By Harold S. Ludman, Patrick Bradley
This new version of the best-selling ABC of Otolaryngology bargains an up to date evaluation of otolaryngology, and head and neck surgical procedure (ENT). Now in its 5th version, the ABC of Ear, nostril and Throat advises on how top to control sufferers with the most typical ENT-related problems.Thoroughly revised and up to date, this re-creation contains additional chapters on facial ache, head and neck tumours, sleep apnoea and epistaxis, in addition to contemporary advances in ENT review and investigations (especially CT and MRI) and minimally invasive options. New fabric on voice, respiring and swallowing issues, listening to impairment and cochlear implants has been further, with new images, illustrations and algorithms all through. The ABC of Ear, nostril and Throat bargains a necessary creation to this primary speciality for college students, when supplying a pragmatic reference for GPs, GP registrars, junior medical professionals and nurses.
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Extra resources for ABC of Ear, Nose and Throat, 5th Edition (ABC Series)
Facial palsy is the commonest neuropathy and is bilateral in 75% of cases. Treatment is with antibiotics and full recovery is likely. 3 Herpes zoster oticus. g. prednisolone 1 mg/kg per day for 7 days) is important. Malignant neoplasms of the parotid gland and the middle ear are rare causes of facial palsy. They should be excluded by clinical examination and treated appropriately. Facial neuroma is uncommon. It should be suspected in cases of apparently idiopathic facial palsy which do not recover or continue to progress.
2 Peripheral (labyrinthine) disorders Peripheral disorders are: • Menière’s disease; • benign paroxysmal peripheral vertigo (BPPV); • sudden vestibular failure. 31 Operation is advised if the symptoms are not controlled by medication. Conservative surgical procedures aim to protect hearing, and include decompression of the endolymphatic sac and selective division of the vestibular branch of the vestibulocochlear nerve (vestibular neurectomy). Labyrinthectomy, with total destruction of the membranous labyrinth, guarantees relief from the vertigo but at the expense of total loss of hearing in that ear.
The roof is the tentorium, the tough membrane that separates the posterior cranial fossa from the middle cranial fossa. 1 and Fig. 1). A major branch of the basilar artery, the anterior inferior cerebellar artery (AICA), courses through the CPA and itself has branches to the pons and to the labyrinth. It ends up supplying the cerebellum in part. The acoustic and vestibular nerve bundle runs across the middle of the CPA from the inner ear to the brain stem. It arises from the sensory epithelium of the cochlea and vestibular labyrinth.