Clinical Methods in ENT, 2nd Edition by P. T. Wakode

By P. T. Wakode

A superbly illustrated monograph with 163 coloured photos, it really is one of many only a few books to target the ENT sufferer in scientific tools. Foreward by means of Prof. John Carruth of the collage of Southampton, uk - "This textbook is designed for undergraduate scholars and also will be of serious price to any medical professional in any grade wishing to enhance his wisdom of scientific tools in otolaryngology."

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PERIODICITY Patient may be asked Is your hearing loss constant or intermittent? Hearing loss due to congenital defects in ear like fixed malleus syndrome, canal atresias remain constant. If it is intermittent how often it is? Has it any relationship with change of season, upper respiratory infection (URI), pain in ear or otorrhoea? Is it static or progressive? In degenerative heredofamilial deafness, otosclerosis and Meniere’s disease deafness is progressive. Hearing loss due to secretory otitis media or chronic Eustachian tube block may be intermittent and usually seen during change of season or attack of URI.

Poverty, crowding and malnutrition is the basic triad in the genesis of CSOM. And hence history of ear disease in other members of family should always be asked. Few heredo-familial degenerative disorders run in families. Personal History People working in noisy industry are likely to develop noise induced hearing loss. People having reduced immune response, cleft palate are notorious to develop SOM. Patients with allergic diasthesis like allergic rhinitis are prone to develop ET block which acts as precursor for all sorts of otitis media.

Schuller’s position 3. Mayer’s position 4. Stenver’s position 5. Chausse III position. Out of these Schuller’s view is most commonly advised view (Figures 4-17 and 4-18). Position: Patient’s head is placed in lateral position. The beam is directed 30–35° caudally and film is taken. This view gives adequate information about mastoid air cells, lateral sinus plate, dural plate and aditus ad antrum. On the basis of pneumatisation mastoids are divided into: Cellular: If cells are plenty, hexagonal and arranged in honeycomb pattern.

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