ERROR! NO TEXT OF SPECIFIED STYLE IN DOCUMENT. OXFORD MEDICAL PUBLICATIONS Oxford American Handbook of Otolaryngology i ii Published and forthcoming Oxford American Handbooks Oxford American Handbook of Anesthesiology Oxford American Handbook of Clinical Dentistry Oxford American Handbook of Clinical Medicine Oxford American Handbook of Surgery Oxford American Handbook of Critical Care Oxford American Handbook of Emergency Medicine Oxford American Handbook of Otolaryngology Oxford American Handbook of Nephrology and Hypertension Oxford American Handbook of Obstetrics and Gynecology Oxford American Handbook of Pediatrics Oxford American Handbook of Psychiatry Oxford American Handbook of Pulmonary Medicine iv Oxford University Press, Inc., publishes works that further Oxford University’s objective of excellence in research, scholarship, and education. Oxford New York Auckland Cape Town Dar es Salaam Hong Kong Karachi Kuala Lumpur Madrid Melbourne Mexico City Nairobi New Delhi Shanghai Taipei Toronto With offices in Argentina Austria Brazil Chile Czech Republic France Greece Guatemala Hungary Italy Japan Poland Portugal Singapore South Korea Switzerland Thailand Turkey Ukraine Vietnam Copyright © 2008 by Oxford University Press, Inc. Published by Oxford University Press, Inc. 198 Madison Avenue, New York, New York 10016 www.oup.com Oxford is a registered trademark of Oxford University Press All rights 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, photocopying, recording, or otherwise, without the prior permission of Oxford University Press. Library of Congress Cataloging-in-Publication Data Oxford American handbook of otolaryngology/Andrew Blitzer ... [et al.]. p. ; cm. — (Oxford American handbooks) Based on: Oxford handbook of ENT and head and neck surgery/Rogan Corbridge and Nicholas Steventon. 2006. Includes bibliographical references and index. ISBN 978-0-19-534337-3 1. Otolaryngology—Handbooks, manuals, etc. 2. Head—Surgery—Handbooks, manuals, etc. 3. Neck—Surgery—Handbooks, manuals, etc. I. Blitzer, Andrew. II. Corbridge, Rogan J. Oxford handbook of ENT and head and neck surgery. III. Title: Handbook of otolaryngology. IV. Series. [DNLM: 1. Otorhinolaryngologic Diseases—Handbooks. 2. Head—surgery—Handbooks. 3. Neck—surgery—Handbooks. 4. Otorhinolaryngologic Surgical Procedures—Handbooks. WV 39 O98 2008] RF56.O94 2008 617.5’1—dc22 2007044670 9 8 7 6 5 4 3 2 1 Printed in China on acid-free paper v Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. This page intentionally left blank vii Preface This book is intended for the medical student, physician-in-training, or Otolaryngology resident, or as a quick reference for the practitioner of Otolaryngology. This volume is not meant to be encyclopedic, since the breadth of Otolaryngology knowledge is so large. Instead, it is meant to be a pocket book that can be an easy reference for the student or practitioner. It covers common otolaryngologic disor- ders and is organized by anatomic site, disease entity, presentation, or procedure. Current references are included for further reading and more in-depth information. It is hoped that physicians and surgeons at all levels will find this book valuable. The authors would like to thank Kevin Kochanski, William Lamsback, and Nancy Wolitzer, our developmental editors at Oxford University Press, for all of their assistance in organizing this volume, and David Cognetti and Berrylin Ferguson for their help in editing the manuscript. In addition, we are indebted to Myung Song of Woodstock, New York, for her medical illustrations in Chapter 16, on facial plastic surgery and reconstruction. This page intentionally left blank ix Contents Preface vii Detailed contents xi 1 Overview 1 2 The ENT examination 11 3 Common methods of presentation 41 4 Investigations in ENT 6 7 5 The mouth, tonsils, and adenoids 85 6 The nose and sinuses 109 7 The salivary glands 143 8 The larynx 161 9 The esophagus 191 10 The neck 203 11 The thyroid and parathyroid glands 219 12 The external ear 233 13 The middle ear 253 14 The inner ear 275 15 The skull base 309 16 Facial plastic surgery and reconstruction 327 17 Common operations 359 18 Ward care 375 19 Practical procedures 389 20 ENT emergencies 409 21 Glossary of ENT terms and eponyms 425 Index 435 This page intentionally left blank