TY  - BOOK
AU  - Plural Publishing,Incorporated
TI  - Practical Otology for the Otolaryngologist
SN  - 9781597566360
AV  - RF121 -- .B338 2013eb 
U1  - 617.8059 
PY  - 2010///
CY  - San Diego
PB  - Plural Publishing, Incorporated
KW  - Otology
KW  - Ear -- Diseases
KW  - Electronic books
N1  - Intro -- PART I Evaluating Patients with Otologic Disease CHAPTER 1History and Physical: Dizzy EvaluationWilliam McFeely, Jr. INTRODUCTION Evaluation of the dizzy patient presents a diagnostic challenge. The physician must take an accurate history, and perform a thorough detailed examination. To facilitate this, the physician must demonstrate a systematic approach. After executing a careful history and physical examination, an appropriate diagnosis may be made in the majority of dizzy patients. The histo -- CHAPTER 2Audiologic Testing and InterpretationSandra Porps and John Zappia INTRODUCTION Assessment of the auditory system is an important part of the evaluation of the otologic/neurotologic patient in addition to the history and physical examination. The role of the auditory system and various auditory tests is discussed, including the audiogram, immitance testing, otoacoustic emissions, electrocochleography, and audiometric brainstem response testing. SOUND Sound has a physical and psychoacoust -- CHAPTER 3Vestibular TestingVincent Ostrowski INTRODUCTION A careful and thorough bedside history and neurotologic examination is essential for making an accurate clinical diagnosis in the patient with dizziness. Electronystagmography (ENG), rotary chair test (RCT), and computerized dynamic posturography (CDP) should be considered an important adjunct in the evaluation and management of these patients. The physician must couple the results of the clinical evaluation with the results of vestibular; CHAPTER 4 Pathology of the External Ear Jewel Greywoode and Gregory J. Artz ANATOMY The external auditory canal (EAC) begins at the external auditory meatus laterally and ends at the tympanic membrane (TM) medially. The canal is bordered by the floor of the middle cranial fossa superiorly, mastoid posteriorly, parotid and parapharyngeal space inferiorly, and the temporomandibular joint (TMJ) anteriorly. Derived from the first branchial cleft ectoderm, the EAC develops as a result of apoptotic re -- CHAPTER 5Tympanic Membrane Perforationand TympanoplastyPatrick Antonelli INTRODUCTION Tympanoplasty is by far the most common procedure performed by most otologists and general otolaryngologists who perform ear surgery. Although certain techniques may be used in the majority of cases, excellent outcomes may be achieved with many different techniques. The techniques described in this chapter should be viewed as representative of those that are currently most commonly used. Awareness of the range -- CHAPTER 6 Cholesteatoma Robert Standring, Brian Duff, and Seilesh Babu INTRODUCTION Cholesteatoma is a benign disease, which may behave like a malignancy with erosion of normal structures and high likelihood of recurrence. It occurs when keratinizing stratified squamous epithelium accumulates in the temporal bone resulting in a destructive process that can erode important surrounding structures. This can lead to serious complications, such as conductive hearing loss, dizziness, meningitis and br; CHAPTER 7 Complications of Cholesteatoma and Otitis Media Nouha Alammar and Seilesh Babu INTRODUCTION Otitis media (OM) is one of the most common pediatric diagnoses made in the United States today. The advent of antibiotics in the 1940s revolutionized the clinical picture and treatment of otitis media. In addition, modern radiographic imaging have allowed for earlier diagnosis and treatment. Despite the widespread use of antibiotics and improved imaging, the complications of OM still occur and -- CHAPTER 8Ossicular Chain Reconstruction Travis Pfannenstiel and Dennis Bojrab INTRODUCTION Success in ossicular chain reconstruction (OCR) is achieved when a mobile tympanic membrane and a secure sound-conducting mechanism to the inner ear fluids are present in the absence of infection or cholesteatoma. Further criterion for success may be introduced -- however, in achieving these fundamental goals one produces a healthy ear capable of receiving amplification without the risks associated with chro -- CHAPTER 9Otosclerosis and Stapes SurgeryYoav Hahn and Jack Kartush DEFINITION Otosclerosis is a disease limited to the temporal bone that primarily affects the otic capsule. This process may cause a conductive hearing loss, a mixed conductive-sensorineural hearing loss, or more rarely a sensorineural hearing loss. Suggested etiologies of otosclerosis include hereditary, endocrine, biochemical, metabolic, infectious, traumatic, vascular, and autoimmune. HISTORY Ankylosis of the stapes was first d; CHAPTER 10Paragangliomas of the Temporal BoneMatthew Kircher and Aftab Patni HISTORY Paragangliomas of the head and neck are tumors that are uniquely derived from paraganglionic or glomus tissue. Van Haller, in 1743, is credited with describing the carotid body, but its function was unknown.1 Guild, in 1941,2 identified vascular tissue on the promontory of the middle ear and convexity of the jugular bulb. He documented the histologic appearance and anatomic locations of glomus formations along t -- CHAPTER 11CSF Leak and EncephalocelesChris Linstrom and Raj Murali INTRODUCTION Spontaneous cerebrospinal fluid (CSF) leakage in the temporal bone may occur in childhood and in adult life. In childhood, the most common cause is a congenital labyrinthine malformation within the temporal bone which allows a pathway of communication between the subarachnoid and perilymphatic spaces. The pressure gradient between these two spaces favors not only the flow of CSF between the internal auditory canal an -- CHAPTER 12Electrical Testing of Facial NerveHoward Sander and Seilesh Babu ELECTRODIAGNOSTIC EVALUATION OF THE FACIAL NERVE Patients presenting with complete facial nerve paralysis usually require electrical testing of the facial nerve. Management decisions will be made based on these results -- therefore, a thorough interpretation of these tests needs to be understood. This chapter reviews electrical testing of the facial nerve and present the common disease processes where the testing provides a; CHAPTER 13Acute Facial Palsy: Diagnostic Assessment and TreatmentChris Linstrom and Brian Duff All that palsies is not Bell's. INTRODUCTION The patient presenting with facial paresis or paralysis may at first seem a daunting task to the clinician. A carefully taken history will serve to guide the clinician toward an estimate of the cause and severity of the problem, its investigation, and treatment. This chapter reviews the pertinent anatomy and physiology of the facial nerve and facial movement -- CHAPTER 14Congenital Hearing LossDan Sdrulla and Seilesh Babu IMPACT OF HEARING LOSS Profound hearing loss has an effect on speech and language development, learning ability, reading and arithmetic skills, and eventual income potential. There are approximately 400,000 students who have hearing deficits requiring special learning classes with overall costs estimated at 121 billion.1 INTRODUCTION Early identification of newborn and pediatric hearing loss and appropriate intervention provides the -- CHAPTER 15Cochlear Implants, Osseointegrated Bone Conduction Hearing Devices, and Other Implantable DevicesSeilesh Babu, Paulette McDonald, and Eric Sargent INTRODUCTION The cochlear implant is an electronic prosthesis that stimulates cells of the auditory spiral ganglion to provide a sense of sound to persons with hearing impairment. Although many thousands of patients have now been implanted, these represent only a fraction of the hearing-impaired individuals worldwide who would potentially be; CHAPTER 16TinnitusMichael Hoa and John Zappia INTRODUCTION Tinnitus is relatively common with up to 25% of the population experiencing it for some extended period.1 In addition, tinnitus-like sounds can be observed in a large portion (64%) of healthy, young individuals when placed in a quiet environment for twenty minutes, possibly illustrating that this noise may be a continuum in which its level is below perception in the majority of the population.2 Tinnitus is defined as the perception of so
N2  - Designed as a useful reference for the practicing otolaryngologist, this book is also appropriate for the ENT resident, medical student, physician assistant, nurse practitioner, or physical therapist dealing with dizziness. It contains clinical and surgical pearls for otologic procedures, and covers a range of topics including dizziness, cholesteatoma, and ear infections
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