Добавил:
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:

Учебники / Otolaryngology - Basic Science and Clinical Review

.pdf
Скачиваний:
314
Добавлен:
07.06.2016
Размер:
42.12 Mб
Скачать

INDEX 759

patency of, 68 physiology of, 6768

Tracheal homograft transplant, 222 Tracheal rings, destruction in relapsing

polychondritis, 52 Tracheal stenosis, 65, 222

clinical presentation of, 222 diagnosis of, 222

segmental or funnel-type, 222 stridor with, 222

treatment of, 222 Tracheitis

bacterial

causative agents of, 204

in pediatric patients, 204205 in systemic lupus erythematosus, 48

Tracheobronchitis, 87 Tracheomalacia, 6566, 222

clinical presentation of, 222 diagnosis of, 222

primary, 222 secondary, 222 stridor in, 215, 222 treatment of, 222

Tracheostomy, for obstructive sleep apnea, 79

Tracheotomy

in pediatric patients, 205 in subglottic stenosis, 220

in true vocal cord paralysis, 221

for vocal fold paralysis or paresis, 519 Tragal pointer, 635

Transcapillary fluid exchange, in flap dynamics, 706707

Transcription, 193, 194f Transcription factors, 194 Transduction (genetic), 195 Transfection, 195

Transfer RNA (tRNA), 193 Transforming growth factor

in head and neck cancer, 145 in wound healing, 12, 14t, 17

Transforming growth factor in keloid formation, 2021

in wound healing, 13, 14t, 15, 17 Transiently evoked otoacoustic emissions

(TEOAEs), 134, 364, 379, 380f Translation, genetic, 193, 194f Transmission, of laser energy, 181, 181f,

183184 Transverse arytenoid muscle,

509f, 511512, 555f Transverse cervical artery, 695f, 697f698f Transverse crest, 620

Transverse facial artery, 603f, 635f, 636, 696f, 700

Transverse facial vein, 635f Transverse nasalis muscle, 460, 460f Transverse process, 697f698f Transverse scapular artery, 695f Transverse sinus, 276, 699 Trapezius muscle, 695f696f

innervation of, 605f, 606, 623 Trapezoid body, 351353, 352f

Trautmann’s triangle, 281 Treacher Collins syndrome, 236

aural atresia in, 287 cleft lip/palate in, 453

pinna malformation in, 257, 257f The Treatment of InfectedWounds, 11

The Treatment ofWounds Caused by Firearms, 11 Tremors, 520521

essential, 520

vocal or laryngeal, 520521 Triamcinolone acetonide

dosage of, 103t for keloids, 21

Triangles of neck, 598600, 599f anterior, 598599, 599f carotid, 599, 599f

posterior, 598600, 599f submandibular, 599, 599f600f submental, 599, 599f

Triangularis menti muscle, 695f696f Triangular ligament, 516 Trichloroacetic (TCA) acid, for chemical

peel, 687 Trichophytic browlift, 688689

Trigeminal nerve (CN V), 615616 clinical considerations of, 616 damage to, 616

in eustachian tube control, 278279 in first branchial arch, 501, 501t general somatic afferent of, 615 innervation by

laryngeal, 511

nasal, 461, 468469, 469f, 477, 486 tensor tympani muscle, 355

tongue, 503

magnetic resonance imaging of, 617f mandibular branch of (V3),

615616, 617f

maxillary branch of (V2), 615616, 617f olfactory function of, 489, 491, 494 ophthalmic branch of (V1), 615, 617f special visceral efferent of, 615

in systemic lupus erythematosus, 48 Trigeminal neuralgia, 630 Triiodothyronine (T3), 644 Trimethoprim, 110112

chemistry of, 111112 pharmacokinetics of, 111112

Trimethoprim-sulfamethoxazole, 111 Trisomy 13

inner ear anomalies in, 258 pinna malformation in, 256

Trisomy 15, pinna malformation in, 256 Trisomy 18, inner ear anomalies in, 258 Trisomy 21 (Down syndrome),

234, 256, 257f Triticeal cartilage, 506 Trochlear artery, 700

Trochlear nerve (CN IV), 358, 614615 clinical considerations of, 614615 paralysis of, 614615

susceptibility to injury, 615, 615f

True vocal cord, 502, 510, 516. See also Vocal cords/folds

Tryptase, 34, 37 t-test, 176 Tubal tonsil, 557 Tuberculosis

laryngeal neuropathy in, 521 in ventilation systems, 166

Tuberculum impar, 503 Tubotympanic recess, 502

Tumor(s). See specific anatomic sites and types head and neck. See Head and neck cancer

Tumor, node, metastasis (TNM) staging, 139, 139t

Tumor-associated antigens (TAAs), 152153 Tumor bioassays, 197

Tumor necrosis factor in immune response, 45

in rheumatoid arthritis, 47 in wound healing, 13, 15, 17

Tumor necrosis factor , in immune response, 45

Tumor suppressor genes, 143, 193195, 228

Tumor viruses, 9596 Tunica muscularis, 564 Tuning fork, 260, 260f

Turbinates (conchae), 462465, 463f development of, 451

inferior, 462463, 463f, 473, 554f middle, 462465, 463f464f, 466, 554f superior, 462463, 463f464f,

465466, 554f supreme, 463, 466

Turner syndrome, 234

22q11 deletion syndrome, 235 Two-tailed test, 176 Tympanic annulus, 252253

Tympanic cavity, development of, 502 Tympanic membrane

acoustic function of, 266267, 267f anatomy of, 276279

computed tomography of, 433f434f, 434 development of, 252253, 500, 502 epithelial generation in, 29

healing of, 2930 histologic layers of, 29 layers of, 252

loss of, 269, 269f perforation of, 270 chronic, 2930 healing of, 29

surgical reconstruction of, 270272 Tympanic nerve, 621

Tympanic plexus, 281, 621, 629 Tympanic ring, 278

Tympanic striae, anterior and posterior, 276 Tympanomastoid fissure, 275 Tympanometric peak, 377378, 377f378f Tympanometric shape (width),

377378, 377f Tympanometry, 377378, 377f378f Tympano-ossicular system, 266267, 267f Tympanoplasty

middle ear aeration in, 272 without ossicular linkage, 270271

760 INDEX

Tympanoplasty (Continued)

fluid spaces of, 279

Vascular endothelial growth factor (VEGF),

with ossicular linkage preservation, 271

testing of, 420

in head and neck cancer, 149

ossiculoplasty with, 271272

vestibular function of, 355, 410411

Vascular malformations, 210211,

static pressure in, 272

Uvula, 553f, 555f

701702

type I, 271

development of, 450451

classification of, 701

type II, 271

Uvular muscle, 628

combined, 701

type III, 271

Uvulopalatopharyngoplasty (UPPP)

high-flow, 701702

type IV, 270271, 270f

complications of, 80

low-flow, 701702

type V, 270271

for obstructive sleep apnea, 7980

surgical treatment of, 701702

Tympanosquamous fissure, 275

success rates in, 7980

syndromes associated with, 702

U

Uvulopalatoplasty, laser-assisted, 179

Vascular territory, 694, 704705

for obstructive sleep apnea, 80, 188

Vasoactive intestinal polypeptide, 706

Ulcers

V

Vasoconstriction

aphthous, 630

in flap dynamics, 706

in Behçet’s syndrome, 5051

Vagus nerve (CN X), 621622

in hemostasis, 3

contact, vocal cord, 574

versus ansa cervicalis, 604

in wound healing, 1213

oral cavity, 630

auricular branch of, 281

hypoxic, 64

Ultimobranchial bodies, development

clinical considerations of, 622

Vasodilating agents, for flap survival

of, 503

components of, 621

enhancement, 707

Ultrafast computed tomography, 669

damage to, 622

Vasopressin, in inner ear homeostasis, 330

Ultrapulse, 188

in eustachian tube control, 279

Vein(s), 696f, 698f. See also specific veins

Ultrasound

in fourth branchial arch, 501t, 502, 513

adult pattern of, 698f, 699

disadvantages of, 668

general somatic afferent of, 621622

Velocardiofacial syndrome, 235

of neck, 668

general visceral efferent of, 621622

Velocity storage, 413

in parathyroid disease, 676

innervation by, 621622

Velosef (cephradine), 115t

in stridor, 215

esophageal, 563f, 564565

Vena comitans, 605

in thyroiditis, 654

laryngeal, 513, 513f, 517518

Venous malformations, 701

Ultraviolet radiation, 683, 685

neck, 605f, 606

Venous thrombosis, due to factor V Leiden

Umami, 631

pharyngeal, 560, 562, 606

deficiency, 232

Unasyn (ampicillin-sulbactam), 113

special visceral efferent of, 621622

Ventilation

Uncinate process, 464465, 464f

tumor of, 622f623f

alveolar, 63

development of, 451

visceral afferent of, 621622

dead space, 63

Uniparental disomy, 228

Validity, 173174

in infants and children, 202203

Upper aerodigestive tract

external, 173174

measurements of, 63

anatomic relationships of, 566567

internal, 174

mechanical. See Mechanical ventilation

pathology of, 574

Valleculae, 554, 556, 556f

minute, 63

Upper airway

Vancomycin, 118

resting, 63

collapse, during sleep, 67, 72

chemistry of, 118

Ventilation/perfusion (V/Q), 64

congenital abnormalities of, 67

mechanism of action, 118

Ventilation system contamination,

environmental effects on, 164167

ototoxicity of, 133

165166

obstruction of, 6768

pharmacokinetics of, 118

Ventral acoustic stria, 353354, 353t

flow-volume curves of, 6768, 67f

resistance to, 118

Ventral oblique muscle, 593f

physiology of, 6768

side effects of, 118

Ventral rectus muscle, 593f

Upper airway resistance syndrome,

spectrum of activity, 118

Verapamil, for flap survival

72f, 7677

van der Hoeve’s syndrome, 257

enhancement, 707

Upper esophageal sphincter (UES), 563, 567,

Vantin (cefpodoxime), 115t, 116

Vergeture, 533

570571

Variable(s), 175

Vermilion border, 627, 700

Upper lateral cartilage, 457f, 458, 467, 473

continuous, 175

Verrucous carcinoma, laryngeal,

Upper respiratory infections

definition of, 175

582583, 582f

bacterial, 8589

dependent, 175

Vertebral artery, 693694

defense mechanisms against, 8385

discrete, 175

Vertebrobasilar infarct, 297, 298f

fungal, 85

independent, 175

Vertical crest (Bill’s bar), 280, 422, 620

and olfactory dysfunction, 493t, 494

interval, 175

computed tomography of, 433f434f,

viral, 85, 9296

nominal, 175

435, 619f

Ureidopenicillins, 113

ordinal, 175

Vertigo, 358359

Urokinase, and surgical

ratio, 175

augmentation, in fast phase, 413

hemostasis/coagulation, 4t

Varicella pneumonia, 205

benign paroxysmal positional, 311, 311f,

Usher’s syndrome, 239240, 244, 287290

Vascular anatomy, 693703. See also specific

411, 415

type I, 239240, 289f, 290

anatomic structures and vessels

in Cogan’s syndrome, 55

type II, 240, 290

direct cutaneous, 704

in Hashimoto’s thyroiditis, 56

type III, 240, 290

fasciocutaneous, 704

loop diuretics and, 130

Utricle

and flap design, 694, 699701, 704705

in Meniere’s syndrome, 309311, 311f

anatomy of, 279280

musculocutaneous, 704

quinine and, 132133

development of, 254

surgical considerations of, 699701

in relapsing polychondritis, 5152

INDEX 761

in Sjögren’s syndrome, 50

torsional pendulum model of, 411

Vitamin B complex

testing for, 415420

velocity storage in, 413

deficiency of, 23

Vestibular aqueduct, computed tomography

Vestibule

supplemental, 23

of, 433f434f, 435

ear, 279

and wound healing, 23

Vestibular fold, 509510, 509f

laryngeal, 509f, 510

Vitamin C

Vestibular ganglion, development of, 254

nasal, 461, 467

deficiency of, 23

Vestibular hair cells, 409411

Vestibulocerebellum, 357, 357t

excess doses of, 23

Vestibular ligament, 509

Vestibulocochlear nerve (CN VIII), 619620.

and wound healing, 23

Vestibular nerve, 276, 277f, 280, 355357,

See also Cochlear nerve;

Vitamin D

619620

Vestibular nerve

deficiency of, 23

firing rate of, 410

clinical considerations of, 620

functions of, 23

projections of, 355357, 357t

Vestibulocolic reflex, 409, 413

and wound healing, 23

Vestibular nucleus, 356357

Vestibulo-ocular reflex, 356f, 358359,

Vitamin E, and wound healing, 24

projections to and from, 357, 357t

409, 412413

Vitamin K

Vestibular pathways, 356f

cerebellar control of, 413

in coagulation, 6f, 7, 24

afferent, 355359

testing of, 415, 416f

and wound healing, 24

efferent, 359

caloric test in, 356f, 358, 416417

Vocal cords/folds, 502, 509f, 510

Vestibular periphery, 409410

electronystagmogram in, 415416

abnormalities of, 532533

Vestibular receptor(s), 355

rotational tests in, 417419,

carcinoma of, 532533

Vestibular receptor epithelium, adequate

418f, 419t

contact ulcers of, 574

stimuli for, 410

tests under development, 420

false, 509, 509f

Vestibular schwannoma. See Acoustic neuroma

visual-vestibular interaction in, 419

granular cell tumor of, 577578, 577f

Vestibular system

Vestibulospinal reflexes, 409, 413

histology of, 543, 543f

adjustment in, 413

Vestibulospinal tract, 357358

laser treatment of, 188

anatomy of, 279280

Vfend (voriconazole), 126127

layered structure of, 543, 543f,

asymmetrical responses of, 410

Vibramycin (doxycycline), 120121

549550, 550f

bidirectional responses of, 410

Vibrissae, 461

length, mass, and tension of, 546

cellular composition of, 324t

Vicryl, 711

muscular action on, 517

cerebellar regulation of, 413

Videofluoroscopy, in stridor, 215

nodules of, 533, 574

directional sensitivity in, 410411

Vidian nerve, 562, 629

oscillation/vibration of, 531, 537,

dysfunction of, 358359

Vinca alkaloids, neurotoxicity of, 522

539543

aminoglycosides and, 118, 118t,

Vinorelbine, for head and neck cancer, 145

elliptical nature of, 542

128, 295

Viral infection(s), 85

and voice register, 541542, 542f

antineoplastic agents and, 131132

host resistance to, 8990, 89f

paralysis or paresis of, 220221,

aspirin and, 103

latency of, 91

518520

in benign paroxysmal positional vertigo,

and otologic disorders, 9395

acquired, 220

311, 311f, 411, 415

pathogenesis of, 91

bilateral versus unilateral, 220

cisplatin and, 131

persistent, 91

congenital, 220

in Cogan’s syndrome, 55

respiratory, 9296

diagnosis of, 221

in Hashimoto’s thyroiditis, 56

treatment of, 9192, 91t

Gelfoam injections for, 519

inner hair cell loss and, 346347

Viral vectors, for gene therapy, 195

management of, 221, 519520

loop diuretics and, 130

Virus(es), 9091

nerve-muscle pedicle reinnervation for,

in Meniere’s syndrome, 309311, 311f

DNA, 9091

519520

in mumps, 94

life cycle of, 9091, 90f

posterior cordotomy for, 519

quinine and, 132133

replication of, 9091

reinnervation for, 519

in relapsing polychondritis, 5152

RNA, 9091

stridor with, 220221

salicylates and, 132

“slow,” 91

in stroke patients, 522523

in Sjögren’s syndrome, 50

structure of, 90

surgical lateralization for, 519

in eye movement control, 356f, 358359

tumor, 9596

surgical medialization for, 519

functions of, 409

Visceral motor oculomotor nucleus,

Teflon injections for, 519, 711

head acceleration in, 410411, 412f

612613

tracheotomy for, 519

head velocity in, 410411, 412f

Visceral space

in Parkinson’s disease, 520

neuronal firing rate in, 410, 412f

imaging of, 672t673t, 675676

in phonation, 524537. See also Phonation

nonlinearity in, 410

pathology of, 672t673t, 675676

polyps of, 533, 574

physiology of, 409414

Viscometer, 482

in rheumatoid arthritis, 47

testing of, 415420

Visual reinforcement audiometry, 376

in singers, 533

caloric test in, 356f, 358, 416417

Visual-vestibular interaction, 419

surgical anatomy of, 548550

electronystagmogram in, 415416,

Vital capacity, 60, 60f

true, 502, 510, 516

417f, 417t

Vitamin A

Vocal fry register, 541

posturography in, 419420

for aged skin, 26

Vocalis ligament, in laryngeal cancer, 581

rotational tests in, 417419, 418f, 419t

deficiency of, 2223

Vocalis muscle, 511512

tests under development, 420

physiological roles of, 22

in laryngeal cancer, 581

vestibulo-ocular reflex in, 415, 416f

supplemental, 2223

in phonation, 525

visual-vestibular interaction in, 419

and wound healing, 2223

in swallowing, 570

762 INDEX

Vocal ligament, 510, 516

Voriconazole, 126127

in cartilage, 2728

biomechanics of, 526

mechanism of action, 126

cellular and biochemical components of, 12t

Vocal process gap, 531

pharmacokinetics of, 127

cellular basis of, 1112, 12t

Vocal process of arytenoid, 507508, 507f

side effects of, 127

cellular proliferation in, 9, 1112, 12f

Vogt-Koyanagi-Harada (VKH) syndrome, 55

spectrum of activity, 126127

cellular and biochemical components

Voice disorder(s), 547551

W

of, 12t

in dystonia/dysphonia, 520

duration of, 15

in laryngeal hypofunction, 518520

Waardenburg-Shah syndrome, 291

clotting disorders and, 13

laryngeal innervation in, 517518

Waardenburg’s syndrome, 240, 290291, 291f

failures of, 2122

in Parkinson’s disease, 520

cleft lip/palate in, 453

extrinsic factors in, 21

phonation in, 524535

type I, 240, 290

intrinsic factors in, 2122

phonosurgery for, 536537, 548550

type II, 240, 290291

reduction of risk for, 2122

in stroke patients, 522523

type III, 291

in fetus, 30

in vocal fold paralysis or paresis, 518520

type IV, 291

fibroplasia in, 10

in vocal or laryngeal tremors, 520521

Waldeyer’s ring, 557, 576

growth factors in, 1213, 13t14t, 17

Voice production, 524535

Wallenberg’s syndrome, 522

hemostasis in, 913, 12f, 12t

laryngeal biomechanics in, 525526,

Warfarin

history and progress of, 1011

536537

and surgical hemostasis/coagulation, 4t, 7

inflammation in, 911, 12f, 12t, 1315

laryngeal position and, 514515, 537

vitamin K therapy with, 24

injury type and, 10

pathology of, 547550. See also Voice

Warthin’s tumor, 674

integrity of, 1617, 16f

disorder(s)

Water balance, in inner ear, 325326

iron and, 24

phonation in, 524537

Water transporters (aquaporins), in inner ear,

lathyrogens and, 2526

abnormal, 532533

319322, 322f, 324, 329330

macrophages in, 12t, 1415, 14t

phonosurgery for, 536537, 548550

Weak triangle, nasal, 457f, 458

magnesium and, 24

active F0 control in, 528529

Wegener’s granulomatosis, 5253

maturation in, 911, 12f

breathy, normal, and pressed, 530

clinical characteristics of, 52

nutritional factors in, 2223

cessation of, adduction and, 526

epidemiology of, 52

oxygen and, 2425

DC-to-AC conversion in,

head and neck manifestations of, 5253

oxygen-derived free radicals and, 26

537538, 538f

laboratory findings in, 52

perioperative preparation for, 30

fundamental frequency of, string model

nasal findings in, 5253

postoperative care in, 30

for, 528

otologic findings in, 5253

primary closure in, 1617

glottal flow in, 527528, 527f

treatment of, 53

remodeling in, 12t, 1718

skewing of, 529530, 529f

Weight control, for obstructive sleep

scar formation in, 9, 1821

spectral aspects of, 530

apnea, 78

secondary intention in, 17

instabilities in, 529

Well-differentiated neuroendocrine carcinoma

in skin grafts, 27

intraglottal pressures in, 531, 531f

(WDNEC), 583585

smoking and, 25

laryngeal biomechanics in, 525526

Wernicke’s aphasia, 354

in specialized circumstances, 2730

laryngeal flow resistance in,

Wernicke’s area, 354

stages of, 911, 12f

531532, 532f

Wharton’s (submandibular) duct, 629,

steroids and, 25

in men versus women, 530

636, 636f

surgical, ideal goal of, 910

passive F0 control in, 528

obstruction of, 673, 673f

tensile strength in, 1617

physiology of, 537541

Wheezing, 213

in tympanic membrane, 2930

pressure equilibration in, 527

Whirlin, 318

via contracture, 17

vocal fold oscillation/vibration in,

White line, nasal, 461

vitamin A and, 2223

531, 538

Whole-body plethysmography, of lung

vitamin B complex and, 23

Voice quality, 530, 545546

volumes, 6062, 61f

vitamin C and, 23

epiglottic tumors and, 580

Whole-nerve action potential (WNAP),

vitamin D and, 23

Voice register, 541542, 542f, 545

382383

vitamin E and, 24

Volatile compounds, 164165

WHRN gene mutation, 318

vitamin K and, 24

Volume of distribution, 99100

Widened scars, 19

wound-breaking strength in, 1618, 16f

Vomer, 461462, 462f

Willis, circle of, 693694

Wound infection, 11, 21

Vomeronasal organ of Jacobson, 450

Winklekarzinom, 580

vitamin C deficiency and, 23

Vomiting, pharyngeal function in, 557

Wolff’s law, of bone healing, 29

Wrinkling. See also Facial aging

von Eber glands, 556557

Word recognition testing, for ototoxicity, 133

Glogau scale of, 683t

von Hippel-Lindau disease, 307309,

Work of breathing, 6566

Wrisberg, intermediate nerve of, 422

310f, 702

Wound debridement, macrophages in, 14, 14t

X

von Recklinghausen disease, 231

Wound healing, 931

von Willebrand factor (vWF), 5

aging and, 2627

X chromosome, 226228

von Willebrand’s disease, 2t, 3, 231

alcohol and, 25

X chromosome deficiency (XO), 234

genetics of, 231

amino acids, dietary, and, 22

Xerostomia, 630

treatment of, 231

anti-inflammatory drugs and, 25

gustatory dysfunction in, 631

type 1, 231

in bone, 2829

in progressive systemic sclerosis, 48

type 2, 231

in bone grafts, 29

radiation therapy-induced, management

type 3, 231

calcium and, 17, 24

of, 143

 

 

INDEX 763

secondary disorders with, 630

Zell-ballen pattern, 578579, 579f, 651

Zona accuata, 315f

in Sjögren’s syndrome, 50, 630

Zenker’s diverticulum, 557, 675

Zona pecta, 315f

treatment of, 50

Zidovudine (AZT), ototoxicity of, 94

Zosyn (piperacillin-tazobactam), 113

X-linked disorders, 227228

Zinacef (cefuroxime), 115t, 116

Zyderm, 712

Y

Zinc

Zygoma, 276f

deficiency of, 24

Zygomatic muscle, 635f

Y chromosome, 226228

inhalation of, 165

major, 695f696f

Z

supplemental, 24

minor, 695f696f

and wound healing, 17, 24

Zygomatic nerve, 615616, 635

Zantac (ranitidine), 101

Zinc finger proteins, 194

Zyplast, 712

Zefazone (cefmetazole), 116

Zithromax (azithromycin), 122123

Zyvox (linezolid), 124125