cough. Subspecialty voice, airway, and swallowing centers (“voice centers”) composed of fellowship-trained laryngologists and cough- and voice-specialized speech-language pathologists often represent this “bottom of the funnel” subspecialty practice, with the…
Chronic cough remains a complex clinical entity, in that its symptomatology can vary widely and its underlying mechanisms are not well understood. As such, chronic cough presents special challenges for…
it pertains to diagnosis. In-depth discussion on treatment of cough is discussed in chapters to follow. In addition to framing the discussion for subsequent chapters on the various causes and…
GERD refers to a disease process caused by GER and manifested by symptoms and physical cellular tissue damage.6 These symptoms include postprandial heartburn, supine reflux, choking spells at night, regurgitation,…
Introduction to Stapes Surgery Many otologists would describe stapes surgery as among the most satisfying of all ear operations. The procedure is elegant, technically sophisticated, and most patients are highly…
It is more than a little ironic that most patients think of the ear in terms of the pinna, whereas many ear surgeons relegate pinna surgery to their facial plastic…
Primary acquired cholesteatoma is an invagination of the tympanic membrane, of variable aggressiveness, with accumulation of desquamated keratin and a notable tendency to destroy bone. It is controversial whether cholesteatoma…
The invention of microsurgical repair of chronic tympanic membrane perforation was one of the great contributions of 20th century otology. With success rates in experienced hands well over 90%, it…
While most mastoid surgery is conducted for infection, mastoidectomy is also performed to create a pathway to the deeper recesses of the temporal bone. These include surgery for neoplasia, vestibular…
2.2 Patient Positioning Fig. 2.1 The three variables for positioning of the head in ear microsurgery: rotation, tilt, and flexion–extension. Fig. 2.2 Incorrect positioning with the head under rotated, extended, and tilted. This…
