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Учебники / ABC of Ear, Nose and Throat 5 ed Ludman 2007

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Ear, Nose and Throat

Fifth Edition

Ear, Nose and

Throat

Fifth Edition

EDITED BY

Harold Ludman

Emeritus Consultant Surgeon in Otolaryngology, King’s College Hospital, London, UK

Emeritus Consultant Surgeon in Neurotology, National Hospital for Neurology and Neurosurgery, London, UK

Patrick J Bradley

Consultant Head and Neck Oncologic Surgeon, Department of Otorhinolaryngology, Head and Neck Surgery, Queens Medical Centre, University of Nottingham, Nottingham, UK

© 2007 by Blackwell Publishing Ltd

BMJ Books is an imprint of the BMJ Publishing Group Limited, used under licence

Blackwell Publishing, Inc., 350 Main Street, Malden, Massachusetts 02148-5020, USA Blackwell Publishing Ltd, 9600 Garsington Road, Oxford OX4 2DQ, UK

Blackwell Publishing Asia Pty Ltd, 550 Swanston Street, Carlton, Victoria 3053, Australia

The right of the Author to be identified as the Author of this Work has been asserted in accordance with the Copyright, Designs and Patents Act 1988.

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, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher.

First published 1981

Second edition 1988

Third edition 1993

Fourth edition 1997

Fifth edition 2007

1 2007

Library of Congress Cataloging-in-Publication Data

ABC of ear, nose, and throat / edited by Harold Ludman and Patrick J. Bradley. -- 5th ed. p. ; cm.

Rev. ed. of: ABC of otolaryngology / Harold Ludman. 1997. Includes bibliographical references and index.

ISBN 978-1-4051-3656-3

1. Otolaryngology. I. Ludman, Harold. II. Bradley, Patrick J., 1949III. Ludman, Harold. ABC of otolaryngology.

[DNLM: 1. Otorhinolaryngologic Diseases. WV 140 A134 2007]

RF46.A2344 2007 617.5'1--dc22

2006036143

ISBN: 978-1-4051-3656-3

A catalogue record for this title is available from the British Library

Cover image is courtesy of and adapted from University of Nebraska Medical Centre

Set in 9.25/12 pt Minion by Sparks, Oxford – www.sparks.co.uk

Printed and bound in Singapore by Fabulous Printers PTE

Associate Editor: Vicki Donald

Editorial Assistant: Victoria Pittman

Production Controller: Rachel Edwards

For further information on Blackwell Publishing, visit our website:

www.blackwellpublishing.com

The publisher's policy is to use permanent paper from mills that operate a sustainable forestry policy, and which has been manufactured from pulp processed using acid-free and elementary chlorine-free practices. Furthermore, the publisher ensures that the text paper and cover board used have met acceptable environmental accreditation standards.

Blackwell Publishing makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check that any product mentioned in this publication is used in accordance with the prescribing information prepared by the manufacturers. The author 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 book.

Contents

Contributors, vii

Preface to Fifth Edition, ix

1Pain in the Ear, 1

Harold Ludman

2Discharge from the Ear, 6

Harold Ludman

3Hearing Impairment and Tinnitus in Adults, 10

Harold Ludman

4Adult Hearing Rehabilitation and Cochlear Implants, 16

Kevin Gibbin

5Childhood Hearing Loss, 20

David Albert

6Acoustic Neuromas and other Cerebello Pontine Angle Tumours, 25

Anthony Wright

7Vertigo, 30

Harold Ludman

8Facial Palsy, 34

Iain Swan

9Paranasal Sinus Diseases and Infections, 37

Parag M Patel, Julian Rowe-Jones

10Facial Pain, 45

Nick S Jones

11Sore Throats, 50

William McKerrow, Patrick J Bradley

12Breathing Disorders, 55

Vinidh Paleri, Patrick J Bradley

13Swallowing Problems, 60

Vinidh Paleri, Patrick J Bradley

14Snoring and Obstructive Sleep Apnoea, 65

Anshul Sama

15Hoarseness and Voice Problems, 71

Julian McGlashan, Declan Costello, Patrick J Bradley

v

vi Contents

16Trauma, Injuries and Foreign Bodies, 78

Archana Vats, Antony Narula, Patrick J Bradley

17Epistaxis, Catarrh, Glossodynia, Halitosis and Somatization, 83

Nick S Jones, Patrick J Bradley

18Neck Swellings, 87

Shahed Quraishi, Patrick J Bradley

19Head and Neck Cancer, 93

Patrick J Bradley

Index, 103

Contributors

David Albert

Consultant Paediatric ENT Surgeon, Great Ormond Street Hospital, London,

UK

Declan Costello

Specialist Registrar, John Radcliffe Hospital, Oxford, UK.

Kevin Gibbin

Consultant ENT Surgeon, Queens Medical Centre, Nottingham, UK

Nick S Jones

Consultant Rhinologist, Queens Medical Centre, Nottingham, UK

Julian McGlashan

Consultant ENT Surgeon, Queens Medical Centre, Nottingham, UK

William McKerrow

Consultant ENT Surgeon, Raigmore Hospital, Inverness, UK

Antony Narula

Consultant ENT Surgeon and Head of Department, St Mary's Hospital, London; Honorary Professor of Otolaryngology, Middlesex University, UK

Vinidh Paleri

Consultant Surgeon, Otolaryngology-Head and Neck Surgery, Newcastle upon Tyne University Hospitals, Newcastle, UK

Parag M Patel

Specialist Registrar, Royal Surrey County Hospital, Guildford, Surrey, UK

Shahed Quraishi

Consultant Head and Neck Surgeon, Doncaster Royal Infirmary, Doncaster,

UK

Julian Rowe-Jones

Consultant Rhinologist and Nasal Plastic Surgeon, Guildford Nuffield

Hospital, Guildford, Surrey, UK

Anshul Sama

Consultant Rhinolaryngologist, Queens Medical Centre, Nottingham, UK

Iain Swan

Consultant ENT Surgeon, Gartnavel General Hospital, Glasgow, UK

Archana Vats

Specialist Registrar, St Mary's Hospital, London, UK

Anthony Wright

Professor of Otolaryngology, Institute of Laryngology and Otology, University College London, London, UK

vii

Preface to Fifth Edition

The first edition of this small volume, The ABC of Ear, Nose and Throat, was derived 25 years ago from a series of articles published at that time in the British Medical Journal to present the substance of this important speciality in an easily assimilable form for a wide readership of general practitioners, medical students, nurses and all those many sprouting paramedical specialties involved with speech, hearing, and head and neck disorders. This target readership has not changed, but the specialty, like most others, has expanded and developed subspecialties in all its divisions.

Otology has changed from the exciting renaissance of microscopic middle ear work that began in the 1960s at the start of my personal otological career, to the amazing developments that include cochlear implantation for inner ear deafness, and neuro-otology has extended from the management of peripheral labyrinthine disorders to embrace surgery within the base of the skull.

Rhinological change has brought us the endoscopic techniques that have revolutionized treatment for paranasal sinus diseases, while the management of throat malignancy has evolved out of all recognition into today’s comprehensive management of head and neck tumours.

It is entirely appropriate therefore that, for this expanded fifth edition, Patrick Bradley FRCSIr, FRCSEd, FRCSEng, MBA, as an internationally recognized authority on head and neck diseases and their treatment, should have become the joint editor, and that several specialists, recognized as experts in various subspecialties, have been enlisted to write about them.

The title has appositely reverted to its briefer, earlier one of ENT, which is so quintessentially British and which trips much more readily off the tongue than does otolaryngology.

Harold Ludman

ix