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