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Rhinology Handbook
Ashutosh Kacker
CHAPTER 1:
Anatomy and Physiology of the Nose, Paranasal Sinuses, and Olfaction
ANATOMY OF THE OLFACTORY SYSTEM
Introduction
Olfactory Anatomy
Nasal Passage
Olfactory Mucus
Olfactory Epithelium
Olfactory Bulb
Olfactory Physiology
Differential Diagnosis
Conductive Disorders
Sensorineural Disorders
Workup
Management
Conclusion
SINONASAL PHYSIOLOGY
The Nose
The Turbinates
The Nasal Cycle
The Sneeze Reflex
The Mucosa and Mucociliary Clearance
EMBRYOLOGY OF THE NOSE AND PARANASAL SINUSES
ANATOMY OF THE NOSE AND PARANASAL SINUSES
Inferior Turbinate
Nasal Septum
Ethmoid Sinus
Middle Turbinate
Uncinate Process
Agger Nasi
Ethmoid Bulla
Suprabullar and Retrobullar Recess (Sinus Lateralis)
Hiatus Semilunaris
Infundibulum
Ostiomeatal Complex
Haller Cell
Concha Bullosa
Ethmoid Sinus Roof
Posterior Ethmoid Sinus
Superior and Supreme Turbinates
Onodi Cell
Maxillary Sinus
Nasal Fontanelles
Frontal Sinus
Sphenoid Sinus
CHAPTER 2:
Acute Rhinosinusitis
INTRODUCTION
PATHOPHYSIOLOGY
Microbiology
Risk Factors
CLINICAL PRESENTATION AND DIAGNOSIS
Clinical History
Physical Examination and Nasal Endoscopy
Radiography
THERAPY
Antibiotics
COMPLICATIONS
CONCLUSION
CHAPTER 3:
Chronic Rhinosinusitis
INTRODUCTION
EPIDEMIOLOGY
PATHOGENESIS
CLINICAL PRESENTATION, EVALUATION AND DIAGNOSIS
SUBTYPES OF RHINOSINUSITIS (TABLE 2)
Viral
Bacterial
Fungal
MANAGEMENT
Corticosteroids
Nasal Saline Irrigation
Decongestants
Antibiotics
Antihistamines and Immunotherapy
Surgical Intervention
COMPLICATIONS OF RHINOSINUSITIS
Chandler's Classification (Table 4)
CONCLUSION
CHAPTER 4:
Nasal Obstruction
INTRODUCTION
OBJECTIVE NASAL OBSTRUCTION
Mucosal Inflammation
Allergic Rhinitis
Nonallergic Rhinitis
Rhinosinusitis
Chronic Rhinosinusitis
Anatomic Variation
Septal Perforation or Other Intranasal Structural Loss
Septal Deviation
Inferior Turbinate Hypertrophy
Nasal Valve Collapse
Bilateral or Unilateral Choanal Atresia
Nasal Pyriform Aperture Stenosis
Concha Bullosa
Nasal Masses
Congenital Midline Nasal Masses
Benign Neoplasms
Nasopharyngeal Cancer
Sinonasal Tumors
Infectious Etiologies
Autoimmune Etiologies
Polyposis
SUBJECTIVE NASAL OBSTRUCTION
Atrophic Rhinitis
Primary Atrophic Rhinitis
Secondary Atrophic Rhinitis
Empty Nose Syndrome
APPROACH TO THE PATIENT WITH NASAL OBSTRUCTION
CHAPTER 5:
Nasal Neoplasms
INTRODUCTION
BENIGN NASAL NEOPLASMS
Osteoma
Presentation
Diagnosis
Treatment
Inverted Papillomas (Schneiderian Papilloma, Inverted Type)
Presentation
Diagnosis
Treatment
Juvenile Angiofibroma
Presentation
Diagnosis
Treatment
MALIGNANT NASAL NEOPLASMS
Squamous Cell Carcinoma
Presentation
Diagnosis
Treatment
Adenocarcinoma
Presentation
Diagnosis
Treatment
Esthesioneuroblastoma
Presentation
Diagnosis
Treatment
Sinonasal Undifferentiated Carcinoma (SNUC)
Presentation
Diagnosis
Treatment
CHAPTER 6:
Epistaxis
EPIDEMIOLOGY
ANATOMY
MANAGEMENT
ANTERIOR EPISTAXIS
Nasal Packing
Cauterization
Thrombogenic Agents
POSTERIOR EPISTAXIS
Nasal Packing
Cauterization
Endoscopic Arterial Ligation
Endovascular Embolization
CONCLUSION
CHAPTER 7:
Common Nasal and Sinus Pathologies in Children
SINUSITIS
EPISTAXIS
INDEX
TOC
Index
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