Problems in Otolaryngology
The aim of this book is to give a short and practical account of the problems related to the ear, nose and throat. The presenta tion is orientated towards arriving at a diagnosis based on the presenting symptoms and signs and aid the management of the ca
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Problems in Practice Series
PROBLEMS IN ARTHRITIS AND RHEUMATISM - D. N. Golding PROBLEMS IN CARDIOLOGY - C. F. P. Wharton PROBLEMS IN GASTROENTEROLOGY - M. Lancaster-Smith and K. Williams PROBLEMS IN GERIATRIC MEDICINE - A. Martin PROBLEMS IN GYNAECOLOGY - E. P. W. Tatford PROBLEMS IN OPHTHALMOLOGY - M. G. Glasspool PROBLEMS IN OTOLARYNGOLOGY - P. Ratnesar PROBLEMS IN PAEDIATRICS - J. Hood PROBLEMS IN PERIPHERAL VASCULAR DISEASE - K. Williams PROBLEMS IN RESPIRATORY MEDICINE - P. Forgacs PROBLEMS IN SOCIAL CARE - J. Mogridge SERIES INDEX VOLUME
Problems in Practice Series Series Editors: ].Fry K.G.D.Williams M.Lancaster-Smith
Problems • In
Otolaryngology Padman Ratnesar FRCS, FACS Consultant Otolaryngologist Farnborough Hospital, Kent
~( M.TP PRESS LIM.ITED . ~ a member of the KLUWER ACADEMIC PUBLISHERS GROUP
LANCASTER I BOSTON I THE HAGUE I DORDRECHT
Published by MTP Press Limited Falcon House Lancaster, England Copyright © 1984 MTP Press Limited Softcover reprint of the hardcover 1st edition 1984 First published 1984
British Library Cataloguing in Publication Data Ratnesar, P. Problems in otolaryngolgy. - (Problems in practice series) i. Otolaryngology I.Title II.Series 616.2'2
RF46
ISBN 978-94-011-6665-2 ISBN 978-94-011-6663-8 (eBook)
DOI 10.1007/978-94-011-6663-8
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying recording or otherwise, without prior permission from the publishers. Frome and London
Contents
Preface
7
Series Foreword - J.P. Horder eBE
9
Earache External ear - Middle ear - Referred pain Deafness Types of hearing loss - Conductive deafness Sensorineural deafness
11
3
The discharging ear Otitis extra - Subacute otitis media - Chronic otitis media
31
4
Vertigo Physiological and pathological vertigo - Peripheral and central vertigo - Clinical assessment
37
5
Tinnitus Clinical groups - Management
41
6
Facial paralysis Upper motor neuron paralysis - Lower motor neuron paralysis - Ascertainment of level of lesion - Management of facial palsy
45
7
Anosmia Anatomy and physiology of sensation of smell and taste - Causes of anosmia - Clinical assessment - Treatment - Course and outcome
51
1
2
5
15
Preface
The aim of this book is to give a short and practical account of the problems related to the ear, nose and throat. The presentation is orientated towards arriving at a diagnosis based on the presenting symptoms and signs and aid the management of the case. While it is specifically intended for those who have not had the opportunity of devoting much time to the subject, I hope that it may be of some service to the more experienced practitioner. Padman Ratnesar Farn boro ugh, 1984
7
Series Foreword
This series of books is designed to help general practitioners. So are other books. What is unusual in this instance is their collective authorship; they are written by specialists working at district general hospitals. The writers derive
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