By Myles L Pensak
Designed to arrange otolaryngology citizens and practitioners for this kind of situations they'll see in day-by-day perform, this accomplished evaluate offers readers with systematic, updated assurance of each significant ENT area of expertise, together with otology and neurotology, the cranium base, rhinology, laryngology, head and neck melanoma, sleep issues, pediatric otolaryngology, trauma, facial plastic and reconstructive surgery, and extra. every one rigorously chosen case follows a constant easy layout that courses the consumer via background, differential analysis, try out interpretation, the definitive prognosis, scientific and surgical administration, rehabilitation, and follow-up. The authors supply in actual fact articulated administration algorithms and modern evaluate recommendations for every scientific state of affairs. Multiple-choice questions look on the finish of every bankruptcy to reinforce figuring out of the case stories and optimize the training experience. Read more...
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Extra info for Otolaryngology cases: the University of Cincinnati clinical portfolio
Otomicroscopic examination of the right ear reveals a normal external auditory canal with a mildly atelectatic tympanic membrane. Examination of the left ear canal demonstrates a tympanostomy tube in place. There is a pars flaccida retraction pocket with squamous debris surrounded by granulation tissue. Weber lateralizes to the left ear, and Rinne is positive bilaterally. No nystagmus is noted. Cranial nerve function is intact. Gait and Romberg are normal. ◆ Differential Diagnosis— Key Points A cholesteatoma is a lesion of the temporal bone that is lined with keratinizing squamous epithelium.
1). The remainder of the head and neck examination revealed no abnormality. A computed tomography (CT) scan was then ordered. ◆ Differential Diagnosis— Key Points 1. 2). The differential diagnosis of extracranial complications of acute otitis media can be divided into two groups: intratemporal and extratemporal. Intracranial complications include extradural granulation tissue, sigmoid sinus thrombosis, brain or subdural abscess, otitic hydrocephalus, and meningitis. An accurate history, complete otolaryngologic and neurologic examination, and radiographic imaging are needed to differentiate the various complications.
The literature includes various classification systems for microtia. One system reflects the ease with which the ear may be reconstructed. The more severe the grade, the more extensive the reconstruction required and the less successful the cosmetic outcome. Grade I: A slightly small ear with identifiable structures with a small but present external ear canal Grade II: A partial external ear with a stenotic external ear canal producing a conductive hearing loss Grade III: Absence of the external ear with a small vestigial structure composed of rudimentary cartilage and fibrofatty tissue and an absent external ear canal and eardrum, creating a maximal conductive hearing loss Grade IV: Total absence of the pinna 5.