Third Edition
Vikas Sinha MS
Medical Superintendent and Professor (ENT) Sir T General Hospital, Government Medical College
Bhavnagar, Gujarat, India
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Practical ENT
First Edition: 2004
Second Edition: 2005
1st Reprint: 2006
2nd Reprint: 2008
3rd Reprint: 2009
4th Reprint: 2011
5th Reprint: 2013
6th Reprint: 2015
Third Edition: 2017
9789352700561
FM5Dedicated to
My students
and
in loving memory of my Father, Mother and Brother
FM6Reviews
This book is truly practical, unique, and to the point. This is best practical guide to ENT residents and specialists, I have ever seen. The style is so unique that it vividly represents a thorough bedside teaching from the master. I really believe that one can get the knowledge of ENT, which cannot be attainable from heavy-volume Western textbooks.
DR YONG JU JANG
MD PhD
Professor, Department of Otolaryngology and Head and Neck Surgery
Asan Medical Center, University of Ulsan, College of Medicine, Seoul, South Korea
Professor Sinha is a well-known ENT specialist who is traveling a lot to Asia and Europe to enhance his knowledge and experience in the latest development of ENT. His focus is especially on teaching the younger colleagues, and this book is ideal for this. It presents the latest standards of ENT in history taking, diagnosis and treatment. I congratulate Professor Sinha for this excellent book, and hope it will be widely spread and used. Every MBBS and MS students will also find in this book a good comprehension of ENT diseases. I wish this book a great success. All the best from Stuttgart.
DR WOLFGANG GUBISCH
Professor, Marienhospital, Stuttgart, Germany
Practical ENT book has elegantly captures the essence of ENT. It is very comprehensive and well written. The clinical history and examination has been well written with additional clinical points that will make it very clear and easy to understand. This book will truly benefit every reader, whichever level he/she may be. My compliments to Dr Vikas Sinha for this excellent work.
DR PREPAGERAN
Professor, Department of Otolaryngology and Head and Neck Surgery
University Malaya Medical Centre, Kuala Lumpur, Malaysia
As a very comprehensive synopsis of basic otolaryngology, the book serves as an excellent resource for the undergraduate medical students commencing their ward posting and practical instruction in otolaryngology, and a good refresher prior to the examination. The book would also serve as a useful resource for postgraduates to reappraise them of the “must know” facts of the subject, especially so with regard to the sections on X-rays, operations, audiology, osteology, instruments and FAQs.
DR ALOK THAKAR
MS FRCS (Edin)
Professor, Department of Otolaryngology and Head and Neck Surgery
All India Institute of Medical Sciences, New Delhi, India
The author has made commendable effort to simplify and present a wealth of clinical information on otorhinolaryngology in this book. The clinical material is very useful for all who wish to have comprehensive understanding of ENT. The book will be of immense help to the medical students to sharpen their clinical acumen. This book is highly recommended to the medical students.
DR ASHOK K GUPTA
Professor, Department of Otolaryngology and Head and Neck Surgery
Postgraduate Institute of Medical Education and Research, Chandigarh, India
FM7Foreword
I am pleased to write the foreword for Practical ENT authored by Dr Vikas Sinha. This book gives a detailed and precise insight into clinical history taking, examinations, case studies, instruments and operative procedures. I would like to highlight the lucid language and comprehensive contents of the chapters which make the subject interesting. This book should also help the students in observing clinical techniques and patient rounds. I congratulate Dr Vikas Sinha for the tremendous efforts he has put in to make this book as complete as possible. The chapters are well planned and organized. I am sure this will be of immense help to all the medical students as well as aspiring surgeons.
MV Kirtane
Ex-Professor
Department of Otorhinolaryngology and Head and Neck Surgery
Seth GS Medical College and KEM Hospital
Mumbai, Maharashtra, India
FM8Foreword
It gives me great pleasure to write the foreword of the book Practical ENT written by Dr Vikas Sinha. This book is the result of a painstaking and laborious effort by the author to provide a systematic approach to the learning of the subject of otorhinolaryngology for the undergraduate students. The comprehensive chapters on importance of history taking and clinical examination of otorhinolaryngology will help the student imbibe the basics of ENT. The important topics for practical aspects of the undergraduate curriculum have been adequately dealt with in this book. Practical topics like different foramina of skull base, applied anatomy of skull bones, technique and intricacies in cranial nerve examination, audiology, calorimetry and study of X-rays relevant to ENT have been properly highlighted. I recommend this book to all the undergraduates to refresh their knowledge while preparing for their practical examinations. I feel this book will go a long way in fulfilling the pressing need for good undergraduate books in our specialty.
AK Gupta MS, FICS
Director, Professor and Head of ENT
Geetanjali Medical College and Hospital
Udaipur, Rajasthan, India
FM9Preface
There are many textbooks of ENT by the noted, distinguished and eminent otolaryngologists who command great respect from the ENT fraternity. Yet I believe there is a need for a genuine and short book of ENT dealing mainly with the history taking part, clinical examination and practical aspect of ENT where students can quickly go through the history and viva-voce aspect. This book is primarily meant for the undergraduate students, especially for those who have first posting in ENT. The postgraduates are advised to refer other referral and advanced books of ENT for better knowledge and understanding of the subject. Frequently Asked Questions (FAQs) is a chapter in which students can quickly revise the things while preparing for the examinations. It does not mean that only these types of questions are being asked in the examination. Students must go through the textbook for detailed knowledge of the subject. The Italic face of the text of this book is suggestive of theoretical aspect of the subject. It is not possible to include everything of otolaryngology as it is not a textbook and efforts have been made on my part to cover all the practical aspects and related questions of table viva. I might have missed many things but sincere efforts have been made to cover the larger portion.
I am extremely thankful to my undergraduate and postgraduate students for encouraging me to write this short book Practical ENT. My every clinical lecture has been a new lesson for me. Every lecture has taught me something, and in every lecture I learn new things from my students. I am extremely thankful to them. My patients are another source of inspiration, as without them I would not have made any attempt to write this book. My all residents deserve lot of credit for helping me to update my knowledge for the latest things in ENT. My daughters Swastika and Shijita, were too generous to help me in every stage of my book writing as the entire process of writing of this book took lots of valuable time which I should have passed with them. My all-family members including my late brother, bhabhi, and sister encouraged me to write a book of ENT since beginning.
Vikas Sinha
FM10Acknowledgments
I am thankful to the Government of Gujarat, India to allow me to use the clinical material from the hospital for writing and publishing this book. I am also thankful to KB Bhargava, SK Bhargava and TM Shah to allow me to use few illustrations from their book Short Textbook of ENT Disease, Sixth Edition 2002 to include in my book.