Foreword by Harold C. Pillbury, MD vii Preface ix Acknowledgments xi Contributors xiii Abbreviations xv

Chapter 1 Rhinology and Paranasal Sinus 1

R. Pasha and Steven C. Marks

Nasal and Paranasal Physiology and Anatomy 2

Evaluation of Nasal Obstruction 10

Nasal Diseases 13

Allergy and Rhinitis 28

Paranasal Sinuses 38

Immunology 54

Chapter 2 Salivary Glands 61

R. Pasha, Anthony J. Cornetta, and Robert T. Sataloff

Salivary Gland Anatomy and Physiology 62 Parotid Gland Masses and Salivary Gland

Dysfunction 66

Salivary Gland Non-malignant Pathology 69

Benign Salivary Tumors 73

Salivary Gland Malignancy 77

Chapter 3 Laryngology 83 R. Pasha, James P. Dworkin, and Robert J. Meleca

Laryngeal Anatomy and Physiology 84

Evaluation of the Dysphonic Patient 89

Upper Airway Obstruction 92

Benign Laryngeal Pathology 98

Neurogenic and Other Vocal Pathologies 114

Chapter 4 General Otolaryngology 121

R. Pasha, Robert J. Stachler, and Terry Y. Shibuya

Thyroid and Parathyroids 123

Esophageal and Swallowing Disorders 142

Pharyngeal and Adenotonsillar Disorders 158

Sleep Apnea and Snoring 165

Benign Oral Cavity Lesions 168

Odontogenic, Jaw, and Bone Pathology 179

Neck Masses 191

Neck Planes, Spaces, and Infections 199 Head and Neck Manifestations of Systemic

Diseases 205

Chapter 5 Head and Neck Cancer 217 R. Pasha, George H. Yoo, and John R. Jacobs

Introduction to Head and Neck Cancer 219

Chemotherapy and Radiation Therapy 225

Cancer of the Neck 233

Oral Cancer 239

Oropharyngeal Cancer 243

Hypopharyngeal Cancer 246

Laryngeal Cancer 248

Nasopharyngeal Cancer 259

Nasal and Paranasal Cancer 261

Cutaneous Malignancy 267

Other Head and Neck Malignancy 274

Chapter 6 Otology and Neurotology 281 R. Pasha, Dennis I. Bojrab, Syed Ahsan, and Donald L. Burgio Anatomy, Embryology, and Physiology of

Hearing and Balance 283

Audiology and Hearing Amplification Devices 293

Hearing Loss and Tinnitus 322

Infections of the Ear and Temporal Bone 311 Non-infectious Disorders of the Ear and

Temporal Bone 323 Pediatric and Familial Hereditary Hearing Loss 339

Vestibular Pathology 347

The Facial Nerve 359

Chapter 7 Facial Plastic and Reconstructive Surgery 373 R. Pasha and Richard L. Arden

Wound Healing 375

Incision/Excision Planning and Scar Revision 377

Head and Neck Reconstructive Flaps 383

Grafts, Implants, and Expanders 395

Facial Reconstruction Techniques 398


Introduction to Facial Aesthetic Surgery 406

Rhinoplasty 408

Otoplasty 416

The Aging Face 418

Cleft Lip and Palate 436

Chapter 8 Head and Neck Trauma 441

R. Pasha, Timothy D. Doerr, and Robert H. Mathog

Evaluation of the Head and Neck Trauma

Patient 443

Mandibular Fractures 449

Maxillary Fractures 456

Zygomaticomaxillary and Orbital Fractures 460 Frontal Sinus and Naso-orbitoethmoid

Fractures 464

Nasal Fractures 468

Penetrating Head and Neck Trauma 470

Laryngeal Trauma 472

Soft Tissue Trauma 475

Foreign Body and Caustic Ingestion 481


Appendix A: Branchial Apparatus 485

Appendix B: Cranial Nerves 487 Appendix C: Commonly Prescribed Drugs in

Otolaryngology 489

Krista Piekos

Index 513


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