By Matthew Clark, Peter Tassone, Carl Philpott
Concise and to-the-point, this ebook presents a powerful evaluation and research reduction for postgraduate and go out examination applicants in otolaryngology-head and neck surgical procedure. It covers the whole breadth of the sector in doable nuggets of data which are simply realized and retained, and guarantees that trainees are ready for all commonly asked examination questions.
- Distills key evidence into bullet issues for quick entry to crucial info, with no the necessity to plow through long, extraneous fabric
- Covers the entire variety of subject matters within the glossy ENT syllabus, in addition to different vital parts (e.g., imaging thoughts, pharmacology, scientific facts) which are encountered in todays assessments
- prepared through subspecialty for fast, handy overview of chosen topics
- Serves both good as a compact reference and refresher within the health facility, health facility or working theatre
- Offers a beneficial evaluate of otolaryngology for trainees in allied specialties, resembling maxillofacial and cosmetic surgery, audiology and speech-language pathology
Primarily geared to the degree of Otolaryngology-Head Neck surgical procedure (DOHNS) and Fellowship Intercollegiate (FRCS-ORL HNS) tests within the united kingdom, Key Revision for Otolaryngology can be a great studying source for related checks in Europe, India, Canada, Australia, New Zealand, South Africa and different nations. it's excellent as a present, finished, research and revision reduction during this swiftly increasing specialty.
Thieme eOtolaryngology is the most excellent on-line source for otolaryngology-head and neck surgical procedure. For a unfastened trial, visit: thieme.com/eototrial
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Extra info for Bullets Point in ENT : Postgraduate and Exit Exams preparation
The oval window is completely closed by bony fixation of the footplate. A window is made in the horizontal semicircular canal so that sound is transmitted directly to this fenestration. 4 Ossiculoplasty • Operation to repair or reconstruct the ossicular chain • Ossicles form part of ME sound pressure transformer designed to overcome the impedance mismatching that occurs between the ME air and inner ear fluid • Ossicular discontinuity generally gives pure tone average ~55 to 70 dB • Surgical outcomes: ◦ Belfast rule of thumb: for a patient to appreciate improved hearing, operated ear should reach AC 30 dB or better or AC within 15 dB of contralateral ear ◦ Glasgow benefit plot (Fig.
2 Stapedotomy (Fig. 2) 20 30 40 50 60 70 80 90 100 110 120 125 250 500 1000 2000 4000 8000 Hearing level (dB) Fig. 1 Audiogram of the right ear demonstrating a Carhart notch. • Indications: ◦ CHL of 30 dB or more, associated with otosclerotic fixation of footplate; consider if mixed loss to allow for hearing aid usage ◦ Disability associated with HL ◦ Tympanogram type A and stapedial reflexes absent ◦ BC>air conduction (AC) with Rinne using 512-Hz tuning fork ◦ Belfast rule of thumb? 1 Options • No treatment is necessary • Hearing aids • Bisphosphonates: ◦ May prevent further SNHL and/or resolve vestibular symptoms by inhibiting bone resorption • Sodium fluoride: ◦ For example, 20 mg three times/day (avoid in pregnancy, renal disease) Fig.
3 The principle of an implantable hearing aid. An externally worn microphone and speech processor (1) transmits sound through the skin to an implanted receiver (2). A cable (3) connected to a tiny transducer (4) directly vibrates the ossicles, sending an enhanced signal to the cochlea. ◦ Consider return to theatre next day or later that day—but first allow time for any local anaesthetic to wear oﬀ • You expose a lateral Scc fistula—what now? 3 Audiometry • pure tone audiogram: ◦ Progressive conductive hearing loss (HL) ◦ When cochlea involved, SNHL added component ◦ Carhart notch (Fig.