chronic suppurative otitis media

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KEY TOPICS IN OTOLARYNGOLOGY and Head and Neck Surgery Second Edition N.J.ROLAND MD, FRCS Consultant in Otolaryngology and Head and Neck Surgery, Honorary Lecturer, Liverpool University, University Hospital Aintree, Liverpool, UK R.D.R.McRAE FRCS Consultant in Otolaryngology and Head and Neck Surgery, Colchester General Hospital, Colchester, Essex, UK A.W.McCOMBE MD, FRCS Consultant in Otolaryngology and Head and Neck Surgery, Frimley Park Hospital, Surrey, UK
© BIOS Scientific Publishers Limited, 2001 First published 1995 Second Edition 2001 This edition published in the Taylor & Francis e-Library, 2005. “To purchase your own copy of this or any of Taylor & Francis or Routledge’s collection of thousands of eBooks please go to www.eBookstore.tandf.co.uk.” All rights reserved. No part of this book may be reproduced or transmitted, in any form or by any means, without permission. A CIP catalogue record for this book is available from the British Library. ISBN 0-203-45041-8 Master e-book ISBN ISBN 0-203-45901-6 (Adobe eReader Format) ISBN 1 85996 198 3 (Print Edition) BIOS Scientific Publishers Ltd 9 Newtec Place, Magdalen Road, Oxford OX4 1RE, UK Tel. +44 (0)1865 726286. Fax +44 (0) 1865 246823 World Wide Web home page: http://www.bios.co.uk/ Important Note from the Publisher The information contained within this book was obtained by BIOS Scientific Publishers Ltd from sources believed by us to be reliable. However, while every effort has been made to ensure its accuracy, no responsibility for loss or injury whatsoever occasioned to any person acting or refraining from action as a result of information contained herein can be accepted by the authors or publishers. The reader should remember that medicine is a constantly evolving science and while the authors and publishers have ensured that all dosages, applications and practices are based on current indications, there may be specific practices which differ between communities. You should always follow the guidelines laid down by the manufacturers of specific products and the relevant authorities in the country in which you are practising. Production Editor: Paul Barlass.
Page 2 and 3: KEY TOPICS IN OTOLARYNGOLOGY AND HE
Page 6 and 7: CONTENTS Acoustic neuroma 1 Acute s
Page 8 and 9: Oroantral fistula 201 Oropharyngeal
Page 10 and 11: CONTRIBUTORS P.Bradley Consultant O
Page 12 and 13: EEMG evoked electromyogram EMLA eut
Page 14 and 15: WG Wegener’s granulomatosis WHO W
Page 16 and 17: desoxymethasone desoximetasone dexa
Page 18 and 19: 2 OTOLARYNGOLOGY progressive brain
Page 20 and 21: ACUTE SUPPURATIVE OTITIS MEDIA Defi
Page 22 and 23: 6 OTOLARYNGOLOGY • Lateral sinus
Page 24 and 25: 8 OTOLARYNGOLOGY proportion in rela
Page 26 and 27: ALLERGIC RHINITIS Allergic rhinitis
Page 28 and 29: 12 OTOLARYNGOLOGY 5. Topical antich
Page 30 and 31: 14 OTOLARYNGOLOGY • FBC (females
Page 32 and 33: 16 OTOLARYNGOLOGY • surgery to al
Page 34 and 35: ANAESTHESIA—LOCAL P.Charters Mode
Page 36 and 37: 20 OTOLARYNGOLOGY Vasoconstrictors
Page 38 and 39: BENIGN NECK LUMPS Classification (a
Page 40 and 41: 24 OTOLARYNGOLOGY trumpet playing m
Page 42 and 43: CALORIC TESTS Physiology The semici
Page 44 and 45: CERVICAL LYMPHADENOPATHY Cervical l
Page 46 and 47: 30 OTOLARYNGOLOGY are the site, the
Page 48 and 49: CHOANAL ATRESIA Congenital choanal
Page 50 and 51: CHOLESTEATOMA T.H.J.Lesser A choles
Page 52 and 53: 36 OTOLARYNGOLOGY Investigations (a
Page 54 and 55:
38 OTOLARYNGOLOGY in the tympanic m
Page 56 and 57:
40 OTOLARYNGOLOGY Related topics of
Page 58 and 59:
42 OTOLARYNGOLOGY jugular vein. The
Page 60 and 61:
CLINICAL ASSESSMENT OF HEARING Use
Page 62 and 63:
46 OTOLARYNGOLOGY No single test is
Page 64 and 65:
CLINICAL GOVERNANCE AND AUDIT Clini
Page 66 and 67:
50 OTOLARYNGOLOGY Research and audi
Page 68 and 69:
COCHLEAR IMPLANTS S.R.Saeed Over th
Page 70 and 71:
54 OTOLARYNGOLOGY has abated and su
Page 72 and 73:
56 OTOLARYNGOLOGY Outcomes Numerous
Page 74 and 75:
CONGENITAL HEARING DISORDERS We def
Page 76 and 77:
60 OTOLARYNGOLOGY 1. Hereditary abn
Page 78 and 79:
COSMETIC SURGERY This chapter is co
Page 80 and 81:
64 OTOLARYNGOLOGY Dynamic and stati
Page 82 and 83:
DAY CASE ENT SURGERY Definition An
Page 84 and 85:
68 OTOLARYNGOLOGY Social circumstan
Page 86 and 87:
70 OTOLARYNGOLOGY Investigations Ma
Page 88 and 89:
1. Local causes EPISTAXIS Aetiology
Page 90 and 91:
74 OTOLARYNGOLOGY the face and nose
Page 92 and 93:
76 OTOLARYNGOLOGY Clinical governan
Page 94 and 95:
EVOKED RESPONSE AUDIOMETRY In respo
Page 96 and 97:
80 OTOLARYNGOLOGY Wave Site of gene
Page 98 and 99:
EXAMINATION OF THE EAR There is abs
Page 100 and 101:
Page 102 and 103:
86 OTOLARYNGOLOGY colour, vasculari
Page 104 and 105:
EXAMINATION OF THE THROAT The sympt
Page 106 and 107:
90 OTOLARYNGOLOGY Then palpate down
Page 108 and 109:
92 OTOLARYNGOLOGY Clinical features
Page 110 and 111:
FACIAL NERVE PALSY Although the det
Page 112 and 113:
96 OTOLARYNGOLOGY Causes 1. Bell’
Page 114 and 115:
Page 116 and 117:
100 OTOLARYNGOLOGY • Headache ass
Page 118 and 119:
102 OTOLARYNGOLOGY Trigeminal neura
Page 120 and 121:
FOREIGN BODIES Foreign bodies in th
Page 122 and 123:
106 OTOLARYNGOLOGY reassured and re
Page 124 and 125:
108 OTOLARYNGOLOGY Treatment Bronch
Page 126 and 127:
110 OTOLARYNGOLOGY Indications for
Page 128 and 129:
112 OTOLARYNGOLOGY 3. Early post-op
Page 130 and 131:
GLOBUS PHARYNGEUS Globus pharyngeus
Page 132 and 133:
HALITOSIS Aetiology and pathophysio
Page 134 and 135:
HEARING AIDS A hearing aid is any d
Page 136 and 137:
120 OTOLARYNGOLOGY skin and soft ti
Page 138 and 139:
HIV INFECTION Aetiology Acquired im
Page 140 and 141:
124 OTOLARYNGOLOGY • Universal pr
Page 142 and 143:
126 OTOLARYNGOLOGY lymph nodes. The
Page 144 and 145:
128 OTOLARYNGOLOGY Further reading
Page 146 and 147:
130 OTOLARYNGOLOGY (a) Type A. Maxi
Page 148 and 149:
INTRINSIC RHINITIS Intrinsic rhinit
Page 150 and 151:
134 OTOLARYNGOLOGY (b) Turbinate su
Page 152 and 153:
136 OTOLARYNGOLOGY when secondary t
Page 154 and 155:
Page 156 and 157:
140 OTOLARYNGOLOGY and size. Vocal
Page 158 and 159:
142 OTOLARYNGOLOGY 2. Palliative tr
Page 160 and 161:
LARYNGECTOMY The choice between sur
Page 162 and 163:
146 OTOLARYNGOLOGY examination ther
Page 164 and 165:
LASERS IN ENT Laser is an acronym f
Page 166 and 167:
150 OTOLARYNGOLOGY Safety Medical l
Page 168 and 169:
LITERATURE EVALUATION G.Browning Re
Page 170 and 171:
154 OTOLARYNGOLOGY Study designs Wh
Page 172 and 173:
156 OTOLARYNGOLOGY 4. Control bias.
Page 174 and 175:
158 OTOLARYNGOLOGY common in the lo
Page 176 and 177:
160 OTOLARYNGOLOGY Modified radical
Page 178 and 179:
MEDICOLEGAL ISSUES IN ENT SURGERY M
Page 180 and 181:
164 OTOLARYNGOLOGY The standard of
Page 182 and 183:
166 OTOLARYNGOLOGY Each patient is
Page 184 and 185:
168 OTOLARYNGOLOGY Investigations A
Page 186 and 187:
NASAL GRANULOMATA A granulomatous r
Page 188 and 189:
172 OTOLARYNGOLOGY carcinoma, malig
Page 190 and 191:
NASAL POLYPS Aetiology In certain p
Page 192 and 193:
176 OTOLARYNGOLOGY Treatment is by
Page 194 and 195:
178 OTOLARYNGOLOGY nerve function (
Page 196 and 197:
There are four important groups: a)
Page 198 and 199:
182 OTOLARYNGOLOGY Staging Several
Page 200 and 201:
184 OTOLARYNGOLOGY Investigations a
Page 202 and 203:
186 OTOLARYNGOLOGY 4. Extended radi
Page 204 and 205:
NECK SPACE INFECTION Anatomy Unders
Page 206 and 207:
190 OTOLARYNGOLOGY Clinical feature
Page 208 and 209:
NOISE-INDUCED HEARING LOSS Aetiolog
Page 210 and 211:
194 OTOLARYNGOLOGY Related topics o
Page 212 and 213:
196 OTOLARYNGOLOGY at least 20 dB b
Page 214 and 215:
Page 216 and 217:
200 OTOLARYNGOLOGY Wilson J (ed). E
Page 218 and 219:
202 OTOLARYNGOLOGY Treatment The im
Page 220 and 221:
204 OTOLARYNGOLOGY T4 Carcinoma ext
Page 222 and 223:
Page 224 and 225:
208 OTOLARYNGOLOGY Causes A brief l
Page 226 and 227:
OTITIS EXTERNA Definition Otitis ex
Page 228 and 229:
Page 230 and 231:
OTITIS MEDIA WITH EFFUSION (GLUE EA
Page 232 and 233:
Page 234 and 235:
218 OTOLARYNGOLOGY hearing levels b
Page 236 and 237:
220 OTOLARYNGOLOGY Temporal bone fr
Page 238 and 239:
OTORRHOEA Definition Otorrhoea is t
Page 240 and 241:
OTOSCLEROSIS Definition Otosclerosi
Page 242 and 243:
226 OTOLARYNGOLOGY 3. Stapedectomy.
Page 244 and 245:
228 OTOLARYNGOLOGY The overall resu
Page 246 and 247:
230 OTOLARYNGOLOGY Studies with pre
Page 248 and 249:
Page 250 and 251:
234 OTOLARYNGOLOGY cerebral palsy a
Page 252 and 253:
236 OTOLARYNGOLOGY Vascular ring Ab
Page 254 and 255:
238 OTOLARYNGOLOGY the laryngoscope
Page 256 and 257:
240 OTOLARYNGOLOGY responses, which
Page 258 and 259:
PAPILLOMA OF THE LARYNX Squamous ce
Page 260 and 261:
Page 262 and 263:
246 OTOLARYNGOLOGY in a 100 subject
Page 264 and 265:
248 OTOLARYNGOLOGY nasogastric tube
Page 266 and 267:
PHARYNGOCUTANEOUS FISTULA Definitio
Page 268 and 269:
Page 270 and 271:
254 OTOLARYNGOLOGY the predominant
Page 272 and 273:
PURE TONE AUDIOGRAM The pure tone a
Page 274 and 275:
258 OTOLARYNGOLOGY As masking is mo
Page 276 and 277:
260 OTOLARYNGOLOGY anatomy. In tumo
Page 278 and 279:
262 OTOLARYNGOLOGY site. It may be
Page 280 and 281:
264 OTOLARYNGOLOGY Salivary gland m
Page 282 and 283:
266 OTOLARYNGOLOGY energy X-rays is
Page 284 and 285:
RECONSTRUCTIVE SURGERY N.Niranjan a
Page 286 and 287:
270 OTOLARYNGOLOGY neck skin and pe
Page 288 and 289:
SALIVARY GLAND DISEASES There are f
Page 290 and 291:
274 OTOLARYNGOLOGY parapharyngeal m
Page 292 and 293:
276 OTOLARYNGOLOGY STIR sequencing
Page 294 and 295:
SEPTAL PERFORATION Perforation of t
Page 296 and 297:
SINONASAL TUMOURS Tumours of the si
Page 298 and 299:
282 OTOLARYNGOLOGY The UICC staging
Page 300 and 301:
Page 302 and 303:
286 OTOLARYNGOLOGY Pathology The ma
Page 304 and 305:
288 OTOLARYNGOLOGY this time may be
Page 306 and 307:
Page 308 and 309:
292 OTOLARYNGOLOGY Osteomyelitis Th
Page 310 and 311:
SMELL AND TASTE DISORDERS There are
Page 312 and 313:
296 OTOLARYNGOLOGY are available, b
Page 314 and 315:
298 OTOLARYNGOLOGY Clinical feature
Page 316 and 317:
Page 318 and 319:
302 OTOLARYNGOLOGY audiometry are c
Page 320 and 321:
SPEECH THERAPY IN HEAD AND NECK SUR
Page 322 and 323:
306 OTOLARYNGOLOGY There is no doub
Page 324 and 325:
SPEECH THERAPY IN NON-MALIGNANT VOI
Page 326 and 327:
310 OTOLARYNGOLOGY Therapy The impr
Page 328 and 329:
312 OTOLARYNGOLOGY • Foreign body
Page 330 and 331:
Page 332 and 333:
316 OTOLARYNGOLOGY sudden conductiv
Page 334 and 335:
318 OTOLARYNGOLOGY Hashimoto’s th
Page 336 and 337:
320 OTOLARYNGOLOGY Types of surgery
Page 338 and 339:
322 OTOLARYNGOLOGY and all patients
Page 340 and 341:
324 OTOLARYNGOLOGY Table 1. Classif
Page 342 and 343:
326 OTOLARYNGOLOGY • Surgery. •
Page 344 and 345:
TINNITUS Definition Tinnitus is the
Page 346 and 347:
330 OTOLARYNGOLOGY 3 . In the absen
Page 348 and 349:
332 OTOLARYNGOLOGY Management Even
Page 350 and 351:
TONSILLECTOMY Indications for tonsi
Page 352 and 353:
336 OTOLARYNGOLOGY cross-match shou
Page 354 and 355:
338 OTOLARYNGOLOGY 3. Ventilatory i
Page 356 and 357:
340 OTOLARYNGOLOGY • Pneumothorax
Page 358 and 359:
342 OTOLARYNGOLOGY Ossicular chain
Page 360 and 361:
344 OTOLARYNGOLOGY those that impin
Page 362 and 363:
346 OTOLARYNGOLOGY Indeed, if the v
Page 364 and 365:
VESTIBULAR FUNCTION TESTS An indivi
Page 366 and 367:
350 OTOLARYNGOLOGY 2. Caloric tests
Page 368 and 369:
VOCAL CORD PALSY Anatomy The roots
Page 370 and 371:
354 OTOLARYNGOLOGY This is required
Page 372 and 373:
356 INDEX Cordectomy, 144 Corneal r
Page 374 and 375:
358 INDEX malignant, 211 Otitis med
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