Table Of Content

Otolaryngology Prep and Practice covers all the major specialty components of Shin otolaryngology: general adult and pediatric otolaryngology, head and neck surgery, Cunningham otology, and facial plastic surgery. Otolaryngology The goal of this book is to have users not just read but also, more importantly, remember key pieces of information. This book is interactive, has multiple visual aids, and uses a tiered system to help guide studying. The three-level system distinguishes material that is necessary for general otolaryngology examination purposes (for those seeking the basic Prep and Practice fundamentals) from that which is intermediate in importance and that which is required for higher-level learning (for those taking subspecialty examinations). The content focuses on clinical management decisions and consequences, high-yield material from an information retention standpoint. The text includes color photographs, diagrams, practice case scenarios, P multiple-choice questions, and various means for self-assessment or studying with a partner. O r e t p o l a a n r y d Jennifer J. Shin n Michael J. Cunningham P Jennifer J. Shin, MD, attended Harvard Radcliffe College and Harvard Medical School. She g completed residency training at the Harvard program in otolaryngology-head and neck surgery and a fellowship in pediatric otolaryngology at the Massachusetts Eye and Ear Inﬁ rmary. A r o previous National Institute of Health Fellow and Howard Hughes Medical Institute Fellow, a she continues to be actively involved in clinical research. She is also the lead editor of l Evidence-Based Otolaryngology, and has been the recipient of multiple awards. While c o practicing as a pediatric otolaryngologist, she currently maintains a faculty appointment through Harvard Medical School. She teaches regularly at the Harvard School of Public t g Health and through an American Academy of Otolaryngology-Head and Neck Surgery i Foundation–sponsored curriculum. c y e Michael J. Cunningham, MD, is a graduate of Princeton University (1977) and the Rochester University School of Medicine (1981). He completed pediatrics training at the Massachusetts General Hospital and otolaryngology training at the University of Pittsburgh. He has practiced as a pediatric otolaryngologist since 1989, for many years at the Massachusetts Eye and Ear Inﬁ rmary, and, more recently, at the Children’s Hospital Boston. Dr. Cunningham is currently otolaryngologist-in-chief of the Department of Otolaryngology and Communication Enhancement at the Children’s Hospital Boston, and professor of otology and laryngology at the Harvard Medical School. P www.pluralpublishing.com LURAL Otolaryngology Prep and Practice Section Editors Image Acquisitions Andrew McCall James C. Wang Stacey T. Gray Michael Moore Illustrators Kevin Emerick Ahmed Salahudeen Jennifer J. Shin Sarmela Sunder Iee Ching Anderson Jennifer J. Shin Marybeth Cunnane Rema Rao Editorial Assistant Ivan Chebib Stephanie Collelo Phillip Song Mauro Ruffy Theodore Chen Sarmela Sunder Otolaryngology Prep and Practice Jennifer J. Shin Michael J. Cunningham 5521 Ruffin Road San Diego, CA 92123 e-mail: [email protected] Web site: http://www.pluralpublishing.com 49 Bath Street Abingdon, Oxfordshire OX14 1EA United Kingdom Copyright © by Plural Publishing, Inc. 2013 Typeset in 10/11.5 Palatino by Flanagan’s Publishing Services, Inc. Printed in Malaysia by Four Colour Print Group All rights, including that of translation, 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, recording, or otherwise, including photocopying, recording, taping, Web distribution, or information storage and retrieval systems without the prior written consent of the publisher. For permission to use material from this text, contact us by Telephone: (866) 758-7251 Fax: (888) 758-7255 e-mail: [email protected] Every attempt has been made to contact the copyright holders for material originally printed in another source. If any have been inadvertently overlooked, the publishers will gladly make the necessary arrangements at the first opportunity. The authors and editors of this project wish to make it clear that there are no conflicts of interest between this project and an affiliation with the actual board examination. This text is neither endorsed by nor has a connection with the American Board of Otolaryngology. Library of Congress Cataloging-in-Publication Data Otolaryngology prep and practice / [edited by] Jennifer J. Shin, Michael J. Cunningham. p. ; cm. Includes bibliographical references and index. ISBN-13: 978-1-59756-383-3 (alk. paper) ISBN-10: 1-59756-383-8 (alk. paper) I. Shin, Jennifer J. II. Cunningham, Michael J., 1955- [DNLM: 1. Otorhinolaryngologic Diseases — Case Reports. 2. Otorhinolaryngologic Diseases — Exami- nation Questions. 3. Otorhinolaryngologic Surgical Procedures — Case Reports. 4. Otorhinolaryngologic Surgical Procedures — Examination Questions. WV 18.2] LC Classification not assigned 617.5'10076 — dc23 2012012002 Contents Acknowledgments xi Contributors xiii Section I. Introductory Material 1 1. How to Use this Book 3 Jennifer J. Shin and Michael J. Cunningham 2. Your Learning Plan 7 Anand Devaiah, Jennifer J. Shin, and Michael J. Cunningham Section II. Case Presentations 9 3. Practice Cases 11 Andrew McCall, Philip Song, Michael Moore, Kevin Emerick, Theodore Chen, Mauro Ruffy, Iee Ching Anderson, and Jennifer J. Shin Section III. Focus Questions 47 4. Ear Focus Questions 49 Andrew McCall, Mauro Ruffy, and Jennifer J. Shin 4A. Infectious 49 4B. Masses — Benign 65 4C. Masses — Malignant 85 4D. Congenital 90 4E. Trauma 132 4F. Inflammatory 137 4G. Neurologic and Vascular 145 4H. Metabolic/Endocrine 163 4I. Structural 175 4J. Incisions and Approaches 189 4K. Audiology 193 4L. Cosmetic 197 4M. Reconstructive 211 5. Nose Focus Questions 217 Stacey T. Gray, Kevin Emerick, Sarmela Sunder, Theodore Chen, Eric Kim, and Jennifer J. Shin 5A. Infectious 217 5B. Masses — Benign 250 5C. Masses — Malignant 264 5D. Congenital 291 5E. Trauma 302 5F. Inflammatory 334 5G. Neurologic 346 5H. Vascular 352 v vi Otolaryngology Prep and Practice 5I. Metabolic/Endocrine 356 5J. Structural 360 5K. Cosmetic 363 5L. Reconstructive 382 6. Oral Focus Questions 397 Iee Ching Anderson, Kevin Emerick, Sarmela Sunder, and Jennifer J. Shin 6A. Infectious 397 6B. Masses — Benign 407 6C. Masses — Malignant 416 6D. Congenital 435 6E. Trauma 457 6F. Inflammatory/Autoimmune 470 6G. Neurologic 477 6H. Vascular 478 6I. Metabolic and Endocrine 479 6J. Structural 480 6K. Assessment and Differential Diagnoses 494 6L. Anatomy and Physiology 496 7. Larynx Focus Questions 499 Phillip Song, Kevin Emerick, and Jennifer J. Shin 7A. Infectious 499 7B. Masses — Benign 502 7C. Masses — Malignant 513 7D. Congenital 530 7E. Trauma 563 7F. Inflammatory/Autoimmune 571 7G. Neurologic 573 7H. Vascular 585 7I. Metabolic and Endocrine 587 7J. Structural 589 7K. Anatomy, Physiology, and Symptomatology 590 7L. Diagnostic Testing 597 8. Hypopharynx Focus Questions 601 Phillip Song, Kevin Emerick, and Jennifer J. Shin 8A. Infectious 601 8B. Masses — Benign 602 8C. Masses — Malignant 605 8D. Trauma 609 8E. Inflammatory 615 8F. Neurologic 619 8G. Structural 621 8H. Swallowing Techniques 623 8I. Anatomy and Physiology 625 9. Neck Focus Questions 627 Michael Moore, Kevin Emerick, and Jennifer J. Shin 9A. Infectious 627 9B. Masses — Benign 645 Contents vii 9C. Masses — Malignant 654 9D. Congenital 666 9E. Trauma 683 9F. Inflammatory 687 9G. Anatomy 689 10. Salivary Focus Questions 695 Michael Moore and Kevin Emerick 10A. Infectious 695 10B. Masses 699 10C. Masses — Benign 701 10D. Masses — Malignant 705 10E. Trauma 715 10F. Inflammatory 718 10G. Anatomy 721 11. Thyroid Focus Questions 725 Michael Moore and Jennifer J. Shin 11A. Infectious 725 11B. Masses — Benign 727 11C. Masses — Malignant 734 11D. Congenital 742 11E. Inflammatory 746 11F. Anatomy 750 11G. Physiology 753 11H. Metabolic/Endocrine 755 12. Parathyroid Focus Questions 759 Michael Moore and Jennifer J. Shin 12A. Anatomy and Physiology 759 12B. Metabolic 760 12C. Masses — Malignant 765 12D. Congenital 766 13. Facial Nerve Focus Questions 769 Andrew McCall, Mauro Ruffy, and Jennifer J. Shin 13A. Facial Paralysis and Paresis 769 13B. Infectious 777 13C. Masses 779 13D. Congenital 783 13E. Trauma 784 13F. Systemic Diseases 786 13G. Rehabilitation 787 13H. Anatomy and Physiology 791 14. Skin, Face, and Scalp Focus Questions 793 Theodore Chen, Sarmela Sunder, Mauro Ruffy, and Andrew McCall 14A. Masses — Benign 793 14B. Masses — Malignant 795 14C. Cosmetic 816 14D. Reconstructive 849 viii Otolaryngology Prep and Practice 15. Multisite Focus Questions 857 Kevin Emerick and Jennifer J. Shin 15A. Masses — Benign 857 15B. Masses — Malignant 878 15C. Reconstructive 887 Section IV. Radiology 899 16. Ear/Temporal Bone Radiology 901 Marybeth Cunnane 17. Nasal Cavity, Nasopharynx, Base of Skull, and Orbit Radiology 931 Marybeth Cunnane 18. Oral Cavity, Oropharynx, and Mandible Radiology 975 Marybeth Cunnane 19. Larynx Radiology 987 Marybeth Cunnane 20. Hypopharynx and Esophagus Radiology 1003 Marybeth Cunnane 21. Neck Radiology 1007 Marybeth Cunnane 22. Salivary Gland Radiology 1025 Marybeth Cunnane 23. Thyroid and Parathyroid Radiology 1033 Marybeth Cunnane Section V. Histopathology 1037 24. Ear Histopathology 1039 Ivan Chebib 25. Nasal Cavity and Nasopharynx Histopathology 1047 Rema Rao 26. Base of Skull Histopathology 1073 Ivan Chebib 27. Oral Cavity, Oropharynx, and Mandible Histopathology 1077 Rema Rao 28. Larynx Histopathology 1095 Rema Rao 29. Hypopharynx and Esophagus Histopathology 1105 Ivan Chebib 30. Neck Histopathology 1107 Ivan Chebib 31. Salivary Gland Histopathology 1123 Rema Rao Contents ix 32. Thyroid and Parathyroid Histopathology 1145 Ivan Chebib 33. Skin Histopathology 1161 Ivan Chebib 34. Vascular Histopathology 1175 Ivan Chebib 35. Infectious Diseases Histopathology 1183 Rema Rao 36. Multisite Histopathology 1195 Ivan Chebib Section VI. Multiple Choice 1199 37. Practice Multiple Choice Questions 1201 Kevin Emerick, Phillip Song, Iee Ching Anderson, Michael Moore, Theodore Chen, and Jennifer J. Shin Index 1227