Principles and Practicalities of ENT Principles and Practicalities of ENT is a resource allowing both students and doctors of all levels to approach common clinical scenarios encountered in ENT with confidence. Each section will take you through how to prepare for patients, key points in the history and examination and how best to investigate and manage a wide variety of common ENT presentations and conditions. The material is structured to provide an easy reference, including red flag and primary care sections to enable readers to know what to look out for when considering referrals. Therefore, in addition to being a revision tool for medical students, doctors pursuing MRCS (ENT) examinations and higher surgical training in ENT, this book can also serve as a useful aid for primary care physicians in their everyday diagnostics and referral practices. Principles and Practicalities of ENT How to approach common clinical scenarios Keshav K. Gupta Divya Vatish Karan Jolly Duncan Bowyer First edition published 2023 by CRC Press 6000 Broken Sound Parkway NW, Suite 300, Boca Raton, FL 33487-2742 and by CRC Press 4 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN CRC Press is an imprint of Taylor & Francis Group, LLC © 2023 Taylor & Francis Group, LLC This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. 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Dhir OBE Contents Acknowledgment ix Author biographies xi List of abbreviations xiii Section I Emergency Otology2 1 Mastoiditis3 2 Necrotising otitis externa7 3 Sudden sensorineural hearing loss 11 4 Temporal bone trauma 15 5 External ear trauma 19 Rhinology 23 6 Epistaxis 25 7 Orbital haematoma 31 8 Periorbital cellulitis 35 9 Nasal trauma 41 Head and neck 45 10 Adult acute airway obstruction 47 11 Acute paediatric airway obstruction 51 12 Penetrating and blunt neck trauma 55 13 Upper aerodigestive tract foreign body 61 14 Deep space neck infections 65 15 Post-tonsillectomy bleed 71 16 Post-thyroidectomy haematoma 75 Section II Elective Otology 80 17 Hearing loss and audiology 81 18 Otitis externa 89 19 Acute otitis media 93 20 Cholesteatoma 97 21 Dizziness and vertigo 101 viii Contents 22 Tinnitus 107 23 Facial nerve palsy 111 Rhinology 117 24 Rhinosinusitis 119 25 Anosmia 125 Headandneck 129 26 Head and neck malignancy 131 27 Malignancy of unknown primary 137 28 Dysphonia 141 29 Thyroid lump 145 30 Salivary gland mass 153 31 Dysphagia 157 Paediatrics 161 32 Paediatric hearing loss 163 33 Paediatric sleep disordered breathing 167 Index 171 Acknowledgment We would like to thank Mrs Krupali Gupta, Mr Zahir Mughal and Dr Elizabeth Moor for their artistic skills in recreating figures. We would also like to thank Mr Richard Irving and Mr Charlie Huins for their help with providing clinical photographs.