Preface... Contributors... 1 Embryology... 3

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1 Contents Preface... Contributors... vii xvii I. Pediatrics 1 Embryology... 3 Pearls... 3 Branchial Arch Derivatives... 3 Branchial Arch Anomalies: Cysts, Sinus, Fistulae... 4 Otologic Development... 4 Midline Nasal Masses... 5 References General Pediatric Otolaryngology... 7 Pearls... 7 Pediatric Sinusitis... 7 Velopharyngeal Insufficiency... 8 Upper Airway Infections... 8 Adenotonsillar Disease... 9 Pediatric Head and Neck Masses Salivary Gland Masses Small Blue-Cell Malignancies in Children Differential Diagnosis for Midline Neck Mass Pediatric Base of Tongue Mass Lymphatic and Vascular Malformations References Congenital Syndromes Pearls Pierre Robin Sequence Achondroplasia VATER Syndrome Trisomy 21 (Down s Syndrome) Autosomal Dominant Syndromes Autosomal Recessive Syndromes X-Linked Recessive Syndromes Q Deletion Syndromes Other Craniofacial Syndromes Cleft Lip and Palate References Pediatric Airway Pearls Difference Between Pediatric and Adult Larynx Clinical Evaluation Radiographic Examination Clinical Scenarios ix

2 x Contents Classification of Laryngeal Cleft Vocal Cord Paresis/Immobility Recurrent Respiratory Papillomatosis Subglottic Stenosis Posterior Glottic Stenosis Tracheal Obstruction Tracheoesophageal Fistula Caustic Ingestion Esophageal Foreign Bodies References Pediatric Otology and Cochlear Implants Pearls External Auditory Canal Pathology Otitis Media Congenital Sensorineural Hearing Loss Conductive Hearing Loss Congenital Inner Ear Malformations References II. Rhinology/Allergy 6 Rhinology Pearls Anatomy Physiology Imaging Rhinitis Rhinosinusitis Epistaxis Benign Masses/Abnormalities Surgical Approaches Open Approaches Major Complications of Sinus Surgery References Allergy and Immunology Pearls Epidemiology Risk Factors Pathophysiology Classification of Hypersensitivity Reactions: Gell and Coombs Cellular Response of Allergic Reactions Neurogenic Response to Allergen Allergic Rhinitis Management of Allergy Symptoms Immunomodulation Severe Manifestations of Allergic Response References Systemic, Infectious, and Inflammatory Diseases Pearls Genetics Circulatory Autoimmune Infectious Osteodystrophies References... 77

3 Contents xi III. General 9 Sleep-Disordered Breathing and Obstructive Sleep Apnea Pearls References Fluids, Hemostasis, Nutrition, and Pulmonary Physiology Pearls Fluids Hemostasis Nutrition Pulmonary Physiology Chest Diseases Pulmonary Function Test References Therapeutics: Pharmacology, Chemotherapy, Radiation Oncology Pearls Anesthesia Pharmacology Chemotherapy Radiation Oncology References Head and Neck Pathology Pearls Larynx Salivary Gland Sinonasal Malignant Sinonasal Neoplasms Infectious/Inflammatory Ear Endocrine References IV. Otology 13 Otologic and Neurotologic Disorders Pearls Otologic Embryology, Anatomy, and Physiology Audiology References Vestibular System Pearls Vestibular Physiology and Diagnostic Studies Vestibular Disorders References Ear Disorders Pearls Sensorineural Hearing Loss Conductive Hearing Loss References The Facial Nerve and Lateral Skull Base Disorders Pearls References

4 xii V. Contents Head and Neck 17 Thyroid and Parathyroid Surgery Pearls Thyroid Anatomy Vascular Nerves Histology Benign Thyroid Disease Malignant Thyroid Disease Classification Work-Up Staging Other Staging Systems Management Postsurgical Management Parathyroid Anatomy Epidemiology Pathophysiology Primary Hyperparathyroidism Diagnosis/Work-Up Treatment Parathyroid Carcinoma References Salivary Gland Diseases Pearls Anatomy Diagnostics Salivary Gland Diseases Benign Masses Salivary Gland Malignancies References Head and Neck Lymphoma and Sarcoma Pearls Lymphoma Head and Neck Sarcoma References Laryngeal Squamous Cell Carcinoma Pearls Anatomy Epidemiology Work-Up and Staging Management Other Laryngeal Malignancies References Oral Cavity and Oropharyngeal Squamous Cell Carcinoma Pearls Anatomy Epidemiology Presentation Work-Up and Staging Management Anatomy

5 Contents xiii Epidemiology Work-Up and Staging Management References Nasal Cavity and Paranasal Sinus Carcinoma Pearls Anatomy Epidemiology Presentation Work-Up and Staging References Vascular Tumors Pearls Classification References Cutaneous and Temporal Bone Malignancies Pearls Anatomy Epidemiology Basal Cell Carcinoma Treatment Recommendations Cutaneous Squamous Cell Carcinoma of the Head and Neck Treatment Recommendations Malignant Melanoma Treatment Recommendations Temporal Bone Malignancies Treatment Recommendations References Odontogenic Cysts and Tumors Pearls Odontogenic Cysts Dentigerous Cyst Odontogenic Keratocyst (Keratocystic Odontogenic Tumor) Calcifying Odontogenic Cyst Glandular Odontogenic Cyst Odontogenic Tumors: Odontogenic Epithelium Odontogenic Tumors: Mixed Tumors Odontogenic Tumors Odontogenic Ectomesenchyme References VI. Laryngology 26 Deep Neck Space Infections Pearls Anatomy Deep Neck Spaces Diagnostic Imaging Microbiology Surgical Management Complications of Neck Space Infections References Laryngology Pearls Anatomy

6 xiv Contents Physiology of Voice (Voice Production) Clinical Voice Assessment Infectious and Inflammatory Diseases of the Larynx Vocal Fold Paralysis Neurolaryngology Miscellaneous Laryngology Subglottic and Tracheal Stenosis Tracheal Neoplasms References Benign Lesions of the Larynx Pearls Benign Lesion of the Vocal Folds Phonomicrosurgery Other Benign Lesion of the Larynx References Dysphagia Pearls Anatomy Physiology of Swallowing Phases of Swallowing Causes of Dysphagia Evaluation of Dysphagia Chronic Aspiration Benign Disorders of the Esophagus References Lasers Pearls Laser Physics Types of Lasers Laser Tissue Interaction Laser Safety References VII. Facial Plastics and Reconstruction 31 Facial Plastics Pearls Aesthetic Facial Analysis Rhinoplasty Facial Aging Facial Implants and Surgical Augmentation Surgical Treatment of the Aging Face Characteristics of the Aging Face Facelift Brow-lift Blepharoplasty References Head and Neck Reconstruction: Local, Pedicled and Free Flaps; Facial Nerve Reanimation Pearls Approach to Facial Reconstruction Classification of Flaps Local Flaps Regional Flaps

7 Contents xv Free Flaps Facial Nerve Re-animation References Head and Neck Trauma Pearls Initial Assessment of the Head and Neck Trauma Patient Upper Facial Trauma Midface Trauma Lower Face Trauma Temporal Bone Trauma Laryngeal Trauma (Also Find in Laryngology) References Index

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