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Essentials ofENT Surgical Procedures
Mastering Key Concepts through Q&A
ZohaibSiddiqui BasimWahba KeliDusu
Editors
123
Essentials of ENT Surgical Procedures
Zohaib Siddiqui • Basim Wahba Keli Dusu
Editors
Essentials of ENT Surgical Procedures
Mastering Key Concepts through Q&A
Editors
Zohaib Siddiqui Medway NHS Foundation Trust Kent, UK
Keli Dusu Frimley Park Hospital Camberley, UK
Basim Wahba Queen Victoria Hospital East Grinstead, UK
ISBN 978-3-031-71393-4 ISBN 978-3-031-71394-1 (eBook)
https://doi.org/10.1007/978-3-031-71394-1
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2024 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microlms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specic statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
If disposing of this product, please recycle the paper.

Preface

Welcome to this comprehensive guide on otolaryngology (ENT) surgical proce­dures, designed to serve as a valuable resource for medical professionals at various stages of their careers, from medical students to specialist surgical trainees. This book provides a thorough exploration of key topics within otolaryngology, present­ing both foundational knowledge and advanced surgical techniques.
The book covers almost every procedure required to be performed by an ENT specialist, organised into seven distinct chapters: Head and Neck Surgery, Otology, Rhinology, Laryngology, Paediatrics, Emergencies, and Facial Plastics. Each chap­ter not only describes the procedural steps in detail but also includes potential con­sultant questions to ensure a thorough understanding of the subject matter. The inclusion of these Q&A sections is intended to foster a deeper knowledge, encour­age critical thinking, and prepare practitioners for real-world applications and con­sultant-level discussions.
This book aims to be an indispensable reference, offering practical insights and up-to-date information to support the ongoing education and development of otolar­yngology professionals. Whether you are a student building your foundational skills or an experienced surgeon seeking advanced techniques, this guide is designed to enhance your practice and improve patient care.
Thank you for choosing this book as part of your professional journey.
London, UK ZohaibSiddiqui East Grinstead, UK BasimWahba London, UK KeliDusu
v

Acknowledgements

I would like to express my deepest gratitude to the many individuals who have sup­ported me throughout the creation of this book.
First and foremost, I thank God, my wife, and my parents for their unwavering support and encouragement, which has been a constant source of strength and inspiration.
I am profoundly grateful to my teachers and mentors, whose guidance and exper­tise have been invaluable in shaping my career and this work. I would particularly like to thank Mr. VanWyk, Mr. Hern, Ms. Pitkin, Ms. Molena, Col. Okpala, Ms. Najuko, Mr. Davis, Prof. Kanegaonkar, Mr. Upile, and Mr. Mallick. Your dedication to the eld of otolaryngology has been a driving force behind this book.
I would also like to acknowledge my colleagues, peers, and the authors of this book, whose collaboration, feedback, and contributions have enriched this project. Your insights, hard work, and dedication have greatly contributed to the depth and quality of this guide. Additionally, I would like to thank Mr. Vikum Liyanaarachchi for providing the illustrations.
Thank you all for being an integral part of this endeavour.
vii

Contents

1 Head and Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Ali Al-lami, Zohaib Siddiqui, Basim Wahba, and Keli Dusu
2 Otology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Iain Mckay-Davies, Zohaib Siddiqui, Basim Wahba, and Keli Dusu
3 Rhinology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Carl van Wyk, Zohaib Siddiqui, Basim Wahba, and Keli Dusu
4 Laryngology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
Natalie Watson, Zohaib Siddiqui, Basim Wahba, and Keli Dusu
5 Paediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Kiran Varadharajan, Zohaib Siddiqui, Basim Wahba, and Keli Dusu
6 Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
Sameer Mallick, Zohaib Siddiqui, Basim Wahba, and Keli Dusu
7 Facial Plastics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
Sami AlHassan, Zohaib Siddiqui, Basim Wahba, and Keli Dusu
ix

Editors and Contributors

Editors

ZohaibSiddiqui Medway NHS Foundation Trust, Kent, UK
BasimWahba Queen Victoria Hospital, East Grinstead, UK
Faculty of Medicine, Cairo University, Giza, Egypt
KeliDusu Frimley Park Hospital, Camberley, UK

Contributors

SamiAlHassan The Royal London Hospital, London, UK
AliAl-lami East Kent Hospitals University, Kent and Canterbury Hospital, Canter-
bury, Kent, UK
KeliDusu Frimley Park Hospital, Camberley, UK
SameerMallick Nottingham University Hospital, Nottingham, UK
IainMckay-Davies Maidstone and Tunbridge Wells Hospital, Maidstone, UK
ZohaibSiddiqui Medway NHS Foundation Trust, Kent, UK
KiranVaradharajan Royal Surrey County Hospital, Guildford, UK
BasimWahba Queen Victoria Hospital, East Grinstead, UK
Faculty of Medicine, Cairo University, Giza, Egypt
NatalieWatson Guy’s and St Thomas NHS Foundation Trust, St Thomas’ Hospi-
tal, London, UK
Carlvan Wyk Frimley Park Hospital, Frimley, Camberley, UK
xi
xii
Editors and Contributors

Illustrators

VikumLiyanaarachchi University of Colombo, Colombo, Sri Lanka
ZohaibSiddiqui Medway NHS Foundation Trust, Kent, UK
Head andNeck
AliAl-lami, ZohaibSiddiqui, BasimWahba, andKeliDusu

1.1 Thyroidectomy

Indications for Surgery [1]
Indications for thyroid surgery can be remembered as the 4 Cs: cancer, control of thyrotoxicosis, compression, and cosmesis.
• Benign thyroid nodules causing compressive symptoms or cosmetic concerns
• Thyrotoxicosis including Graves’ diseases, toxic multinodular goitre, or toxic
adenoma causing hyperthyroidism
• Thyroid cancer (papillary, follicular, medullary, or anaplastic)
• Retrosternal goitre causing tracheal compression
• Suspected malignancy based on ne needle aspiration biopsy (FNAB) or indeter-
minate cytology
1
Specific Risks Involved with the Surgery
Can be divided into immediate, early, and late.
Immediate
A. Al-lami (*) East Kent Hospitals University, Kent and Canterbury Hospital, Canterbury, Kent, UK e-mail: ali.al-lami@nhs.net
Z. Siddiqui Medway NHS Foundation Trust, Gillingham, Kent, UK
B. Wahba Queen Victoria Hospital, East Grinstead, West Sussex, UK
K. Dusu Frimley Park Hospital, Frimley, Camberley, UK
© The Author(s), under exclusive license to Springer Nature Switzerland AG 2024 Z. Siddiqui et al. (eds.), Essentials of ENT Surgical Procedures,
https://doi.org/10.1007/978-3-031-71394-1_1
1