to unlocking the mechanisms of major diseases ranging from chronic rhinosinusitis to head and neck cancer. Thus it is imperative for the otolaryngologist to master principles of allergy and immunology in order to provide optimal patient care. The body of knowledge encompassed by allergy and immunology is rapidly evolving and expanding, posing a great challenge for otolaryngologists seeking to keep up with diagnostic and treatment advances in the field.This splendid textbook offers a comprehensive, multidisciplinary encapsulation of contemporary allergy and immunology for the otolaryngologist. Drs. Rosenstreich, Fried, de Vos and Jackman have assembled an illustrious group of authors who have managed to distill the essentials of allergy and immunology for the otolaryngologist without sacrificing scientific content or detail. The reader will appreciate clear elucidation of basic science concepts and the practical translation of basic science principles to the clinical management of otolaryngologic illnesses. Diagnostic and treatment guidelines are presented with a comprehensive and pragmatic approach. This book is essential reading for all otolaryngologists, from trainees looking to grasp the breadth of overlap between otolaryngology and allergy/immunology, to seasoned otolaryngologists seeking to update their fund of knowledge with the latest developments in immunophysiology and clinical treatment. The knowledge gained from this expertly edited volume will benefit our patients tremendously." --Peter H.Hwang, MD, Professor and Chief, Division of Rhinology and Endoscopic Skull Base Surgery, Department of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine

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

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.

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.

The definitive educational resource on the clinical management of hearing disorders in children Pediatric Audiology: Diagnosis, Technology, and Management, Third Edition is fully updated with cutting edge topics reflecting the latest advances in the field. New chapters include hearing and vestibular issues in children, state-of-the-art testing methods for neonates, and longitudinal studies on cochlear implant technology. Renowned experts Jane R. Madell, Carol Flexer and rising stars Jace Wolfe and Erin C. Schafer provide meticulous discussion on all aspects of pediatric audiology-from underlying pathology and testing to medical, therapeutic, and surgical treatments. Pearls and best practices from a cadre of esteemed experts focus on achieving optimal patient outcomes. Key Features Thirty-seven chapters organized by four sections: Hearing Loss: Essential Information, Diagnosing Hearing Disorders in Infants and Children, Hearing Access Technologies for Infants and Children, and Educational and Clinical Management of Hearing Loss in Children Detailed clinical discussion of pediatric audiologic test protocols and the selection and management of technologies The neurophysiology of reading impairment - from theory to management Closed caption videos provide hands-on guidance on clinical testing techniques This richly illustrated edition is essential reading for graduate students in audiology, a robust resource for professors and audiologists who teach and mentor these students, and a go-to field guide for practicing clinicians. Paired with Pediatric Audiology Casebook, this dynamic duo is a must-have reference for trainee and veteran audiologists alike. This book includes complimentary access to a digital copy on https://medone.thieme.com.

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.

Otorhinolaryngologists and Facial Plastic and Reconstructive Surgeons who have focused their energies on functional and cosmetic septorhinoplasty do offer a unique perspective and experience of the surgical management of nasal obstruction, and this perspective is highlighted in this edition. Many of the chapters focus on complex problems related to the septum: treating the caudal septum, a discussion of complications of septal surgery including their avoidance and their management, and when to consider the open rhinoplasty approach to septal surgery. Surgical pearls for septoplasty are also considered. Functional rhinoplasty also naturally receives significant attention in this edition, with consideration of the surgical treatment of the saddle nose, treatment of nasal obstruction in the traumatized nose, treatment of the dorsal deviation, and surgical and non-surgical treatment of the nasal valve. Piriform aperture stenosis, a less common form of nasal obstruction, is also considered. A number of facial plastic surgical case studies round out this edition.

This book provides step-by-step illustrated descriptions of diverse vocal fold injection techniques, including some not previously described. The aim is to provide laryngologists in general, and especially those who are less experienced, with the detailed understanding and guidance needed in order to achieve optimal outcomes. Highly experienced experts describe approaches via the transoral, transnasal, and transcutaneous routes and offer guidance on indications, injection materials, pre- and postoperative care, and the management of complications. Special considerations that must be borne in mind when employing different vocal fold injection techniques, in different settings, are also carefully explained. In offering comprehensive, up-to-date information on this minimally invasive and cost-effective procedure, Vocal Fold Injection will be an essential aid for practitioners.

"Otoacoustic Emissions: Principles, Procedures, and Protocols, Second Edition" is a readable yet comprehensive source of information on otoacoustic emissions (OAEs). OAEs now play an important role in hearing screening and the clinical assessment of children and adults. The text begins with a succinct overview of OAEs and a historical description of their discovery and emergence as a clinical tool."Otoacoustic Emissions" collects the latest information on OAEs from basic research to clinical applications. The book is concise, but comprehensive, and covers the essentials of the subject from innovative and up-to-date perspectives. The second edition features updates across all chapters including current research findings and changing perspectives on OAE taxonomy, as well as new and updated illustrations throughout.The material covered in the book is appropriate for intermediate and advanced students, and ideal for practicing audiologists. With a focus on practical information needed by the clinical audiologist, and an eye to technological developments, authors Dhar and Hall provide an up-to-date, straightforward, and clinically focused source of information on otoacoustic emissions.

Palliative care and otolaryngology - not just for the dying patient; Tinnitus; Chronic sinus disease; Skull base tumor; Pediatric recurrent respiratory papillomatosis; Dizziness, vertigo, imbalance; Progressive hearing loss; Swallowing disorder; Palliative Treatment of Dysphonia and Voice Disorders; Anosmia; Indications for Tracheostomy near the end of life; Pain management in head and neck cancer

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

Despite meticulous attention to details and expert technique, complications resulting from rhinologic procedures can occur during one's professional career. This book discusses real-life complications and why these unfortunate events occur, as well as how best to manage the consequent issues. The text also provides thoughtful strategies to prevent such situations going forward. The book is organized as a series of case-based chapters, each illustrating a complication involving the orbit, the skull base, unexpected bleeding, poor healing, or those relating to intraoperative decision making, and how each was managed by the authors. Each chapter begins with bullet points highlighting key clinical pearls illustrated by that particular case. Written by leaders in the field with decades of experience in sino-nasal procedures, the analysis complements expert opinions with evidence-based published literature and shares experiences related to the most current techniques, devices, and instrumentation. Every otolaryngologist practicing rhinologic procedures will appreciate the candid nature of the discussion and will find enrichment in this shared wisdom. Lessons Learned from Rhinologic Procedure Complications: A Case-Based Review serves practitioners of general otolaryngology as well as resident trainees in this field, explaining how best to identify, diagnose, and resolve a complication during rhinology procedures.

Hearing Assistive and Access Technology provides both fundamental and current information on hearing assistive technologies including FM systems, hearing loop systems, infrared systems, various short-range wireless device communications, as well as other auditory and visual access technologies for individuals who are deaf and hard of hearing. The authors present an overview of the World Health Organization's International Classification of Functioning, Disability and Health framework and how to incorporate concepts from this framework into a needs assessment for assistive and access technologies. This text is ideal for audiologists, rehabilitationists, speech-language pathologists, and disability specialists as it addresses topics such as legal information and product standards, acoustic issues in a variety of environments, telecommunications access, among others. Also provided is a thorough glossary and examples of setting up hearing assistive technologies.

In the treatment of otosclerosis, it is crucial that surgeons be in full command of the many nuances involved in this extraordinarily challenging surgery. Authors Chris de Souza, Marcos V. Goyocoolea, and Neil M. Sperling have written a comprehensive text, Otosclerosis: Diagnosis, Evaluation, Pathology, Surgical Techniques, and Outcomes, for otologic surgeons seeking to provide treatment with the most current surgical techniques. As a guide to performing stapedectomies, this book is a concise and practical aid paired with an invaluable atlas developed by internationally acknowledged experts. These full-color photos and illustrations are effective learning tools for ensuring the best surgical results. Furthermore, the experience and techniques offered by these experts have been gleaned through years of success performing this demanding procedure. The accompanying DVD includes videos that demonstrate a step-by-step approach to performing stapedectomy procedures. The young surgeon studying stapes surgeries will find these videos applicable to challenges specific to this surgery, and seasoned surgeons will find these videos to be a convenient resource.With both theoretical and practical aspects addressed succinctly, yet thoroughly, through contributions from the following acclaimed international experts, Otosclerosis: Diagnosis, Evaluation, Pathology, Surgical Techniques, and Outcomes, will be an authoritative text for years to come: Audrey P. Calzada, MD, Los Angeles, CA John C. Goddard, MD, Los Angeles, CA Robert K. Jackler, MD, Stanford, CA Thomas Linder, MD, Lucerne, Switzerland A. G. Pusalkar, MD, Mumbai, India Christoph Schlegel-Wagner, MD, Lucerne, Switzerland Robert Vincent, MD, Beziers, France Richard J. Wiet, MD, Chicago, IL

Revised edition of: Self-assessment of hearing and related functions / William Noble. 1998. Self-Assessment of Hearing, Second Edition is about self-assessment of hearing loss and related dysfunctions in the various circumstances of clinical and research activity addressed to this aspect of human functioning. The author aims to display the place of self-assessment in the patchwork of audiological appraisal, argue certain positions with respect to the status and significance of self-assessment in research and clinical investigation, and challenge received positions on conceptual and nomenclatural matters. In the opening chapter, the author discusses matters of theoretical debate relevant to the self-assessment approach overall, as well as to technical points from the world of psychometrics, then considers the motive for using self-assessment - in effect, expanding on the above claim about measurement of disability. Chapter 2 focuses on the current WHO scheme and the one it superseded. The related discussion then follows about identifying communication disability, and the limits of normal hearing function.Chapter 3 records the known principal self-assessment measures concerning hearing loss that have emerged to date, plus subsequent published work developing or applying one or more of these scales. Chapter 4 solely focuses on an analysis of one measure, the Speech, Spatial and Qualities of Hearing scale. Chapter 6 covers studies in adults that have included self-assessment measures applied in the case of cochlear implants and in the case of middle-ear implants. In Chapter 7 the author reviews work that has involved one or another self-assessment approach to tinnitus in the context of research inquiry and/or clinical management. The final chapter addresses other areas of audiological and related practice and research where self-assessment has emerged.