By Ram S Dhillon FRCS, Charles A. East FRCS
A textbook within the Illustrated color textual content sequence on ENT, aimed toward clinical scholars and junior doctors.
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Extra resources for Ear, nose and throat and head and neck surgery : an illustrated colour text
Topical nasal steroid preparations are valuable in reducing or abolishing the allergic reactions in many patients and can be prescribed long term. ■ Prolonged application of potent topical vasoconstrictors leads to rhinitis medicamentosa. 3). Nasal polyps are ‘bags’ of oedematous mucosa and most frequently arise from the ethmoid cells and prolapse into the nose via the middle meatus. They are nearly always bilateral. If allowed to grow they may present in the nasal vestibule (Fig. 15). The cardinal symptom is progressive nasal obstruction.
Presbyacusis ■ Tinnitus Palatal Subjective tinnitus Not audible to observer AV malformations (aneurysms) associated with sensorineural hearing loss is best treated with a hearing aid. ■ Tinnitus maskers provide effective control for 30% of sufferers. ■ Objective causes of tinnitus are rare. The most common is transmitted noise from the carotid artery. Ototoxic drugs Ménière's disease Carotid body tumours Fig. 50 Subjective tinnitus: this is extremely common. Unfortunately, the vast majority of cases are untreatable.
62 Instruments used in the removal of aural foreign bodies. Vacuum 'sucker' Plug of cotton wool Tissue paper A rubber from a pencil Metal stud embedded in wax Fig. 63 A selection of foreign bodies removed from the ear. Otological trauma and foreign bodies ■ An auricular haematoma or suspected perichondritis requires urgent treatment to avoid a long-term cosmetic defect. ■ Head injuries without a fracture can produce severe cochleovestibular symptoms. ■ Avoid medical litigation by preoperatively informing patients undergoing ear operations of potential risks to the hearing, balance and facial movement.
Ear, nose and throat and head and neck surgery : an illustrated colour text by Ram S Dhillon FRCS, Charles A. East FRCS