Description
The present edition is revised, updated and expanded.New clinical photographs, diagrams, tables and fl owcharts have been added to make the subject clear. A unique feature of this edition is white board lectures and videos, depicting through animations, the surgical procedures.
Table of Contents
- Dedication
- Preface
- Acknowledgements
- Section I: Diseases of ear
- Chapter 1: Anatomy of Ear
- The External Ear
- The Middle Ear
- The Internal Ear
- Development of Ear
- Chapter 2: Peripheral Receptors and Physiology of Auditory and Vestibular Systems
- Auditory System
- Physiology of Hearing
- Vestibular System
- Physiology of Vestibular System
- Chapter 3: Audiology and Acoustics
- Chapter 4: Assessment of Hearing
- Assessment of Hearing
- Chapter 5: Hearing Loss
- Classification
- Conductive Hearing Loss and its Management
- Sensorineural Hearing Loss and its Management
- Specific Forms of Hearing Loss
- Nonorganic Hearing Loss (NOHL)
- Social and Legal Aspects of Hearing Loss
- Chapter 6: Assessment of Vestibular Functions
- I. Clinical tests of vestibular function
- II. Laboratory Tests of Vestibular Function
- Chapter 7: Disorders of Vestibular System
- I. Peripheral Vestibular Disorders
- II. Central Vestibular Disorders
- Other Causes of Vertigo
- Chapter 8: Diseases of External Ear
- I. Diseases of the Pinna
- II. Diseases of External Auditory Canal
- III. Diseases of Tympanic Membrane
- Chapter 9: Eustachian Tube and Its Disorders
- Anatomy
- Structure
- Functions
- Eustachian Tube Function Tests
- Disorders of Eustachian Tube
- Retraction Pockets and Eustachian Tube
- Patulous Eustachian Tube
- Examination of Eustachian Tube
- Chapter 10: Disorders of Middle Ear
- Acute Suppurative Otitis Media
- Acute Necrotizing Otitis Media
- Otitis Media With Effusion
- Recurrent Acute Otitis Media
- Aero-Otitis Media (Otitic Barotrauma)
- Chapter 11: Cholesteatoma and Chronic Otitis Media
- Cholesteatoma
- Chronic Suppurative Otitis Media
- Tubercular Otitis Media
- Syphilitic Otitis Media
- Chapter 12: Complications of Suppurative Otitis Media
- Factors Influencing Development of Complications
- Pathways of Spread of Infection
- Classification
- Sequelae of Otitis Media
- I. Intratemporal Complications of Otitis Media
- II. Intracranial Complications of Otitis Media
- Chapter 13: Otosclerosis (Syn. Otospongiosis)
- Anatomy of Labyrinth
- Otosclerosis
- Chapter 14: Facial Nerve and Its Disorders
- Anatomy and Functions of Facial Nerve
- Causes of Facial Paralysis
- Localization of Facial Lesion
- Complications Following Facial Paralysis
- Hyperkinetic Disorders of Facial Nerve
- Surgery of Facial Nerve
- Chapter 15: Ménière’s Disease
- Pathology
- Aetiology
- Clinical Features
- Examination
- Investigations
- Variants of Ménière’s Disease
- Ménière’s Disease vs Ménière’s Syndrome
- Diagnosis of Ménière’s Disease
- Staging of Ménière’s Disease
- Treatment
- Chapter 16: Tumours of External Ear
- Tumours of Auricle
- Tumours of External Auditory Canal
- Chapter 17: Tumours of Middle Ear and Mastoid
- Classification
- Glomus Tumour
- Carcinoma of Middle Ear and Mastoid
- Sarcomas
- Secondary Tumours
- Chapter 18: Acoustic Neuroma
- Incidence
- Pathology
- Origin and Growth of Tumour
- Classification
- Clinical Features
- Investigations and Diagnosis
- Differential Diagnosis
- Treatment
- Chapter 19: The Deaf Child
- Aetiology
- Evaluation of a Deaf Child
- Management
- Chapter 20: Rehabilitation of the Hearing Impaired
- I. Instrumental Devices
- II. Training
- Chapter 21: Otalgia (Earache)
- I. Local Causes
- II. Referred Causes
- III. Psychogenic Causes
- Chapter 22: Tinnitus
- Types of Tinnitus
- Causes of Tinnitus (Table 22.1)
- Treatment of Tinnitus
- Chapter 1: Anatomy of Ear
- Section II: Diseases of nose and paranasal sinuses
- Chapter 23: Anatomy of Nose
- External Nose
- Internal Nose
- Lining Membrane of Internal Nose
- Chapter 24: Physiology of Nose
- Respiration
- Air-Conditioning of Inspired Air
- Protection of Lower Airway
- Vocal Resonance
- Nasal Reflexes
- Olfaction
- Chapter 25: Diseases of External Nose and Nasal Vestibule
- Diseases of External Nose
- Diseases of Nasal Vestibule
- Chapter 26: Nasal Septum and Its Diseases
- Anatomy
- Fractures of Nasal Septum
- Deviated Nasal Septum (DNS)
- Septal Haematoma
- Septal Abscess
- Perforation of Nasal Septum (Figure 26.9)
- Chapter 27: Acute and Chronic Rhinitis
- Acute Rhinitis
- Chronic Rhinitis
- Chapter 28: Granulomatous Diseases of Nose
- Bacterial Infections
- Fungal Infections
- Granulomas of Unspecified Aetiology
- Chapter 29: Miscellaneous Disorders of Nasal Cavity
- Foreign Bodies
- Rhinolith
- Nasal Myiasis (Maggots in Nose)
- Nasal Synechia
- Choanal Atresia
- CSF Rhinorrhoea
- Chapter 30: Allergic Rhinitis
- Aetiology
- Pathogenesis
- Clinical Features
- Diagnosis
- Investigations
- Complications
- Treatment
- Chapter 31: Vasomotor and Other Forms of Nonallergic Rhinitis
- Vasomotor Rhinitis (VMR)
- Other Forms of Nonallergic Rhinitis
- Chapter 32: Nasal Polypi
- Antrochoanal Polyp (Syn. Killian’s Polyp)
- Bilateral Ethmoidal Polypi
- Some Important Points to Remember in a Case of Nasal Polypi
- Chapter 33: Epistaxis
- Blood Supply of Nose (Figures 33.1 and 33.2)
- Causes of Epistaxis
- Sites of Epistaxis
- Classification of Epistaxis
- Management
- General Measures in Epistaxis
- Chapter 34: Trauma to the Face
- General Management
- Soft Tissue Injuries and Their Management
- Bone Injuries and Their Management
- I. Fractures of Upper Third of Face
- II. Fractures of Middle Third of Face
- III. Fractures of Lower Third
- Oroantral Fistula
- Chapter 35: Anatomy and Physiology of Paranasal Sinuses
- Anatomy of Paranasal Sinuses
- Physiology of Paranasal Sinuses
- Chapter 36: Acute Rhinosinusitis
- Definition
- Classification
- Acute Viral Rhinosinusitis
- Acute Bacterial Rhinosinusitis
- Acute Maxillary Sinusitis
- Acute Frontal Sinusitis
- Acute Ethmoid Sinusitis
- Acute Sphenoid Sinusitis
- Chapter 37: Chronic Rhinosinusitis
- Definition
- Older Surgical Techniques for Chronic Sinusitis
- Fungal Infections of Sinuses
- Functional Endoscopic Surgery of Sinuses (Figures 37.4 and 37.5)
- Chapter 38: Complications of Sinusitis
- I. Local Complications
- II. Orbital Complications
- III. Intracranial Complications
- IV. Descending Infections
- V. Focal Infections
- Chapter 39: Benign and Malignant Neoplasms of Nasal Cavity
- Benign Neoplasms
- Malignant Neoplasms
- Chapter 40: Neoplasms of Paranasal Sinuses
- Benign Neoplasms
- Malignant Neoplasms
- Chapter 41: Proptosis
- Chapter 23: Anatomy of Nose
- Section III: Diseases of oral cavity and salivary glands
- Chapter 42: Anatomy of Oral Cavity
- Applied Anatomy
- Lymphatic Drainage of Oral Cavity
- Chapter 43: Common Disorders of Oral Cavity
- Ulcers of Oral Cavity
- Miscellaneous Lesions of Tongue and Oral Cavity
- Submucous Fibrosis
- Chapter 44: Tumours of Oral Cavity
- Classification
- I. Benign Tumours
- II. Premalignant Lesions
- III. Malignant Lesions
- Chemoprevention
- Chapter 45: Non-neoplastic Disorders of Salivary Glands
- Mumps (Viral Parotitis)
- Acute Suppurative Parotitis
- Chronic Recurrent Sialadenitis
- Sialectasis
- Granulomatous Infections of the Salivary Glands
- Sialolithiasis (Salivary Calculi)
- Sjogren’s Syndrome (Sicca Syndrome)
- Sialometaplasia
- Sialadenosis
- Chapter 46: Neoplasms of Salivary Glands
- Benign Tumours
- Malignant Tumours
- Chapter 42: Anatomy of Oral Cavity
- Section IV: Diseases of pharynx
- Chapter 47: Anatomy and Physiology of Pharynx
- Pharynx in General
- Divisions of Pharynx
- Chapter 48: Adenoids and Other Inflammations of Nasopharynx
- Adenoids
- Acute Nasopharyngitis
- Chronic Nasopharyngitis
- Thornwaldt’s Disease (Pharyngeal Bursitis)
- Chapter 49: Tumours of Nasopharynx
- Benign Tumours
- Other Benign Tumours of Nasopharynx
- Malignant Tumours
- Other Malignant Tumours of Nasopharynx
- Chapter 50: Acute and Chronic Pharyngitis
- Acute Pharyngitis
- Chronic Pharyngitis
- Atrophic Pharyngitis
- Keratosis Pharyngis
- Chapter 51: Acute and Chronic Tonsillitis
- Applied Anatomy of Palatine (Faucial) Tonsils
- Acute Tonsillitis
- Faucial Diphtheria
- Chronic Tonsillitis
- Diseases of Lingual Tonsils
- Chapter 52: Head and Neck Space Infections
- Parotid Abscess
- Ludwig’s Angina
- Peritonsillar Abscess (Quinsy)
- Retropharyngeal Abscess
- Acute Retropharyngeal Abscess
- Chronic Retropharyngeal Abscess (Prevertebral Abscess)
- Parapharyngeal Abscess
- Masticator Space
- Chapter 53: Tumours of Oropharynx
- Benign Tumours
- Malignant Tumours
- Parapharyngeal Tumours
- Styalgia (Eagle Syndrome)
- Chapter 54: Tumours of the Hypopharynx and Pharyngeal Pouch
- Tumours of Hypopharynx
- Pharyngeal Pouch
- Chapter 55: Snoring and Sleep Apnoea
- Snoring
- Sleep Apnoea
- Chapter 47: Anatomy and Physiology of Pharynx
- Section V: Diseases of larynx and trachea
- Chapter 56: Anatomy and Physiology of Larynx
- Anatomy of Larynx
- Embryological Development
- Paediatric larynx
- Physiology of Larynx
- Chapter 57: Laryngotracheal Trauma
- Aetiology
- Pathology
- Clinical Features
- Diagnostic Evaluation
- Treatment
- Complications
- Chapter 58: Acute and Chronic Inflammations of Larynx
- Acute Laryngitis
- Acute Epiglottitis (Syn. Supraglottic Laryngitis)
- Acute Laryngo-Tracheo-Bronchitis
- Laryngeal Diphtheria
- Oedema of Larynx
- Chronic Laryngitis
- Polypoid Degeneration of Vocal Cords (Reinke’s Oedema)
- Pachydermia Laryngis
- Atrophic Laryngitis (Laryngitis Sicca)
- Tuberculosis of Larynx
- Lupus of the Larynx
- Syphilis of the Larynx
- Leprosy of the Larynx
- Scleroma of the Larynx
- Laryngeal Mycosis
- Chapter 59: Congenital Lesions of Larynx and Stridor
- Congenital Lesions of Larynx
- Stridor
- Chapter 60: Laryngeal Paralysis
- Nerve Supply of Larynx
- Classification of Laryngeal Paralysis
- Causes of Laryngeal Paralysis
- Recurrent Laryngeal Nerve Paralysis
- Paralysis of Superior Laryngeal Nerve
- Combined (Complete) Paralysis (Recurrent and Superior Laryngeal Nerve Paralysis)
- Congenital Vocal Cord Paralysis
- Phonosurgery
- Chapter 61: Benign Tumours of Larynx
- Non-Neoplastic Tumours
- Neoplastic
- Chapter 62: Cancer Larynx
- Epidemiology
- Aetiology
- TNM Classification and Staging
- Histopathology
- Diagnosis of Laryngeal Cancer
- Treatment of Laryngeal Cancer
- Glottic Carcinoma
- Vocal Rehabilitation After Total Laryngectomy
- Chapter 63: Voice and Speech Disorders
- Hoarseness
- Dysphonia Plica Ventricularis (Ventricular Dysphonia)
- Functional Aphonia (Hysterical Aphonia)
- Puberphonia (Mutational Falsetto Voice)
- Phonasthenia
- Dysphonia
- Hyponasality (Rhinolalia Clausa)
- Hypernasality (Rhinolalia Aperta)
- Stuttering
- Chapter 64: Tracheostomy and Other Procedures for Airway Management
- Tracheostomy
- Percutaneous Dilatational Tracheostomy
- Chapter 65: Foreign Bodies of Air Passages
- Aetiology
- Nature of Foreign Bodies
- Clinical Features
- Diagnosis
- Management
- Chapter 56: Anatomy and Physiology of Larynx
- Section VI: Thyroid gland and its disorders
- Chapter 66: Thyroid Gland and Its Disorders
- Surgical Anatomy of Thyroid Gland
- Physiology of Thyroid
- Benign Disorders of Thyroid
- Malignant Disorders of Thyroid
- Thyroid Nodule and its Management
- Thyroid Surgery
- Chapter 66: Thyroid Gland and Its Disorders
- Section VII: Diseases of oesophagus
- Chapter 67: Anatomy and Physiology of Oesophagus
- Applied Anatomy
- Applied Physiology
- Physiology of Swallowing
- Chapter 68: Disorders of Oesophagus
- Acute Oesophagitis
- Perforation of Oesophagus
- Corrosive Burns of Oesophagus
- Benign Strictures of Oesophagus
- Hiatus Hernia
- Plummer–Vinson (Patterson–Brown–Kelly) Syndrome
- Globus (Hystericus) Pharyngeus
- Motility Disorders of Oesophagus
- Neoplasms of Oesophagus
- Chapter 69: Dysphagia
- Aetiology
- Investigations
- Chapter 70: Foreign Bodies of Food Passage
- Aetiology
- Site of Lodgement of Foreign Body
- Clinical Features
- Investigations
- Management
- Complications of Oesophageal Foreign Body
- Disc Batteries
- Chapter 67: Anatomy and Physiology of Oesophagus
- Section VIII: Recent advances
- Chapter 71: Laser Surgery, Radiofrequency Surgery, Hyperbaric Oxygen Therapy and Coblation
- I. Laser Surgery
- II. Radiofrequency Surgery in ENT
- III. Hyperbaric Oxygen Therapy in ENT
- IV. Coblation
- Chapter 72: Cryosurgery
- Mechanism of Tissue Destruction
- Technique
- Uses of Cryotherapy
- Advantages of Cryotherapy
- Disadvantages of Cryotherapy
- Chapter 73: Radiotherapy in Head and Neck Cancers
- Types of Radiation Beams
- Mechanism of Action of Radiotherapy
- Radiosensitisers and Radioprotectors
- Indications of Radiotherapy in Head and Neck Cancer
- Radiotherapy Techniques
- Treatment Machines
- Dose and Fractionation
- Concurrent Chemotherapy in Head and Neck Cancer
- Brachytherapy in Head and Neck Cancer
- Unusual Neoplasms of the Head and Neck (Table 73.1)
- Side Effects of Radiation
- Care of Patient During Radiotherapy
- Chapter 74: Chemotherapy for Head and Neck Cancer
- Types of Chemotherapy
- Single Agent vs Multidrug Combination Therapy
- Drugs Used in Cancer Therapy
- Pretreatment Work-Up of the Patient
- Toxicity of Anticancer Drugs
- Chapter 75: HIV Infection/AIDS and ENT Manifestations
- Acquired Immunodeficiency Syndrome
- ENT Manifestations of HIV Infection
- HIV Infection and Healthcare Workers
- Antiretroviral Drugs
- Chapter 71: Laser Surgery, Radiofrequency Surgery, Hyperbaric Oxygen Therapy and Coblation
- Section IX: Clinical methods in ent and neck masses
- Chapter 76: Clinical Methods in ENT
- Equipment, History Taking and General Setup
- I. Examination of Ear
- II. Examination of Nose and Paranasal Sinuses
- III. Examination of Nasopharynx
- IV. Examination of Oral Cavity
- V. Examination of Oropharynx
- VI. Examination of Larynx and Laryngopharynx
- VII. Lymph Nodes of the Head and Neck
- Neck Dissection
- Chapter 77: Neck Masses
- Thyroglossal Duct Cyst
- Sublingual Dermoid Cyst
- Submental Nodes
- Prelaryngeal and Pretracheal Nodes
- Thymic Cyst
- Branchial Cyst
- Branchial Sinus or Fistula (Figure 77.5)
- Plunging Ranula
- Carotid Body Tumour
- Parapharyngeal Tumours
- Cystic Hygroma
- Tubercular Lymph Nodes
- Metastatic Lymph Nodes
- Lymphomas
- Cervical Rib
- Sternomastoid Tumour
- Chapter 76: Clinical Methods in ENT
- Section X: Operative surgery
- Chapter 78: Myringotomy (Syn. Tympanostomy)
- Indications
- Anaesthesia
- Steps of Operation
- Pitfalls of Myringotomy
- Postoperative Care
- Complications
- Grommet
- Chapter 79: Ear Surgery and Approaches
- Introduction to Ear and Mastoid Surgery
- Chapter 80: Cortical Mastoidectomy
- Indications
- Anaesthesia
- Position
- Steps of Operation
- Postoperative Care
- Complications
- Chapter 81: Radical Mastoidectomy
- Indications
- Anaesthesia
- Position
- Steps of Operation
- Postoperative Care
- Complications
- Chapter 82: Modified Radical Mastoidectomy
- Indications
- Anaesthesia
- Position
- Steps of Operation
- Postoperative Care and Complications
- Chapter 83: Myringoplasty
- Contraindications
- Anaesthesia
- Position
- Technique
- Postoperative Care
- Complications
- Other Procedures for Closure of Tympanic Membrane Perforation
- Chapter 84: Proof Puncture (Syn. Antral Lavage)
- Indications
- Contraindications
- Anaesthesia
- Position
- Technique
- Diagnosis of Antral Pathology
- Postoperative Care
- Complications
- Chapter 85: Intranasal Inferior Meatal Antrostomy
- Indications
- Contraindications
- Anaesthesia
- Position
- Technique
- Postoperative Care
- Complications
- Chapter 86: Caldwell–Luc (Anterior Antrostomy) Operation
- Indications
- Contraindications
- Anaesthesia
- Position
- Technique
- Postoperative Care
- Complications
- Present Status
- Chapter 87: Submucous Resection of Nasal Septum (SMR Operation)
- Indications
- Contraindications
- Anaesthesia
- Position
- Steps of Operation
- Postoperative Care
- Complications
- Present Status
- Chapter 88: Septoplasty
- Indications
- Contraindications
- Anaesthesia
- Position
- Technique
- Postoperative Care
- Postoperative Complications
- Types of Septal Incisions in Septoplasty
- Chapter 89: Diagnostic Nasal Endoscopy
- Indications
- Anaesthesia
- Position
- Instruments
- Technique
- Complications
- Chapter 90: Endoscopic Sinus Surgery
- Indications
- Advanced Nasal Endoscopic Techniques
- Contraindications
- Anaesthesia
- Position
- Techniques (Figure 90.1)
- Steps of Operation
- Postoperative Care
- Complications
- Chapter 91: Direct Laryngoscopy
- Indications
- Contraindications
- Anaesthesia
- Position
- Procedure
- Postoperative Care
- Complications
- Chapter 92: Bronchoscopy
- Rigid Bronchoscopy
- Flexible Fibreoptic Bronchoscopy
- Chapter 93: Oesophagoscopy
- Rigid Oesophagoscopy
- Flexible FibreOptic Oesophagoscopy
- Transnasal Oesophagoscopy
- Chapter 94: Tonsillectomy
- Indications
- Contraindications
- Anaesthesia
- Position
- Steps of Operation (Dissection and Snare Method)
- Postoperative Care
- Complications
- Chapter 95: Adenoidectomy
- Indications
- Contraindications
- Anaesthesia
- Position
- Steps of Operation
- Endoscopic Adenoidectomy
- Postoperative Care
- Complications
- Chapter 96: Some Imaging Techniques in ENT
- Temporal Bone
- Paranasal Sinuses
- X-Rays for Nasal Fractures
- Neck, Larynx and Pharynx
- Computed Tomography (CT)
- Magnetic Resonance Imaging (MRI)
- PET-CT and PET-MRI
- Appendices
- Appendix I: Some Memorable Nuggets for Rapid Review
- Appendix II: Instruments
- Index
- Chapter 78: Myringotomy (Syn. Tympanostomy)
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