ENT, Head and Neck Diseases Made Easy V Anand
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1ENT, Head and Neck Diseases: Made Easy®2
3ENT, Head and Neck Diseases: Made Easy®
V Anand MS DLO Director (DNB Programme) MCV Memorial ENT Trust Hospital Pollachi, Tamil Nadu, India Forewords Milind V Kirtane Ravi Nayar
4Published by
Jaypee Brothers Medical Publishers (P) Ltd
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4838/24, Ansari Road, Daryaganj, New Delhi 110 002, India
Phone: +91-11-43574357, Fax: +91-11-43574314
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ENT, Head and Neck Diseases Made Easy®
© 2011, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication and DVD ROM should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
This book has been published in good faith that the material provided by the author is original. Every effort is made to ensure accuracy of material, but the publisher, printer and author will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters to be settled under Delhi jurisdiction only.
First Edition 2011
9789350253472
Typeset at JPBMP typesetting unit
Printed at
5Dedicated to
All my teachers
who tolerated me6
7Foreword
The field of otorhinolaryngology and head and neck surgery has expanded in every aspect. Keeping pace with the advances is a challenging task, and the increasing attendance at various workshops is proof enough of the need and desire of specialists to update their knowledge.
Dr V Anand from Pollachi, Tamil Nadu, India is a versatile ENT and Head-Neck Surgeon, who has been very active in the academic field. His annual workshop attracts more than 300 delegates, who are exposed to the latest advances in the field.
He has now authored ENT, Head and Neck Diseases Made Easy®, which covers the entire spectrum of ENT and Head-Neck Surgery in a very methodical succinct manner and is supported by representative photographs of high quality.
The text in the various chapters is excellent in clarity and presentation.
I am sure this book will be of great value to established and aspiring ENT and Head-Neck surgeons.
Milind V Kirtane ms dorl
Professor Emeritus
Seth GS Medical College
Honorable Surgeon
King Edward Memorial Hospital
PD Hinduja National Hospital
Member
Prince Aly Khan Hospital
Mumbai, Maharashtra, India
Honorable Consultant (Neurotology)
Indian Armed Forces8
9Foreword
Dr V Anand has attempted to distill his wide experience in the field of otolaryngology, and share it via the medium of images of interesting cases, in this atlas. The wide variety of cases, the innovative and interesting techniques bear testimony to hissurgical and analytical skill.
The atlas should inspire young otolaryngologist to emulate his ability to innovate, meticulous documentation, and courage to do a wide variety of cases, encompassing almost all otolaryngology subspecialties.
Ravi Nayar
Professsor and Head
Department of ENT, Head and Neck Surgery
St John's Medical College and Hospital
Bengaluru, Karnataka, India10
11Preface
Our knowledge about pathophysiology of many diseases have vastly grown over the past few decades and newer treatment options have been constantly emerging with the advent of technology.
I am privileged to bring out this mini atlas based on my experience as a surgeon and a clinician for the last 20 years to spread the knowledge to the undergraduates, the young and aspiring surgeons, ENT postgraduates and practicing consultants alike.
I have tried to include a few cases with preoperative records, intraoperative findings and final outcome postoperatively which give a fair representation of the evolution of the disease from the onset to restoration of health or loss of it.
I have also added a number of radiological pictures as they are an integral part of the management.
The present system of examinations is slowly changing. There is more emphasis on assessing the candidates objectively by way of objectively structured clinical examination (OSCE) and, therefore, candidates appearing for such examinations may find this atlas useful as the text description of the photographsforms the basis of the discussion that ensues.
I have also included some innovative methods to encourage the budding surgeons to defy norms when time-tested methodology fails to deliver.
I would also like to impress upon the young surgeons, the need and value of video/photodocumentation of all the cases not only for academic purposes but also for safeguarding oneself from potential medicolegal implications.12
Lastly, I emphasize that this is a small compilation of certain interesting cases and readers are advised to refer the standard textbooks and journals for details.
I wish to thank all my patients for they are my greatest teachers. I also wish to thank my wife Dr Shanthi for her muchneeded patience and cooperation, my postgraduate students Dr Sachin Handa, Dr Karthikeyan and Dr Sowmya for editing work. Lastly, I thank Mr Amal Rajesh for his contribution.
V Anand