Table Of ContentEEsssseennttiiaall
ENT
Second edition
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EEsssseennttiiaall
ENT
Second edition
Rogan J Corbridge
MB BS, BSC,
FRCS, FRCS ORL
ENT Consultant,
Royal Berkshire Hospital, Reading, UK
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First published in Great Britain in 1998 by Hodder Arnold
This second edition publishing in 2011 by Hodder Arnold, an imprint of Hodder Education, a division of Hachette UK,
338 Euston Road, London NW1 3BH
http://www.hodderarnold.com
© 2011 Rogan J Corbridge
All rights reserved. Apart from any use permitted under UK copyright law, this publication may only be reproduced, stored or
transmitted, in any form, or by any means with prior permission in writing of the publishers or in the case of reprographic
production in accordance with the terms of licences issued by the Copyright Licensing Agency. In the United Kingdom such
licences are issued by the Copyright Licensing Agency: Saffron House, 6–10 Kirby Street, London EC1N 8TS.
Hachette UK’s policy is to use papers that are natural, renewable and recyclable products and made from wood grown in
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country of origin.
Whilst the advice and information in this book are believed to be true and accurate at the date of going to press, neither the
author nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. In
particular (but without limiting the generality of the preceding disclaimer) every effort has been made to check drug dosages;
however it is still possible that errors have been missed. Furthermore, dosage schedules are constantly being revised and new
side-effects recognized. For these reasons the reader is strongly urged to consult the drug companies’ printed instructions
before administering any of the drugs recommended in this book.
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging-in-Publication Data
A catalog record for this book is available from the Library of Congress
ISBN-13 978 1 444 117 950
1 2 3 4 5 6 7 8 9 10
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Project Editor: Stephen Clausard
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Contents
Acknowledgements vii
Introduction ix
1 The ENT history and examination 1
2 Understanding investigations in ENT 13
3 The mouth, tonsils and adenoids 19
4 The salivary glands 33
5 The larynx 41
6 The oesophagus and dysphagia 65
7 The thyroid gland 75
8 The neck 83
9 The ear 93
10 The nose and nasopharynx 127
11 The paranasal sinuses 147
12 The ENT manifestations of HIV and AIDS 157
13 Procedures in ENT 161
14 Pharmacology in ENT 169
Appendix A Glossary of common terms in ENT practice 173
Appendix B Notes on how to approach common ENT symptoms 176
Index 183
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Acknowledgements
I would like to thanks all those who have inspired herself and I hope that she will enjoy every moment of
and taught me through the years in Oxford, Brisbane her life in medicine as I have and come to realise that
and London. When the first edition of this book was being a doctor is not a job but a privilege. I thank all
written my daughter, Olivia was 5 years old. Now as the my children for being wonderful and accepting the late
second edition is published she is off to medical school nights and early starts of their surgeon dad.
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Introduction
The second edition of this book has been thoroughly “overview” of the diseases which may affect that area.
updated and revised. It offers a modern guide to It is not intended that the student try to memorize
ENT practice. Teaching medical students, general these rather daunting lists, but rather that he/she will
practitioners and junior ENT doctors for the last use them to gain an appreciation of the diversity of
12 years has helped me to understand their learning conditions which may affect the ear, nose and throat.
needs and, as such, I have developed new materials In each overview the student will be able to identify
and concepts which I hope you will find useful and the more common conditions since these are pre-
enjoyable in this book and the associated material sented in bold. These lists will also help you to or-
online. ganise your knowledge and thoughts in a structured
As in the fi rst edition I have tried to approach the fashion, following the time-honoured surgical sieve.
subject in a problem-orientated way, which is far Clear and structured thinking is the key to good
more relevant to the day-to-day practice of medicine medical practice since, whatever our experience or
and will also help the student to prepare to do battle level, we will be faced with new problems daily some
with the examiners where they will be faced with real of which we may not have encountered previously.
clinical problems. The case studies and key points Here, and particularly in emergency work, it is vital
presented in each chapter will help to reinforce the that the medic has a well-practised and structured
most important points. There is a new chapter which approach to fall back on; this must be rooted in good
will help you to develop an approach to deal with a basic knowledge and common sense. This book will
patients symptoms, which after all is what we are pre- give you the knowledge and structure you require.
sented with on a daily basis. Most chapters have an Common sense . . . . is up to you!
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