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This book, written by international experts, is a detailed guide to the Eustachian tube, with emphasis on those aspects of most relevance to the practitioner. The opening chapters document the clinical anatomy and provide essential information on physiology, with explanation of the new model of tubal mechanics. Diagnosis and therapy for the patulous Eustachian tube are then discussed, placing special emphasis on a novel conservative treatment regimen that has proven to be a breakthrough for patients with this clinical syndrome. A further extensive chapter examines overall function of the Eustachian tube, primarily from the middle ear surgeon’s viewpoint. Tuboplasty procedures, including laser tuboplasty, and tympanoplasty are described, and the implications of different middle ear pathologies for surgical treatment are explained. The previously unpublished treatment methods that are described in this book will be invaluable in ensuring the best possible clinical outcomes.
As one of today's leading researchers of middle ear disorders, Dr. Bluestone offers a unique perspective on the diagnosis and management of common middle ear problems.The Eustachian Tubeis the first book to comprehensively cover these disorders in both adults and children. The Eustachian Tubebegins with an overview of middle ear anatomy, and the epidemiology of middle ear disorders. Then it discusses current tests of eustachian tube function, as well as the physiology and pathophysiology of the eustachian tube. Dr. Bluestone also draws on his extensive clinical experience to describe the latest surgical and nonsurgical methods of middle ear treatment. Throughout, photographs and drawings illustrate anatomy and pathophysiology.
For more than three decades the methods for assessing cell pro liferation have been largely the preserve of experimental biologists, and in their hands such techniques have contributed greatly to our understanding of the dynamic organisation of normal and patho logical tissues. In recent years, with the advent of novel method ologies, there has been increased interest among both pathologists and clinicians, particularly oncologists and others interested in neoplasia, in assessing cell proliferation. This interest has been stimulated by the possibility that indices of cell proliferation may have direct clinical relevance, for example in being useful predictors of outcome in patients with certain forms of malignancy. In addi tion, interest in assessing cell proliferation has been fuelled by the tremendous advances in our understanding of the mechanisms of cell proliferation and their deregulation in pathological processes. Consequently, the time is ripe for a monograph critically reviewing the available methods for assessing cell proliferation, their potential and their problems. We have been particularly concerned to present a balanced view of the advantages and disadvantages of different methods currently available for assessing cell proliferation. The assessment of cell proliferation often requires some familiarity with mathematical methods, but in this book we have attempted to keep detailed mathematical analyses to a minimum. We have asked exponents of each of the well-recognised methods to critically review the tech niques and the ways in which they may be applied to clinical mate rial.
Acute and chronic ear disease continues to be one of the leading diseases of childhood. Understanding eustachian tube function and management remains one of the most important aspects in controlling inflammatory ear disease. Chronic ear disease requires elaborate surgical interventions designed to bypass eustachian tube dysfunction and/or poor mastoid aeration, since surgical management of the eustachian tube has been elusive. Our understanding of the ear and hearing continues to expand at record pace, as auditory neuroscientists discover the fundamental molecular structure and function of the auditory system. The cochlear implant has revolutionized the treatment of deafness. In contrast, the complexity of eustachian tube pathophysiology is only just beginning to be appreciated. This book provides a detailed analysis of contemporary knowledge on the morphology, physiology, and gas exchange function of the eustachian tube, middle ear, and mastoid. Newer diagnostic tests, such as sono tubometry, tubomanometry, and endoscopic video-analysis, are also described. Finally, a selection of innovative surgical management strategies for eustachian tube dysfunction is presented. The clinical impact of these diagnostic tools and surgical management options still requires the test of time, as well as investigation by others. This text provides the trainee, clinician, and researcher with the opportunity to acquire state-of-the-art information in a single volume. I am certain that this is just the beginning of our knowledge of ways in which to improve the management of one of the long-standing chronic conditions that result in hearing loss and more serious sequellae.
This book aims to provide otolaryngology residents, otology and neurotology fellows, teachers, and young practitioners with comprehensive, up-to-date information on middle ear anatomy that fully meets their needs. It will enable those undergoing surgical training to hone their surgical skills and will assist in ensuring that patients receive appropriate management. The anatomy of the middle ear is explained in easy-to-understand descriptions and exquisitely depicted in more than 100 color photos and numerous helpful color diagrams. Key features of the book are the correlation of clinical situations to the anatomical basis of disease, the simplified explanation of embryology to provide a better understanding of developmental anomalies, and the inclusion of carefully selected CT scans that will assist in the reading of normal anatomy and the identification of pathological features. ​
"When Charles Bluestone began his practice over 50 years ago, very little was known about middle-ear disease, in spite of its being the most common disease that clinicians in his field encounter. It has now been 40 years since Jack L. Paradise and he conducted their first investigation into the prevalence of otitis media in infants with cleft palate. Since then, he has devoted a major share of his professional career to understanding this disease and its impact on the health care of patients.This second edition includes a focus not only on the structure and function of the Eustachian tube (ET) and its role in the pathogenesis of middle-ear disease and related conditions, but also how this impacts the clinician's management of middle-ear disease. Presented in this one source is the current state of knowledge of the ET within its "system" (the nasal cavities, nasopharynx, and palate at its proximal end and the middle ear and mastoid gas cells at its distal end).Dr Bluestone also presents his hypotheses when definitive answers or consensus are not currently available. This volume contains a comprehensive review of all the research over the past 150 years along with updates covering the very latest research studies.It is the hope of the author that this second edition will stimulate more studies and help clinicians better understand ET function to provide the best possible health care to patients with middle-ear disease"--Publisher's description.