This book provides a detailed description of laryngeal procedures performed under topical anesthesia in an office setting. The last two decades have witnessed a major evolution in laryngology practice toward office-based surgery, thus reducing the risk of general anesthesia and containing healthcare costs while also hastening recovery rates from the time of diagnosis. Beginning with a comprehensive review of the anatomy and physiology of phonation, the book then provides systematic assessment of patients with voice dysfunction secondary to structural and functional laryngeal disorders. It offers detailed instructions on patient selection, safety, tolerance, and proper administration of topical anesthesia. The book supplies detailed descriptions of the various surgical techniques commonly used in office-based laryngeal surgery using color illustrations, photographs and videos. Different surgical approaches are presented including transcervical, transnasal and per-oral techniques. The book also supplies a thorough review of the literature on the current status of the most commonly performed office-based laryngeal surgeries including patient care, surgical outcome, and complications. Office-Based Laryngeal Surgery will help laryngologists operating on awake patients in an office setting to be both well-equipped and well-informed.

The third title in the Acadia National Park guide series, Acadia's Carriage Roads covers the history, geology, and biology of the area. It includes practical advice and maps to help visitors get the most from their tours of the roads, whether on foot, by bicycle, or on cross-country skis. With their work-of-art stone bridges, these crushed-rock carriage roads -- the result of decades of effort by philanthropist John D. Rockefeller Jr. -- are known throughout the world for their beauty.

This volume provides an eloquent review of the anatomy and physiology of phonation, the work-up of patients with voice disorders, basic evaluation of wind instrument performance and dysfunction, and a full description of the most common skeletal and non-skeletal dentofacial anomalies, including their means of diagnosis and treatment. This is followed by a comprehensive review of literature on the vocal and acoustic features of affected patients, as well as the special considerations in wind instrumentalists. The effect of orthodontic therapy/ orthognathic surgery on voice, associated upper airway changes, and wind instruments performance is emphasized. The information provided in this book will heighten the patients', therapists', teachers' and physicians' awareness of the vocal characteristics and wind instrumentalists concerns often associated with these conditions. Dentofacial Anomalies: Implications for Voice and Wind Instrument Performance is addressed to otolaryngologists, laryngologists, speech-language pathologists, voice teachers, professional voice users, wind instrumentalists, instrument teachers, arts medicine physicians, physical therapists, orthodontists and other dentists, as well as members of the general public who are concerned about their voices and or wind instrument playing.

This volume provides a comprehensive review of causes of voice changes in athletes and coaches, the clinical presentation of laryngeal dysfunction, and its different treatment modalities. The authors discuss the predisposing factors of these changes including the use of anabolic steroids, and highlight the pathophysiology of voice disorders in sports-occupational voice users who very often need to vocalize outdoors and/or while performing strenuous exercise over noise. Chapters cover the literature on vocal health risk factors in the sports industry; the common phonatory disturbances in athletes, fitness instructors and coaches; sports-related laryngeal trauma; the impact of sports-related musculoskeletal injuries on phonation; vocal fold dysfunction in athletes, as well as the adverse effect of anabolic steroids intake on occupational voice users. An updated, brief review of the anatomy and physiology of phonation, with guidelines on the work-up and treatment of common laryngeal pathologies in patients with voice disorders is included. A well-focused description of the interplay between musculoskeletal injuries, hyperkinetic body behavior, laryngeal hyperfunction and voice disorders in athletes and coaches is also provided, and the prevalence and pathophysiology of exercise-induced laryngeal dysfunction is discussed in depth. The text concludes with a thorough examination of laryngeal trauma in athletes, clinical presentations, diagnostic work-up and management. Voice Disorders in Athletes, Coaches and other Sports Professionals will be a go to resource for otolaryngologists, laryngologists, speech-language pathologists, voice therapists, sports-occupational voice users, sports medicine physicians, and physical therapists.

Choral Pedagogy, Third Edition, is the ideal text for voice teachers, choral conductors, church musicians, and professional and amateur singers who wish to develop strategies for lifelong singing. It concisely and clearly presents the principles of voice pedagogy from the perspective of both conducting and voice science in a user-friendly fashion, including helpful charts and simple anatomic diagrams. In addition, it offers teaching methods from history and philosophy, medical and voice science, and pedagogical concepts from active musical experts. Special attention is given to the needs of amateur singers and conductors. Topics covered include choral diction, posture and seating, rehearsal practices, and matters of vocal health. For the third edition, the authors have completely revised the text, updating the medical information and expanding the exercises. They have also added three new chapters: * A chapter entitled "Singing in the 21st Century" that considers the vocal/choral demands of the choral repertoire being written in this century. * A chapter on teaching young boys to sing written by Vic Oakes, the conductor of the Chattanooga Boys Choir.* A chapter entitled "The Value of Lifelong Singing." With its updates and additions, Choral Pedagogy, Third Edition, is a valuable resource for students of choral conducting, music education, church music, and choral singing.

This book provides a detailed description of laryngeal procedures performed under topical anesthesia in an office setting. The last two decades have witnessed a major evolution in laryngology practice toward office-based surgery, thus reducing the risk of general anesthesia and containing healthcare costs while also hastening recovery rates from the time of diagnosis. Beginning with a comprehensive review of the anatomy and physiology of phonation, the book then provides systematic assessment of patients with voice dysfunction secondary to structural and functional laryngeal disorders. It offers detailed instructions on patient selection, safety, tolerance, and proper administration of topical anesthesia. The book supplies detailed descriptions of the various surgical techniques commonly used in office-based laryngeal surgery using color illustrations, photographs and videos. Different surgical approaches are presented including transcervical, transnasal and per-oral techniques. The book also supplies a thorough review of the literature on the current status of the most commonly performed office-based laryngeal surgeries including patient care, surgical outcome, and complications. Office-Based Laryngeal Surgery will help laryngologists operating on awake patients in an office setting to be both well-equipped and well-informed.

Vocal fold scar remains one of the most demanding and, in some ways, frustrating challenges of laryngology and voice therapy. Treatments for this complex condition are inconsistent and often produce suboptimal results. Yet, while hopes for full recovery remain slim, surgical methods and improving technologies, along with improved therapy techniques, have combined to yield better and better outcomes; and further advances are on the horizon. In this new book, Drs Moore and Sataloff have collaborated with world leaders in laryngology and speech-language pathology to compile the latest information on the pathophysiology of vocal fold scar, treatments, procedures and, importantly, look at the promising directions in research. The authors introduce the various causes and sequelae of scar, examine anatomy and pathophysiology, and take the reader through diagnostic procedures. Thereafter, they review pre-operative therapy options and providing practical guidance on surgical methods including medialization, techniques for freeing the epithelium, management of sulcus, grafting, and the use of lasers.The book discusses tissue engineering and newer treatment options, including epidermal growth factor (EGF) and transforming growth factor-beta 1 (TGF-beta1). The book summarises the state of the art in diagnosis and treatment of vocal fold scar and should be valuable for any clinician who cares for the patient with this vexing problem.

Starting out? Starting over? Never went away? Whether you are a professional, serious amateur, social, or student singer, this is a book you must read, digest and keep with you at all times. Inside are 50 great ways in which you can ruin your singing voice - along with concise, practical and authoritative advice on how to avoid or resolve them From the very real hazards of allergic reactions or respiratory problems caused by stage fog or even scenery paints, to choosing the right singing teacher or even the right career. Whether making an informed decision over a physician and what you tell them, or listening to the "good advice" of others regarding herbal remedies, it is all here: straightforward, accessible information, highlighting common errors of omission and commission, giving you the very best guidance on critical issues that affect the quality and duration of your singing career. Written by a voice team of the highest caliber, and led by Robert T Sataloff, M.D., D.M.A. - himself a singer, teacher and world-renowned laryngologist - this is information you can rely on...and advice you fail to heed at your peril

Laryngeal Manifestations of Systemic Disease synthesizes current knowledge about voice dysfunctions associated with various disorders. The authors review pathophysiology of systemic diseases and their effects on phonation, with summaries of current literature. Clinicians will benefit from the unique case studies, with photos, to supplement various chapters. Difficulty with the voice is often the first manifestation of systemic disease. Because of this, familiarity with laryngeal manifestation of systemic disease is important not only for otolaryngologists and phoniatrists, but also for family practitioners, internists, medical students, physician assistants, nurse practitioners, nurse clinicians, speech-language pathologists, singing voice specialists, acting voice specialists, voice teachers, and others entrusted with the care, education, and health of the human voice. This book is intended for all such professionals, and for patients, particularly professional voice users, who want to know as much as possible about their instrument and conditions that might affect it adversely.

Reflux Laryngitis and Related Disorders, Fourth Edition, provides a practical overview of reflux laryngitis and other manifestations of laryngopharyngeal reflux. It is designed for use by otolaryngologists, primary care physicians, internists, gastroenterologists, general surgeons, speech-language pathologists, voice teachers, and patients. Since the first edition was published, there has been a great deal of interest in laryngopharyngeal reflux. Research has revealed new information; diagnostic and treatment paradigms have changed; and new medical and surgical therapies have been developed. This latest edition highlights these new developments and cites many articles that were not referenced in the third edition. Chapter 1 introduces laryngopharyngeal reflux as a multisystem disorder and defines its importance in otolaryngologic and pulmonary conditions. Chapter 2 summarizes the complex structure and function of the human voice, laying the scientific groundwork necessary to understand the ways in which reflux can impair voice use.Chapter 3 defines esophageal structures and function, providing a comprehensive review of the mechanisms of swallowing and a concise discussion of the physiology of the lower esophageal sphincter. Chapter 4 reviews the symptoms associated with not only typical gastroesophageal reflux disease but also atypical (extraesophageal) reflux including laryngopharyngeal reflux complaints, and other symptoms such as chest pain. This chapter also reviews complications of reflux such as Barrett's esophagus and includes new information on diagnostic technology. Chapter 5 provides a comprehensive discussion of laryngopharyngeal reflux and the symptoms and signs associated with peptic mucositis of the larynx and related structures. This chapter also updates much of the literature on laryngopharyngeal reflux and stresses some particularly important reflux-related conditions such as laryngeal granuloma. Chapter 6 reviews the diagnostic tests available for patients with suspected reflux and the uses, strengths, and shortcomings of each procedure. It includes an extensive review of recent publications on this topic.Chapter 7 reviews the latest concepts in and literature on medical and behavioral management of reflux disease. Chapter 8 describes surgery for reflux, including an in-depth explanation of laparoscopic antireflux surgery as well as a discussion of endoscopic approaches to reflux management.

The third edition of Atlas of Laryngoscopy has been updated and improved upon to present the latest information from experts in the field. Each of the 146 chapters is made up of applicable case studies and color, high-resolution photographs. As the skill of diagnosis remains critical for residents, fellows, practitioners, and academics, the third edition adds new diagnostic information. It also includes new clinical observations. Covering everything from normal vocal fold anatomy to vocal fold cancer to rare traumatic injuries, there is no other book like this in the field. It is a must-have for residents and professors alike.

Packed with images depicting a range of laryngeal pathologies, this text explores the interesting features of many of the more common and clinically important vocal fold abnormalities seen in the clinic.