Basic otorhinolaryngology : a step-by-step learning guide

431 Pages·2018·436.574 MB·English

by  Gerhard Grevers, M.D Rudolf Probst, Iro Heinrich Iro

I
Thieme

Basic Otorhino
laryngology
A Step-by-Step Learning Guide
2nd Edition
Rudolf Probst, MD
Professor and formerly Director
Department of Otolaryngology -
Head & Neck Surgery
University Hospital Zurich
Zurich, Switzerland
Gerhard Grevers, MD
Professor
Private Practice
Starn berg, Germany
Heinrich Iro, MD
Professor and Director
Department of Otolaryngology -
Head & Neck Surgery
University Hospital Erlangen
Erlangen, Germany
With contributions by
Frank Waldfahrer
Frank Rosanowski
Ulrich Eysholdt
635 illustrations
Thieme
Stuttgart • New York • Delhi • Rio de janeiro
IV
Ubrary of Congress Catalogiog-in-Publication Data Important note: Medicine is an ever- changing science
is available from the publisher. undergoing continual development. Research and clini
cal experience are continually expanding our knowl
edge, in particular our knowledge of proper treatment
and drug therapy. Insofar as this book mentions any dos
Illustrator: Karin Baum, Paphos, Cyprus age or application, readers may rest assured that the
authors, editors, and publishers have made every effort
3rd German edition 2008 to ensure that such references are in accordance with
1st Greek edition 2006 the state of knowledge at the time of production of
1st Russian edition 2011 the book.
1st 1\lrkish edition 201 0 Nevertheless, this does not involve, imply, or express
any guarantee or responsibility on the part of the pub
lishers in respect to any dosage instructions and forms
of applications stated in the book. Ewry user is request
ed to examine carefully the manufacturers' leaflets
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consultation with a physician or specialist, whether the
dosage schedules mentioned therein or the contraindi
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statements made in the present book. Such examination
is particularly important with drugs that are either
rarely used or have been newly released on the market
Every dosage schedule or every form of application used
is entirely at the user's own risk and responsibility. The
authors and publishers request every user to report to
© 2006, 2018 by Georg Thieme Verlag KG the publishers any discrepancies or inaccuracies noticed.
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v
Contents
Preface VI IV Neck
16 External Neck 314
Contributors VIII
Heinrich Ira, Frank Waldfahrer
Nose. Paranasal Sinuses. and Face 17 Larynx and Trachea 338
Heinrich Ira, Frank Waldfahrer
1 Anatomy, Physiology, and Immunology
of the Nose, Paranasal Sinuses, and Face -- 2 18 Voice Disorders 384
Gerhard Grevers Frank Rosanawski, Wrich Eysholdt
2 Diagnostic Evaluation of the Nose 19 Speech and Language Disorders 394
and Paranasal Sinuses 14 Frank Rosanawski, Wrich Eysholdt
Gerhard Grevers
3 Diseases of the Nose,
Paranasal Sinuses, and Face 26 Appendix
Gerhard Grevers
Emergendes and Primary Measures -- 404
Heinrich Ira, Frank Waldfahrer
II Oral Cavity and Pharynx
Sources 406
4 Lips and Oral cavity 70
Gerhard Grevers Index 409
5 Pharynx and Esophagus 96
Gerhard Grevers
6 The Salivary Glands 130
Heinrich Iro, Frank Waldfahrer, Rudolf Probst
Ill Ear
7 Anatomy and Physiology of the Ear 154
Rudolf Probst
8 Audiology (Auditory Testing) 166
Rudolf Probst
9 Hearing Disorders in Children-Pediatric
Audiology 194
Rudolf Probst
10 The External Ear 206
Rudolf Probst
11 The Middle Ear 226
Rudolf Probst
12 Inner Ear and Retrocochlear Disorders -- 256
Rudolf Probst
13 Vestibular Disorders 272
Rudolf Probst
14 FadalNerve 292
Rudolf Probst
15 Lateral Skull Base 300
Rudolf Probst
VI
Preface
This preface aims to provide you with some background i.e., how are the contents presented to make them easier
information on this textbook: Who can benefit most from to learn? Who are the members of the "textbook team"?
this book? What is the teaching approach that is used- What is new in this completely revised second edition?
Approach
.P 1 Knowledge In depth
Who is the book written for? The classic textbook still has Boxes marked with this symbol provide infonnation that goes
beyond a basic understanding. This may include operating
its value, particularly when a new subject area is intro
techniques, Illustrative case descriptions, historical informa
duced for learning and basic material is presented. This
tion, or repetitions from earlier study (e.g., in embryology). If
book is primarily intended for students exposed to
you are in a hurry, you can skip the in-depth boxes and still
otorhinolaryngology, but it is also written for physicians, understand the material in the main text.
especially those taking part in further training and look
ing for basic information.
'l
True learning means understanding, and so teaching Points of emphasis are meant to indicate "caution"
means explaining. An essential part of learning is the un or "take note," and serve to direct attention to key
derstanding of basic concepts and potentially complex points.
interrelationships. Moreover, learning should be inter
esting, and it should convey enjoyment of the material Tenninology: Efforts have been made in various areas
and its fascinating aspects. In this sense, this book of otorhinolaryngology to establish a standard interna
aspires to be more than an exam review or a quick tional nomenclature. The most up-to-date terms are
reference to specific questions. It was our goal to create used in the current text, while older or less commonly
an educationally compelling, graphically attractive, yet used terms are noted as synonyms.
affordable textbook.
Structure: One of the main goals was to present the ma Fig. 1 Color code for flowcharts
terial in an easy-to-learn, user-friendly format. The re
I
sult is a textbook in which the material is broken down II Starting situation Diagnosis,
into brief study units (4 r) representing cohesive learn differential diagnosis
I
ing units. Subdividing the contents into manageable por II Signs and Symptoms
tions makes it possible to present thematic highlights
that would have been more difficult to incorporate into History, observation, Treatment,
chapters with a traditional structure. methods of examination further management
Each study unit begins with a starter in boldface type.
This states the topics that are covered in the unit and
the way in which they fit into the overall scheme. Special
points are noted, and the material is related to other
study units. The starter is not a summary.
The topics in each study unit are presented on facing
pages. For clarity, "open-book" logos are shown at the
bottom comer of the right-hand page: the number of
logos (from one to six) indicates the number of facing
page sets that are contained in the current study unit.
The red-colored logo shows where you are in the unit.
Subject matter: This textbook conforms to the latest
developments in otorhinolaryngology and head and
neck surgery. All main information that is needed for
the basic understanding of a topic is contained in the
main text, ftgUres, and tables.
Preface VII
Acknowledgments What Can We Improve?
We are excited about our continued collaboration on this Our goal was to tailor this book to meet our readers'
book, which first appeared in German in the year 2000. needs. Only you, the reader, can judge whether we have
The current second edition of the English version has accomplished this aim. We would therefore be delight
been completely revised. Both the text and the illustra ed for you to contact us or the publishers regarding
tions have been substantially changed in many chapters, any changes that you would like to see in the next
reflecting the many-and sometimes fundamental edition. We wish you much enjoyment and every suc
advances in otorhinolaryngology since the first English cess with this book.
edition was published in 2006. The same team of
authors has worked on the current edition, and our con RudolfP robst, MD
tinued collaboration has resulted in a text that is greater Gerhard Grevers, MD
than the sum of the authors' individual contributions. Heinrich lro, MD
Anne Lamparter and Martina Habeck, our project man
agers at Thieme Publishers for the second English
edition, have made substantial contributions to this out
come through their enthusiasm and commitment.
Stephan Konnry at Thieme Publishers has been the Exec
utive Editor for the English version from the beginning of
this project. He continues to contribute his skill and ex
perience to this book, keeping in mind all the cultural as
pects associated with a foreign language edition. We are
also grateful to the publishers, Thieme, for promoting
the project and fostering its development. Finally, our
thanks go to Karin Baum for her skillful artwork and her
significant additions to the new edition.
Special gratitude is owed to our families. A great deal of
time that should really have belonged to them was spent
preparing this project. Even so, they supported our
lengthy work on the book with the encouragement that
only a family can provide.
,
VIII
Contributors
Ulrich Eysholdt; MD, PhD
Professor
Department of Medical Physics and Acoustics
University of Oldenburg
Oldenburg, Germany
Frank Rosanowski, MD
Professor
Private Practice
Nuremberg, Germany
Frank waldfahrer, MD
Department of Otolaryngology-Head & Neck Surgery
University Hospital Erlangen
Erlangen, Germany
l Nose, Paranasal Sinuses, and Face
1 Anatomy, Physiology, and Immunologyofthe Nose, $
Paranasal Sinuses, and Face....................... ....... 2
2 Diagnostic Evaluation ofthe Noseand Paranasal ' ‘ ...... 14
3 Diseasesofthe Nose, Paranasal Sinuses, and Fa .......... 26
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