This quick reference guide to ear, nose, and throat questions is easy to navigate to search for specific diseases. The book breaks down each branch of the specialty of otolaryngology and enables readers to easily find the body system they are interested in. The outline style also allows readers to quickly search a page for the information they need… This is a very useful book. I plan to use it regularly and I would recommend it to colleagues.’– Doody’s Medical Reviews
The only text of its kind for practicing clinicians, Quick Reference Guide: Otolaryngology is a comprehensive, quick-access reference written specifically for nurses, physician’s assistants, and medical students. Not only is it useful as a pithy reference guide for clinicians, it is a learning system designed to foster retention and comprehension, and an in-depth review for written boards and ENT certification. The book is authored by a nurse practitioner with two practicing otolaryngologists, who are among the most highly respected professionals in their fields, as consultants.
The guide is consistently organized by anatomical region and contains, for each topic, easy-to-follow tables, charts, diagrams, and algorithms to guide in the work-up, differential diagnosis, diagnostic methods, medical therapy, and treatment alternatives. The text includes procedure protocols used in clinical settings and staging criteria for common cancer diagnoses. Another important feature is the guide’s overview of surgical management for specific conditions. Topics are covered on a 'need-to-know’ basis for written boards and certification review.
Key Features:
- Provides key differential diagnosis guidelines
- Includes fifteen 'how-to’ Procedure Protocols used in clinical settings and Staging Criteria for eight of the more common cancer diagnoses
- Presents Overview of Surgical Management for specific conditions
- Serves as a concise reference guide and review for written boards and ENT certification
- Designed for clinicians in general practice, those entering the ENT field, and for use as a diagnosis guide for referral purposes
- Includes six videos illustrating actual procedures, including nasal endoscopy, flexible laryngoscopy, and others
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Preface ix
1 . Physical Examination Documentation of Normal and Abnormal
Findings From the Ear, Nose, and Throat Examination 1
Procedure Protocol: Pneumatic Otoscopy 5
Procedure Protocol: Rinne and Weber Tuning Fork Tests 7
Procedure Protocol: Nasal Endoscopy 11
Procedure Protocol: Evaluating the Nasopharynx With Indirect
Mirror Examination 12
Video 1.1: Nasal endoscopy
Video 1.2: Flexible fi beroptic laryngoscopy
Procedure Protocol: Flexible Fiberoptic Laryngoscopy 22
Procedure Protocol: Evaluating the Larynx With Indirect
Mirror Examination 23
2. Ear, Nose, and Throat Anatomy and Physiology Normal Findings 33
3. Physical Examination of the Cranial Nerves for the Head and Neck 61
4. Evaluation and Management of Facial Nerve Conditions 89
5. Evaluation and Management of Hearing and Tinnitus 101
6. Evaluation and Management of External Ear Conditions 129
Procedure Protocol: Ear Cleaning 134
Procedure Protocol: Otowick Insertion 134
7. Evaluation and Management of Middle Ear Conditions 149
Procedure Protocol: Myringotomy With and Without Tympanostomy
or Pressure Equalizer Tube Insertion 160
Procedure Protocol: Paper Patch Myringoplasty 166
8. Evaluation and Management of Inner Ear Conditions 179
Procedure Protocol: Epley Maneuver 190
9. Evaluation and Management of Olfactory Disorders 201
10. Evaluation and Management of the NoseóExternal Conditions 209
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11. Evaluation and Management of the Nasal Cavity and Paranasal Sinuses 215
Procedure Protocol: Silver Nitrate Cauterization for Epistaxis 229
Procedure Protocol: Nasal Packing for Epistaxis 230
Staging Criteria: How to Read and/or Determine Cancer Staging 242
Staging Criteria: TNM Staging System for the Nasal Cavity and
Paranasal Sinuses 243
12. Evaluation and Management of Nasopharynx Conditions 249
Staging Criteria: TNM Staging System for the Nasopharynx 253
13. Evaluation and Management of Oropharynx Disorders 255
Procedure Protocol: Needle Drainage and Incision and Drainage
of a Peritonsillar Abscess 272
Procedure Protocol: Lingual Frenulectomy 280
Staging Criteria: TNM Staging Criteria: Lip and Oral Cavity Cancer 284
Staging Criteria: TNM Staging Criteria: Oropharyngeal
and Hypopharyngeal Cancer 285
14. Evaluation and Management of Sleep Apnea 291
15. Evaluation and Management of Salivary Gland Conditions 301
Staging Criteria: TNM Staging Criteria for Salivary Gland
Cancerous Tumors 315
16. Evaluation and Management of Benign Neck Conditions 323
17. Overview of Malignant Neck Conditions 345
18. Evaluation and Management of Thyroid Disorders 355
Staging Criteria: TNM Staging Criteria for Thyroid Cancer 368
19. Evaluation and Management of Parathyroid Disorders 373
20. Evaluation and Management of Trachea Disorders and Conditions 383
21. Evaluation and Management of Esophageal Disorders 401
22. Evaluation and Management of Larynx and Hypopharynx Disorders 413
Video 22.1: Stroboscopy: False vocal cord use
Video 22.2: Left vocal cord paralysis patient 1
Video 22.3: Left vocal cord paralysis patient 2
Video 22.4: Stroboscopy: Normal vocal cord function
Video 22.5: Stroboscopy: Bilateral ball-valving vocal cord polyps
Staging Criteria: TNM Staging Criteria for Larynx 433
23. Overview of Lesions of the Skin: Head and Neck 437
Procedure Protocol: Biopsy of Skin Lesion 439
Staging Criteria: TNM Staging Criteria for Mucosal Melanoma of the
Head and Neck 442
24. Evaluation and Management of Allergic and Nonallergic Disorders 445
25. Overview of Commonly Ordered Tests in ENT 473
Index 479
’O autorze
David Leonard, MD, FACS, FAAOHNS, served at the Naval Hospital Jacksonville, Florida as the Otolaryngology Department Head, Chairman of the Credentials Subcommittee, Vice-Chairman Executive Committee of the Medical Staff, and Director Surgical Services. He retired as a US Navy Captain with over 26 years of service, and joined Eastern Virginia Ear, Nose, and Throat Specialists in 2010.