Table Of ContentLudman fpref.tex V3-August23,2012 12:30A.M. P.x
Ludman ffirs.tex V3-August23,2012 3:55P.M. P.1
Ear, Nose
and Throat
SixthEdition
Ludman ffirs.tex V3-August23,2012 3:55P.M. P.2
Ludman ffirs.tex V3-August23,2012 3:55P.M. P.3
Ear, Nose
and Throat
Sixth Edition
EDITEDBY
Harold Ludman
EmeritusConsultantSurgeoninOtolaryngology
King’sCollegeHospital
and
EmeritusConsultantSurgeoninNeuro-otology
NationalHospitalforNeurologyandNeurosurgery
London,UK
Patrick J. Bradley
HonoraryProfessor
TheUniversityofNottingham
and
EmeritusConsultantHeadandNeckOncologicSurgeon
DepartmentOtorhinolaryngology–HeadandNeckSurgery
NottinghamUniversityHospitals
QueensMedicalCentreCampus
Nottingham,UK
A John Wiley & Sons, Ltd., Publication
Ludman ffirs.tex V3-August23,2012 3:55P.M. P.4
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LibraryofCongressCataloging-in-PublicationData
ABCofear,nose,andthroat/editedbyHaroldLudman,PatrickJ.Bradley. – 6thed.
p.;cm. – (ABCseries)
Includesbibliographicalreferencesandindex.
ISBN978-0-470-67135-1(pbk.:alk.paper)
I. Ludman,Harold. II. Bradley,PatrickJ.,1949- III. Series:ABCseries(Malden,Mass.)
[DNLM:1.OtorhinolaryngologicDiseases.WV140]
617.5(cid:2)1–dc23
2012021107
ISBN:9780470671351
AcataloguerecordforthisbookisavailablefromtheBritishLibrary.
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1 2011
Ludman ftoc.tex V3-August1,2012 5:30P.M. P.v
Contents
Contributors,vii
Preface,ix
1 ExaminationoftheEar,NoseandThroat,1
HaroldLudmanandPatrickJ.Bradley
2 PainintheEar,8
HaroldLudman
3 DischargefromtheEar,15
RobinYoungs
4 HearingImpairmentinAdults,21
GavinA.J.Morrison
5 HearingImpairmentinChildren,27
StephenJ.BroomfieldandAndrewH.Marshall
6 AcousticNeuromasandOtherCerebellopontineAngleTumours,33
TonyWright
7 Tinnitus,39
ThomasinaMeehanandClaudiaNogueira
8 VertigoandImbalance,44
HaroldLudman
9 FacialPalsy,49
IainSwan
10 FacialPain,53
LishaMcLellandandNickS.Jones
11 ParanasalSinusDisease,58
DerekSkinner
12 NasalDischarge,65
AndrewC.Swift
13 Epistaxis,71
GeraldW.McGarry
14 NasalObstructionandSmellDisorders,76
DesmondA.Nunez
15 FacialPlastics,81
PatrickWalsh,JulianRowe-JonesandSimonWatts
v
Ludman ftoc.tex V3-August1,2012 5:30P.M. P.vi
vi Contents
16 ThroatPain,89
WilliamMcKerrowandPatrickJ.Bradley
17 HoarsenessandVoiceDisorders,94
MeredHarries
18 AirwayObstructionandStridor,100
VinidhPaleriandPatrickJ.Bradley
19 SnoringandObstructiveSleepApnoea,108
TawakirKamaniandAnshulSama
20 SwallowingProblems,113
VinidhPaleriandPatrickJ.Bradley
21 HeadandNeckTrauma,120
PaulTierney
22 ForeignBodies,125
RicardoPersaud,AntonyNarulaandPatrickJ.Bradley
23 NeckSwellings,131
NickRolandandPatrickJ.Bradley
24 HeadandNeckCancer,139
PatrickJ.Bradley
Index,147
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Contributors
Stephen J. Broomfield Gavin A. J. Morrison
OtologyFellow,DepartmentofOtorhinolaryngology–HeadandNeck ConsultantOtolaryngologist,DepartmentofOtorhinolaryngology–Head
Surgery,NottinghamUniversityHospitals,Queen’sMedicalCentreCampus, andNeckSurgery,Guy’sandStThomas’NHSFoundationTrust,
Nottingham,UK London,UK
Mered Harries Antony Narula
ConsultantOtolaryngologist,BrightonandSussexUniversityHospitals, ProfessorintheDepartmentofOtorhinolaryngology–HeadandNeck
Brighton,UK Surgery,StMary’sHospital,London,UK
Nick S. Jones Claudia Nogueira
ProfessorofRhinology,DepartmentofOtorhinolaryngology–Headand DepartmentofOtorhinolaryngology–HeadandNeckSurgery,Nottingham
NeckSurgery,NottinghamUniversityHospitals,Queen’sMedicalCentre UniversityHospitals,Queen’sMedicalCentreCampus,Nottingham,UK
Campus,Nottingham,UK
Desmond A. Nunez
Tawakir Kamani HeadDivisionofOtolaryngology,UniversityofBritishColumbia,
SpecialtyRegistrar,DepartmentofOtorhinolaryngology–HeadandNeck VancouverGeneralHospital,Vancouver,BC,Canada
Surgery,NottinghamUniversityHospitals,Queen’sMedicalCentreCampus,
Nottingham,UK
Vinidh Paleri
ConsultantHeadandNeckSurgeon,DepartmentofOtolaryngology–Head
Andrew H. Marshall andNeckSurgery,NewcastleuponTyneHospitals,Newcastle,UK
ConsultantENTSurgeon,DepartmentofOtorhinolaryngology–Headand
NeckSurgery,NottinghamUniversityHospitals,Queen’sMedicalCentre
Ricardo Persaud
Campus,Nottingham,UK
RhinologyFellow,DepartmentofOtorhinolaryngology–HeadandNeck
Surgery,StMary’sHospital,London,UK
Gerald W. McGarry
ConsultantENTSurgeon,DepartmentofOtorhinolaryngology–Headand
Nick Roland
NeckSurgery,GlasgowRoyalInfirmary,Glasgow,UK
ConsultantHeadandNeckSurgeon,UniversityHospitalAintree,
Liverpool,UK
William McKerrow
ConsultantOtolaryngologist,AssociatePostgraduateDean,Northern
Julian Rowe-Jones
Deanery,NHSEducationforScotland,CentreforHealthScience,
Inverness,UK ConsultantOtolaryngologist&FacialPlasticSurgeon,TheNoseClinic,
TheGuildfordClinic,Guildford,UK
Lisha McLelland
Anshul Sama
SpecialistRegistrarOtorhinolaryngology,Departmentof
Otorhinolaryngology–HeadandNeckSurgery,NottinghamUniversity ConsultantRhinologist,DepartmentofOtorhinolaryngology–Headand
Hospitals,Queen’sMedicalCentreCampus,Nottingham,UK NeckSurgery,NottinghamUniversityHospitals,Queen’sMedicalCentre
Campus,Nottingham,UK
Thomasina Meehan
ConsultantAudiovestibularPhysician,DepartmentofAudiovestibular Derek Skinner
Medicine,NottinghamUniversityHospitals,Queen’sMedicalCentre ConsultantENTSurgeon/Rhinologist,RoyalShrewsburyHospital,
Campus,Nottingham,UK Shrewsbury,UK
vii
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viii Contributors
Iain Swan Simon Watts
DepartmentofOtorhinolaryngology–HeadandNeckSurgery,Glasgow ConsultantENTandFacialPlasticSurgeon,BrightonandSussexUniversity
RoyalInfirmary,Glasgow,UK Hospital,Brighton,UK
Andrew C. Swift Tony Wright
ConsultantRhinologist,UniversityHospitalAintree,Liverpool,UK EmeritusProfessorofOtolaryngology,TheEarInstitute,UniversityCollege
London,London,UK
Paul Tierney
ConsultantOtorhinolaryngologist,HeadandNeckSurgeon, Robin Youngs
DepartmentofOtorhinolaryngology-HeadandNeckSurgery,Southmeade ConsultantOtolaryngologist,GloucestershireHospitalsNHSFoundation
Hospital,Westbury-on-Trym,Bristol,UK Trust,GloucestershireRoyalHospital,Gloucester,UK
Patrick Walsh
RhinologyFellow,LinacrePrivateHospital,Hampton,VIC,Australia
