Table of Contents
Preface ix
1 . Physical Examination Documentation of Normal and Abnormal
Findings From the Ear, Nose, and Throat Examination 1
Procedure Prool: Pneumatic Otoscopy 5
Procedure Prool: Rinne and Weber Tuning Fork Tests 7
Procedure Prool: Nasal Endoscopy 11
Procedure Prool: Evaluating the Nasopharynx With Indirect
Mirror Examination 12
Video 1.1: Nasal endoscopy
Video 1.2: Flexible fi beroptic laryngoscopy
Procedure Prool: Flexible Fiberoptic Laryngoscopy 22
Procedure Prool: Evaluating the Larynx With Indirect
Mirror Examination 23
2. Ear, Nose, and Throat Anatomy and Physiology Normal Findings 33
3. Physical Examination of the Cranial Nerves for the Head and Neck 61
4. Evaluation and Management of Facial Nerve Conditions 89
5. Evaluation and Management of Hearing and Tinnitus 101
6. Evaluation and Management of External Ear Conditions 129
Procedure Prool: Ear Cleaning 134
Procedure Prool: Otowick Insertion 134
7. Evaluation and Management of Middle Ear Conditions 149
Procedure Prool: Myringotomy With and Without Tympanostomy
or Pressure Equalizer Tube Insertion 160
Procedure Prool: Paper Patch Myringoplasty 166
8. Evaluation and Management of Inner Ear Conditions 179
Procedure Prool: Epley Maneuver 190
9. Evaluation and Management of Olfactory Disorders 201
10. Evaluation and Management of the Nose—External Conditions 209
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11. Evaluation and Management of the Nasal Cavity and Paranasal Sinuses 215
Procedure Prool: Silver Nitrate Cauterization for Epistaxis 229
Procedure Prool: Nasal Packing for Epistaxis 230
Staging Criteria: How to Read and/or Determine Cancer Staging 242
Staging Criteria: TNM Staging System for the Nasal Cavity and
Paranasal Sinuses 243
12. Evaluation and Management of Nasopharynx Conditions 249
Staging Criteria: TNM Staging System for the Nasopharynx 253
13. Evaluation and Management of Oropharynx Disorders 255
Procedure Prool: Needle Drainage and Incision and Drainage
of a Peritonsillar Abscess 272
Procedure Prool: Lingual Frenulectomy 280
Staging Criteria: TNM Staging Criteria: Lip and Oral Cavity Cancer 284
Staging Criteria: TNM Staging Criteria: Oropharyngeal
and Hypopharyngeal Cancer 285
14. Evaluation and Management of Sleep Apnea 291
15. Evaluation and Management of Salivary Gland Conditions 301
Staging Criteria: TNM Staging Criteria for Salivary Gland
Cancerous Tumors 315
16. Evaluation and Management of Benign Neck Conditions 323
17. Overview of Malignant Neck Conditions 345
18. Evaluation and Management of Thyroid Disorders 355
Staging Criteria: TNM Staging Criteria for Thyroid Cancer 368
19. Evaluation and Management of Parathyroid Disorders 373
20. Evaluation and Management of Trachea Disorders and Conditions 383
21. Evaluation and Management of Esophageal Disorders 401
22. Evaluation and Management of Larynx and Hypopharynx Disorders 413
Video 22.1: Stroboscopy: False vocal cord use
Video 22.2: Left vocal cord paralysis patient 1
Video 22.3: Left vocal cord paralysis patient 2
Video 22.4: Stroboscopy: Normal vocal cord function
Video 22.5: Stroboscopy: Bilateral ball-valving vocal cord polyps
Staging Criteria: TNM Staging Criteria for Larynx 433
23. Overview of Lesions of the Skin: Head and Neck 437
Procedure Prool: Biopsy of Skin Lesion 439
Staging Criteria: TNM Staging Criteria for Mucosal Melanoma of the
Head and Neck 442
24. Evaluation and Management of Allergic and Nonallergic Disorders 445
25. Overview of Commonly Ordered Tests in ENT 473
Index 479