Ballenger's Otorhinolaryngology Head and Neck Surgery, 17th edition (Otorhinolaryngology: Head and Neck Surgery

1246 Pages·2008·70.931 MB·English

by  James B. Snow Jr., P. Ashley Wackym

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Ballenger’s
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OTORHINOLARYNGOLOGY
HEAD AND NECK SURGERY
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Ballenger’s
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OTORHINOLARYNGOLOGY
HEAD AND NECK SURGERY
JAMES B. SNOW JR., MD, FACS
Professor Emeritus
Department of Otorhinolaryngology Head and Neck Surgery
University of Pennsylvania
Philadelphia,Pennsylvania
Former Director,National Institute on Deafness and
Other Communication Disorders
National Institutes of Health
P.ASHLEY WACKYM, MD, FACS, FAAP
John C.Koss Professor and Chairman
Department of Otolaryngology and
Communication Sciences
Medical College ofWisconsin
Milwaukee,Wisconsin
2009
BC Decker Inc
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Notice: The authors and publisher have made every effort to ensure that the patient care recommended herein,including choice ofdrugs and drug dosages,is in accord with the
accepted standard and practice at the time ofpublication. However,since research and regulation constantly change clinical standards,the reader is urged to check the product infor-
mation sheet included in the package ofeach drug,which includes recommended doses,warnings,and contraindications. This is particularly important with new or infrequently
used drugs. Any treatment regimen,particularly one involving medication,involves inherent risk that must be weighed on a case-by-case basis against the benefits anticipated. The
reader is cautioned that the purpose ofthis book is to inform and enlighten;the information contained herein is not intended as,and should not be employed as,a substitute for
individual diagnosis and treatment.
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S E
ECTIONAL DITORS
OTOLOGY AND NEUROTOLOGY LARYNGOLOGY AND BRONCHOESOPHAGOLOGY
P.Ashley Wackym,MD,FACS,FAAP Gayle E.Woodson,MD
John C.Koss Professor and Chairman Professor and Chief
Department of Otolaryngology and Communication Sciences Division of Otolaryngology–Head and Neck Surgery
Medical College ofWisconsin Department of Surgery
Milwaukee,Wisconsin Southern Illinois University
Springfield,Illinois
RHINOLOGY
Andrew P.Lane,MD HEAD AND NECK SURGERY
Associate Professor and Chief Scott E.Strome,MD,FACS
Division of Rhinology and Sinus Surgery Professor and Chair
Department of Otolaryngology–Head and Neck Surgery Department of Otolaryngology–Head and Neck Surgery
Johns Hopkins University School of Medicine University of Maryland Medical Center
Baltimore,Maryland Baltimore,Maryland
FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY
John S.Rhee,MD,MPH
Associate Professor and Chief
Division of Facial Plastic and Reconstructive Surgery
Department of Otolaryngology and Communication Sciences
Medical College ofWisconsin
Milwaukee,Wisconsin
PEDIATRIC OTORHINOLARYNGOLOGY
J.Christopher Post,MD,PhD,FACS
Professor of Otolaryngology,
Microbiology and Immunology
Drexel University College of Medicine
President and Scientific Director
Center for Genomic Sciences
Allegheny-Singer Research Institute
Pittsburgh,Pennsylvania
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P
REFACE
It has been a great pleasure to be associated with John Jacob Ballenger in the production of several recent
editions of this book and to work with Phillip Ashley Wackym in the development and execution of this
centennial edition of Ballenger’s Otorhinolaryngology Head and Neck Surgery. The central focus of the
17thEdition is the important role molecular medicine is playing in understanding the pathogenesis ofdisease
and patient diagnosis and therapy in the first decade ofthe 21stcentury.The selection ofthe sectional editors
and the senior authors for each chapter was based on their contribution of new knowledge to the subject
matter oftheir sections and chapters through highly regarded research and their intellectual leadership ofthe
specialty,thereby assuring that their contributions to this book are truly authoritative.The editorial aim was
to encompass the important information in all of the specialties relating to disorders of hearing, balance,
smell,taste,voice,speech and language that are the principal responsibilities of the 21st century otorhino-
laryngologist head and neck surgeon and to organize and edit it into a comprehensive compendium with an
absolute minimum of redundancy.In the last ten years,there has been a great deal of international cooper-
ation in understanding and categorization of major disease entities and developing consensus on patient
management based on these concepts;the fruits ofthese labors are to be found in the various sections ofthe
book. The book is designed to satisfy the informational needs of developing specialists and specialists
wanting to maintain their competence with a reader friendly source ofcontemporary knowledge.The extra-
ordinary currency ofthis work is largely due to the short time between composition and printing which is a
tribute to the publisher,Brian C.Decker,and his gifted staff.My gratitude goes foremost to Ashley Wackym
for his leadership,creativity,brilliant intellect and just plain hard work but in full measure to the sectional
editors, authors and illustrators who have made this centennial edition one that will give the reader
information,pleasure and inspiration.
James B.Snow,Jr.,M.D.
July 2008
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F
OREWORD
One hundred years ago William Lincoln Ballenger at the University of Illinois College of Physicians and
Surgeons wrote the great American classic,Diseases ofthe Nose,Throat and Ear.The 17thEdition embraces
a tradition,which embodies clear and concise writing with complementary full color illustrative material.As
the original author expressed in his Preface for the First Edition, the current editors have endeavored to
include material that one would find in a “textbook and an atlas.”
The editors have expanded this edition into 101 chapters,which offer a comprehensive compilation of the
specialty of otorhinolaryngology head and neck surgery.The editors chose authors who are experts in their
respective fields who have offered reliable and authoritative treatises of their subjects. Care was taken to
present the scientific underpinnings ofeach discipline,which provide the basis for diagnosis and treatment.
The authors have endeavored to include the evidence that underlies management of the disorders.
The addition of color plates throughout the chapters has added an important new dimension to this book
distinguishing it in the field.The use of color not only conveys additional information rarely seen in a text
of this magnitude but also enhances the appearance of the book.The illustration of surgical concepts and
procedures in color carries on Ballenger’s original idea of adding an “atlas”to the text.
The six sections of this book cover the field of Otorhinolaryngology Head and Neck Surgery with
thoroughness that includes not only the breadth of the specialty but the depth of knowledge in each of the
disciplines. As it has for the last 100 years, this book provides a valuable foundation for the library of all
otorhinolaryngologists head and neck surgeons.
Richard A.Chole,M.D.,Ph.D.
July 2008
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