Otolaryngology Prep and Practice

1273 Pages·2012·304.882 MB·English

by  Jennifer J. Shin, Michael J. Cunningham

Otolaryngology Prep and Practice covers all the major specialty components of Shin
otolaryngology: general adult and pediatric otolaryngology, head and neck surgery,
Cunningham
otology, and facial plastic surgery.
Otolaryngology
The goal of this book is to have users not just read but also, more importantly, remember
key pieces of information. This book is interactive, has multiple visual aids, and uses a
tiered system to help guide studying. The three-level system distinguishes material that is
necessary for general otolaryngology examination purposes (for those seeking the basic Prep and Practice
fundamentals) from that which is intermediate in importance and that which is required for
higher-level learning (for those taking subspecialty examinations). The content focuses on
clinical management decisions and consequences, high-yield material from an information
retention standpoint. The text includes color photographs, diagrams, practice case scenarios,
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multiple-choice questions, and various means for self-assessment or studying with a partner.
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Jennifer J. Shin
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Michael J. Cunningham
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Jennifer J. Shin, MD, attended Harvard Radcliffe College and Harvard Medical School. She g
completed residency training at the Harvard program in otolaryngology-head and neck surgery
and a fellowship in pediatric otolaryngology at the Massachusetts Eye and Ear Infi rmary. A r o
previous National Institute of Health Fellow and Howard Hughes Medical Institute Fellow, a
she continues to be actively involved in clinical research. She is also the lead editor of l
Evidence-Based Otolaryngology, and has been the recipient of multiple awards. While c o
practicing as a pediatric otolaryngologist, she currently maintains a faculty appointment
through Harvard Medical School. She teaches regularly at the Harvard School of Public t g
Health and through an American Academy of Otolaryngology-Head and Neck Surgery i
Foundation–sponsored curriculum. c y
e
Michael J. Cunningham, MD, is a graduate of Princeton University (1977) and the Rochester
University School of Medicine (1981). He completed pediatrics training at the Massachusetts
General Hospital and otolaryngology training at the University of Pittsburgh. He has practiced
as a pediatric otolaryngologist since 1989, for many years at the Massachusetts Eye and
Ear Infi rmary, and, more recently, at the Children’s Hospital Boston. Dr. Cunningham is
currently otolaryngologist-in-chief of the Department of Otolaryngology and Communication
Enhancement at the Children’s Hospital Boston, and professor of otology and laryngology at
the Harvard Medical School.
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www.pluralpublishing.com LURAL
Otolaryngology Prep and Practice
Section Editors Image Acquisitions
Andrew McCall James C. Wang
Stacey T. Gray
Michael Moore Illustrators
Kevin Emerick Ahmed Salahudeen
Jennifer J. Shin Sarmela Sunder
Iee Ching Anderson Jennifer J. Shin
Marybeth Cunnane
Rema Rao Editorial Assistant
Ivan Chebib Stephanie Collelo
Phillip Song
Mauro Ruffy
Theodore Chen
Sarmela Sunder
Otolaryngology Prep and Practice
Jennifer J. Shin
Michael J. Cunningham
5521 Ruffin Road
San Diego, CA 92123
e-mail: [email protected]
Web site: http://www.pluralpublishing.com
49 Bath Street
Abingdon, Oxfordshire OX14 1EA
United Kingdom
Copyright © by Plural Publishing, Inc. 2013
Typeset in 10/11.5 Palatino by Flanagan’s Publishing Services, Inc.
Printed in Malaysia by Four Colour Print Group
All rights, including that of translation, reserved. No part of this publication may be reproduced, stored
in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording,
or otherwise, including photocopying, recording, taping, Web distribution, or information storage and
retrieval systems without the prior written consent of the publisher.
For permission to use material from this text, contact us by
Telephone: [phone]
Fax: [phone]
e-mail: [email protected]
Every attempt has been made to contact the copyright holders for material originally printed in another source.
If any have been inadvertently overlooked, the publishers will gladly make the necessary arrangements at the first
opportunity.
The authors and editors of this project wish to make it clear that there are no conflicts of interest between
this project and an affiliation with the actual board examination. This text is neither endorsed by nor has a
connection with the American Board of Otolaryngology.
Library of Congress Cataloging-in-Publication Data
Otolaryngology prep and practice / [edited by] Jennifer J. Shin, Michael J. Cunningham.
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-1-59756-383-3 (alk. paper)
ISBN-10: 1-59756-383-8 (alk. paper)
I. Shin, Jennifer J. II. Cunningham, Michael J., 1955-
[DNLM: 1. Otorhinolaryngologic Diseases — Case Reports. 2. Otorhinolaryngologic Diseases — Exami-
nation Questions. 3. Otorhinolaryngologic Surgical Procedures — Case Reports. 4. Otorhinolaryngologic
Surgical Procedures — Examination Questions. WV 18.2]
LC Classification not assigned
617.5'10076 — dc23
2012012002
Contents
Acknowledgments xi
Contributors xiii
Section I. Introductory Material 1
1. How to Use this Book 3
Jennifer J. Shin and Michael J. Cunningham
2. Your Learning Plan 7
Anand Devaiah, Jennifer J. Shin, and Michael J. Cunningham
Section II. Case Presentations 9
3. Practice Cases 11
Andrew McCall, Philip Song, Michael Moore, Kevin Emerick, Theodore Chen, Mauro Ruffy,
Iee Ching Anderson, and Jennifer J. Shin
Section III. Focus Questions 47
4. Ear Focus Questions 49
Andrew McCall, Mauro Ruffy, and Jennifer J. Shin
4A. Infectious 49
4B. Masses — Benign 65
4C. Masses — Malignant 85
4D. Congenital 90
4E. Trauma 132
4F. Inflammatory 137
4G. Neurologic and Vascular 145
4H. Metabolic/Endocrine 163
4I. Structural 175
4J. Incisions and Approaches 189
4K. Audiology 193
4L. Cosmetic 197
4M. Reconstructive 211
5. Nose Focus Questions 217
Stacey T. Gray, Kevin Emerick, Sarmela Sunder, Theodore Chen, Eric Kim, and Jennifer J. Shin
5A. Infectious 217
5B. Masses — Benign 250
5C. Masses — Malignant 264
5D. Congenital 291
5E. Trauma 302
5F. Inflammatory 334
5G. Neurologic 346
5H. Vascular 352
v
vi Otolaryngology Prep and Practice
5I. Metabolic/Endocrine 356
5J. Structural 360
5K. Cosmetic 363
5L. Reconstructive 382
6. Oral Focus Questions 397
Iee Ching Anderson, Kevin Emerick, Sarmela Sunder, and Jennifer J. Shin
6A. Infectious 397
6B. Masses — Benign 407
6C. Masses — Malignant 416
6D. Congenital 435
6E. Trauma 457
6F. Inflammatory/Autoimmune 470
6G. Neurologic 477
6H. Vascular 478
6I. Metabolic and Endocrine 479
6J. Structural 480
6K. Assessment and Differential Diagnoses 494
6L. Anatomy and Physiology 496
7. Larynx Focus Questions 499
Phillip Song, Kevin Emerick, and Jennifer J. Shin
7A. Infectious 499
7B. Masses — Benign 502
7C. Masses — Malignant 513
7D. Congenital 530
7E. Trauma 563
7F. Inflammatory/Autoimmune 571
7G. Neurologic 573
7H. Vascular 585
7I. Metabolic and Endocrine 587
7J. Structural 589
7K. Anatomy, Physiology, and Symptomatology 590
7L. Diagnostic Testing 597
8. Hypopharynx Focus Questions 601
Phillip Song, Kevin Emerick, and Jennifer J. Shin
8A. Infectious 601
8B. Masses — Benign 602
8C. Masses — Malignant 605
8D. Trauma 609
8E. Inflammatory 615
8F. Neurologic 619
8G. Structural 621
8H. Swallowing Techniques 623
8I. Anatomy and Physiology 625
9. Neck Focus Questions 627
Michael Moore, Kevin Emerick, and Jennifer J. Shin
9A. Infectious 627
9B. Masses — Benign 645
Contents vii
9C. Masses — Malignant 654
9D. Congenital 666
9E. Trauma 683
9F. Inflammatory 687
9G. Anatomy 689
10. Salivary Focus Questions 695
Michael Moore and Kevin Emerick
10A. Infectious 695
10B. Masses 699
10C. Masses — Benign 701
10D. Masses — Malignant 705
10E. Trauma 715
10F. Inflammatory 718
10G. Anatomy 721
11. Thyroid Focus Questions 725
Michael Moore and Jennifer J. Shin
11A. Infectious 725
11B. Masses — Benign 727
11C. Masses — Malignant 734
11D. Congenital 742
11E. Inflammatory 746
11F. Anatomy 750
11G. Physiology 753
11H. Metabolic/Endocrine 755
12. Parathyroid Focus Questions 759
Michael Moore and Jennifer J. Shin
12A. Anatomy and Physiology 759
12B. Metabolic 760
12C. Masses — Malignant 765
12D. Congenital 766
13. Facial Nerve Focus Questions 769
Andrew McCall, Mauro Ruffy, and Jennifer J. Shin
13A. Facial Paralysis and Paresis 769
13B. Infectious 777
13C. Masses 779
13D. Congenital 783
13E. Trauma 784
13F. Systemic Diseases 786
13G. Rehabilitation 787
13H. Anatomy and Physiology 791
14. Skin, Face, and Scalp Focus Questions 793
Theodore Chen, Sarmela Sunder, Mauro Ruffy, and Andrew McCall
14A. Masses — Benign 793
14B. Masses — Malignant 795
14C. Cosmetic 816
14D. Reconstructive 849
viii Otolaryngology Prep and Practice
15. Multisite Focus Questions 857
Kevin Emerick and Jennifer J. Shin
15A. Masses — Benign 857
15B. Masses — Malignant 878
15C. Reconstructive 887
Section IV. Radiology 899
16. Ear/Temporal Bone Radiology 901
Marybeth Cunnane
17. Nasal Cavity, Nasopharynx, Base of Skull, and Orbit Radiology 931
Marybeth Cunnane
18. Oral Cavity, Oropharynx, and Mandible Radiology 975
Marybeth Cunnane
19. Larynx Radiology 987
Marybeth Cunnane
20. Hypopharynx and Esophagus Radiology 1003
Marybeth Cunnane
21. Neck Radiology 1007
Marybeth Cunnane
22. Salivary Gland Radiology 1025
Marybeth Cunnane
23. Thyroid and Parathyroid Radiology 1033
Marybeth Cunnane
Section V. Histopathology 1037
24. Ear Histopathology 1039
Ivan Chebib
25. Nasal Cavity and Nasopharynx Histopathology 1047
Rema Rao
26. Base of Skull Histopathology 1073
Ivan Chebib
27. Oral Cavity, Oropharynx, and Mandible Histopathology 1077
Rema Rao
28. Larynx Histopathology 1095
Rema Rao
29. Hypopharynx and Esophagus Histopathology 1105
Ivan Chebib
30. Neck Histopathology 1107
Ivan Chebib
31. Salivary Gland Histopathology 1123
Rema Rao
Contents ix
32. Thyroid and Parathyroid Histopathology 1145
Ivan Chebib
33. Skin Histopathology 1161
Ivan Chebib
34. Vascular Histopathology 1175
Ivan Chebib
35. Infectious Diseases Histopathology 1183
Rema Rao
36. Multisite Histopathology 1195
Ivan Chebib
Section VI. Multiple Choice 1199
37. Practice Multiple Choice Questions 1201
Kevin Emerick, Phillip Song, Iee Ching Anderson, Michael Moore, Theodore Chen, and
Jennifer J. Shin
Index 1227