Second Edition
Author
(Lt Col) BS
Tuli
MS(Otorhinolaryngology)
Professor and Head, Department of ENT Sir Seewoosagur Ramgoolam Medical College Belle Rive, Mauritius
Ex-Dean Index Medical College
Indore,
Madhya Pradesh,
India
Co-Authors
Isha Preet
Tuli
MS
Associate Professor Department of ENT Sikkim Manipal Institute of Medical Sciences
Gangtok,
Sikkim,
India
Amandeep
Singh
MD
Assistant Professor Government Medical College and Hospital
Chandigarh,
India
Navneet Kaur
Tuli
MS
Ex-Assistant Professor Himalayan Institute of Medical Sciences and Research Center
Dehradun,
Uttarakhand,
India
Foreword
Ravinder Nath
Salhan
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Textbook of Ear, Nose and Throat
First Edition: 2005
Second Edition: 2013
9789350257159
Printed at
5Dedicated to
- My grandfather's trust [Tuli Sunder Dass Seva Kendra (Regd), Samana, Patiala, Punjab, India] with whose blessings all of this has been possible
- My father, (Late) S Balwant Singh Tuli (1916-2010), for the uncompromising principles of his life and teaching me hard work with dignity
- My mother, (Late) Smt Kartar Kaur Tuli (1925-2007), for her love and desire to lead our family into intellectual pursuits
- My wife, Smt Ranjit Kaur, for her unflinching devotion to the family and without her support, I would not be where I am today
- My children, Dr Mandeep Singh Tuli, Dr Isha Preet Tuli, Dr Navneet Kaur Tuli and Dr Amandeep Singh, for making my life worthwhile and their consistent advice to complete the project
- My grandchildren, Abhai, Samar, Mehr, Aamya and Ekam, for their smiles, which made my day's efforts worthwhile
- Above all the ‘Almighty God’ for giving me the courage to take up this project with zeal keeping in mind the needs of the patient and the students
- Last but not least, my colleagues, students and postgraduates for their constant innovations, inquisitive questions encouraging me to work more about the needs of our specialty.
An excellent effort has been made by an outstanding teacher of ENT, which will go a long way to help the student community not only in india but also abroad. Dr BS Tuli has made an attempt to give the useful clinical and practical tips to the students by giving tables, diagrams and flow charts, wherever required and this will give a positive support to the learning curve.
Dr Tuli has shown a devotion to the subject and presented the topics in a comprehensive and concise manner, which would be of immense help to the students as a valuable book. The second edition has been added with surgical aspects of thyroid, stapes surgery, salivary glands, dacryocystorhinostomy (DCR) and written in a simple way, which will help to learn and practice the essentials of surgery in a well-illustrated form. I congratulate him on writing the second edition of the book.
Ravinder Nath Salhan MBBS MD DCH FIAP
Member
Board of Governors, Medical Council of India
Pro Vice Chancellor, Sikkim Manipal University
Ex-Dean, Sikkim Manipal Institute of Medical Sciences
Gangtok, Sikkim, India
Vice President
National Board of Examinations
Ministry of Health and Family Welfare
Government of India
Consultant
9Preface to the Second Edition
The present edition is an effort to improve upon my first humble effort since its inception in the year 2005, to bring out a book on ENT, which would be comprehensive in dealing with the subject. As medical knowledge is expanding day-by-day broadening our vision, changes become a must. Although this book is primarily meant to serve the undergraduate students, but the interest of the postgraduate students has also been kept in mind. The salient features of the book have not been changed and it continues to have colored photographs, flow charts, latest trends in surgical procedures, key points and attractive student-friendly layout. In keeping with the latest concepts, I have also included chapters on Speech Disorders, Olfaction, Stapedectomy, Dacryocystorhinostomy, Surgery of Salivary and Thyroid Glands, Snoring and Sleep Apnea Syndrome and Multiple Choice Questions. Model Test Papers have also been given in the Appendix for the benefit of the students.
When I started work on the second edition, I was amazed to find the work much more demanding than before. I am pleased with the results and hope the readers would also have similar feelings. Some chapters have not been altered much and the temptation to make a change has been dropped. Appropriate modifications, wherever found necessary have been done. Some new materials have been included for enthusiastic students, who really want to excel. The book would also act as a foundation for those who want to pursue this specialty as a career. Reorganized and revitalized second edition of the book has only been possible due to efforts and encouragements of all of my friends, who have given their invaluable feedback.
I will be failing in my duties if I do not thank Dr Isha Preet Tuli, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim; Dr Amandeep Singh, Government Medical College and Hospital, Chandigarh, and Dr Navneet Kaur Tuli, Himalayan Institute of Medical Sciences and Research Center, Dehradun, Uttarakhand, India, for their constant encouragement and invaluable support in reading the manuscript, preparing the photographs and for their student-friendly suggestions. My deepest gratitude is also to my wife Professor Ranjit Kaur (Principal Retd) and my son Dr Mandeep Singh Tuli (IPS), for the constant encouragement throughout my life to write the new edition of the book under the registered trust Tuli Sunder Dass Seva Kendra, Samana, Patiala, Punjab, India.
Finally, I would like to thank God Almighty for making all this possible through M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India. In compiling the book, I have gone through many authoritative books and publications and I sincerely express my gratitude to all of them. In the past, the book has been reasonably well received by the students, postgraduates and senior colleagues. Suggestions and constructive criticism for improvement in the book are always welcome from readers. I look forward to the productive years ahead that His Almighty grants me for carrying out my duties in the best possible manner so that I would be what I could not be.
11Preface to the First Edition
The present book is the outcome of my humble experience as a medical man and teacher of Otorhinolaryngology. Although intended primarily as a textbook for the undergraduate students, this book should appeal to the postgraduate students as well, since technical and specialized details have also been included. The salient features of the book include colored photographs, flow charts, latest trends in surgical procedures, key points and attractive student-friendly layout. In keeping with the latest concepts of holistic healing, I have also included a chapter on Yoga besides Skull Base, HIV in ENT, Imaging in ENT, Computers in ENT, Medicolegal Aspects of Injuries and Sleep Apnea Syndrome to name a few.
I wish to express my sincere appreciation to all my friends and colleagues for all the assistance and critical comments during the preparation of the book. I am deeply indebted to many doctors, who have contributed valuable chapters for this book, such as Dr RC Deka (New Delhi), Dr M Lateef (Srinagar), Dr Arjun Dass (Chandigarh), Dr Hemant Chopra (Ludhiana), Dr Ashok Gupta (Udaipur), Dr TS Anand (New Delhi), Dr Karan Sharma (Amritsar), Dr Chander Mohan (Shimla), Dr SK Verma; Dr RK Gorea; Dr A Kapila; Dr Harjot Kaur; Dr Baldev Singh; Dr BS Sohal and Dr GPS Gill (Patiala, India).
I am very grateful to Dr AK Aggarwal, Maulana Azad Medical College and Dr JK Sahni, Lady Hardinge Medical College, New Delhi, India, for going through the manuscript and giving their very valuable suggestions.
I will be failing in my duties if I do not thank my postgraduates like Dr Sanjay Arora, Dr Sukhbir Singh, Dr Charanjit Singh, Dr Amandeep Singh and Dr Isha Preet Tuli, for their invaluable support in reading the manuscript, preparing the photographs and for their student-friendly suggestions. I also thank my residents Dr Manjit Singh, Dr Prasun Chattopadhaya, Dr Parwinder Singh, Dr Rajwant Kaur, Dr Ramesh and Dr Ravinder Singh, for their timely and valuable help in writing the book.
My deepest gratitude is also to my wife Ranjit Kaur (Principal) and son Dr Mandeep Singh (IPS), for their constant encouragement throughout my life to write the book under a registered trust Tuli Sunder Dass Seva Kendra, Samana, Patiala, Punjab, India.
Finally, I would like to thank God Almighty for making all this possible through M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, to bring out the book in your hands.
13Acknowledgments
The book will be in 8th year of its publication since its inception in the year 2005. I understand fully well that it is not possible for one person to cover the whole field of ENT specialty from his personal knowledge and experiences alone. Therefore, I acknowledge my greatest gratitude to all my colleagues in ENT, who gave me unstinted support and stood solidly beside me in my joint venture to write this book. Although artists and expert photographers have drawn most of the colored photographs including text, however, I apologize for any inadvertent resemblance to anyone by oversight. The book itself will bear an indelible imprint of the meticulous effort of all the following doctors to bring out the second edition enriched by the outstanding contributions of many distinguished and eminent ENT teachers, under the registered trust Tuli Sunder Dass Seva Kendra, Samana, Patiala, Punjab, India. We will certainly learn from the immense knowledge of these pioneers in the field of otolaryngology. I further welcome any positive comments concerning omissions and errors for improvement in subsequent editions. I have no doubt that it is only due to the generosity and grace of my colleagues for any merit this new edition may deserve. I wish to express my sincere appreciation to all my friends and colleagues for all the assistance and critical comments during the preparation of the book. I am deeply indebted to many doctors, who have contributed valuable suggestions for the improvements in the second edition, such as:
Dr AK Aggarwal (Delhi)
Dr Anoop Raj (Delhi)
Dr RC Deka (Delhi)
Dr Rafiq Pampori (Srinagar)
Dr M Lateef (Srinagar)
Dr S Varshney (Dehradun)
Dr Arjun Dass (Chandigarh)
Dr Chander Mohan (Bareilly)
Dr Anice Chaudhary (Jammu)
Dr J Paul (Jammu)
Dr Hemant Chopra (Ludhiana)
Dr Munish Munjal (Ludhiana)
Dr PP Singh (Delhi)
Dr JK Sahni (Delhi)
Dr Mrs S Naik (Mullana)
Dr Sajad (Srinagar)
Dr Achal Gulati (Delhi)
Dr JC Passey (Delhi)
Dr Karan Sharma (Amritsar)
Dr Uma Garg (Sonepat)
Dr Baldev Singh (Patiala)
Dr BS Sohal (Patiala)
Dr Ashok Gupta (Rajasthan)
Dr Dev Raj (Shimla)
Dr Vikas Kakkar (Rohtak)
Dr Dalbir Singh (Mullana)
Dr R Parekh (Baroda)
Dr SP Gulati (Rohtak)
Dr Masood (Srinagar)
Dr S Abrar Hassan (Aligarh)
Dr Naresh Panda (Chandigarh)
Dr RK Saxena (Nepal)
Dr Oaris (Mauritius)
Dr Ranjit K Jha (Mauritius)
Dr Hakimudin (Mauritius)
Dr Dukharam (Mauritius)
Dr JL Davesar (Faridkot)
Dr S Chakraborty (Gangtok)
Dr I Pal (Kalyani, Kolkata)
Dr TL Parmar (Bhatinda)
Dr S Sengupta (Gangtok)
Dr Jagjeet S Tuli (Mullana)
Dr Sunder Singh (Banur)
Dr TS Anand (Delhi)
Dr Laxmi Vaid (Delhi)
Dr Alok Takkar (Delhi)
Dr JL Davesar (Faridkot)
Dr LN Garg (Mullana)
Dr RC Dogra (Tanda)
Dr Harvinder Arora (Jalandhar)
Dr Kawaljeet (Srinagar)
Dr Sanjay Arora (UAE)
Dr Ishwar Singh (Delhi)
Dr Shelly Chadha (Delhi)
Dr Sunil Kumar (Delhi)
Dr N Mathur (Delhi)
Dr SC Sharma (Delhi)
Dr Alok Takkar (Delhi)
Dr Nitin Nagarkar (Chandigarh)
Dr Baldev Singh (Amritsar)
Dr NK Mahendroo (Shimla)
Dr Ashok Gupta (Chandigarh)