Quick Reference Guide for Otolaryngology

Kim Scott, FNP, MSN, AE-C, is a Nurse Practitioner with a six-physician partnership at Eastern Virginia Ear, Nose & Throat Specialists, Chesapeake, VA. She is experienced in critical care, home health and patient education and has been a sub-investigator in more than 12 research projects. Her research work focused on asthma, rhinitis, COPD and community-acquired pneumonia and bronchitis.

Preface ix




1
.
Physical Examination Documentation of Normal and Abnormal




Findings From the Ear, Nose, and Throat Examination 1




Procedure Protocol:
Pneumatic Otoscopy 5




Procedure Protocol:
Rinne and Weber Tuning Fork Tests 7




Procedure Protocol:
Nasal Endoscopy 11




Procedure Protocol:
Evaluating the Nasopharynx With Indirect




Mirror Examination 12




Video 1.1: Nasal endoscopy




Video 1.2: Flexible fi beroptic laryngoscopy




Procedure Protocol:
Flexible Fiberoptic Laryngoscopy 22




Procedure Protocol:
Evaluating the Larynx With Indirect




Mirror Examination 23




2.
Ear, Nose, and Throat Anatomy and Physiology Normal Findings 33




3.
Physical Examination of the Cranial Nerves for the Head and Neck 61




4.
Evaluation and Management of Facial Nerve Conditions 89




5.
Evaluation and Management of Hearing and Tinnitus 101




6.
Evaluation and Management of External Ear Conditions 129




Procedure Protocol:
Ear Cleaning 134




Procedure Protocol:
Otowick Insertion 134




7.
Evaluation and Management of Middle Ear Conditions 149




Procedure Protocol:
Myringotomy With and Without Tympanostomy




or Pressure Equalizer Tube Insertion 160




Procedure Protocol:
Paper Patch Myringoplasty 166




8.
Evaluation and Management of Inner Ear Conditions 179




Procedure Protocol:
Epley Maneuver 190




9.
Evaluation and Management of Olfactory Disorders 201




10.
Evaluation and Management of the Nose—External Conditions 209




Scott_96064_PTR_00_i-x_03-11-14.indd vii 3/12/2014 5:10:56 PM




11.
Evaluation and Management of the Nasal Cavity and Paranasal Sinuses 215




Procedure Protocol:
Silver Nitrate Cauterization for Epistaxis 229




Procedure Protocol:
Nasal Packing for Epistaxis 230




Staging Criteria:
How to Read and/or Determine Cancer Staging 242




Staging Criteria:
TNM Staging System for the Nasal Cavity and




Paranasal Sinuses 243




12.
Evaluation and Management of Nasopharynx Conditions 249




Staging Criteria:
TNM Staging System for the Nasopharynx 253




13.
Evaluation and Management of Oropharynx Disorders 255




Procedure Protocol:
Needle Drainage and Incision and Drainage




of a Peritonsillar Abscess 272




Procedure Protocol:
Lingual Frenulectomy 280




Staging Criteria:
TNM Staging Criteria: Lip and Oral Cavity Cancer 284




Staging Criteria:
TNM Staging Criteria: Oropharyngeal




and Hypopharyngeal Cancer 285




14.
Evaluation and Management of Sleep Apnea 291




15.
Evaluation and Management of Salivary Gland Conditions 301




Staging Criteria:
TNM Staging Criteria for Salivary Gland




Cancerous Tumors 315




16.
Evaluation and Management of Benign Neck Conditions 323




17.
Overview of Malignant Neck Conditions 345




18.
Evaluation and Management of Thyroid Disorders 355




Staging Criteria:
TNM Staging Criteria for Thyroid Cancer 368




19.
Evaluation and Management of Parathyroid Disorders 373




20.
Evaluation and Management of Trachea Disorders and Conditions 383




21.
Evaluation and Management of Esophageal Disorders 401




22.
Evaluation and Management of Larynx and Hypopharynx Disorders 413




Video 22.1: Stroboscopy: False vocal cord use




Video 22.2: Left vocal cord paralysis patient 1




Video 22.3: Left vocal cord paralysis patient 2




Video 22.4: Stroboscopy: Normal vocal cord function




Video 22.5: Stroboscopy: Bilateral ball-valving vocal cord polyps




Staging Criteria:
TNM Staging Criteria for Larynx 433




23.
Overview of Lesions of the Skin: Head and Neck 437




Procedure Protocol:
Biopsy of Skin Lesion 439




Staging Criteria:
TNM Staging Criteria for Mucosal Melanoma of the




Head and Neck 442




24.
Evaluation and Management of Allergic and Nonallergic Disorders 445




25.
Overview of Commonly Ordered Tests in ENT 473




Index 479