By Ram S Dhillon FRCS, Charles A. East FRCS
A textbook within the Illustrated color textual content sequence on ENT, geared toward clinical scholars and junior doctors.
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Extra info for Ear, nose and throat and head and neck surgery : an illustrated colour text
This is a noise generator which can be combined with a hearing aid to ‘cover up’ the patient’s tinnitus. While the majority of patients can come to terms with tinnitus, there is a group who require considerable support to overcome their ‘disability’. Psychotherapy can help to identify stressful factors which exacerbate the symptoms. Counselling and group meetings at a tinnitus association can help to relieve isolation. Glomus jugulare Tinnitus Noise induced Objective tinnitus ■ Many tinnitus sufferers are managed by simple reassurance.
B) Piece of cotton wool. (c) Leaf. (d) Rubber pencil end. Fig. 20 Rhinolith.
Anatomy and physiology ■ The The paranasal sinuses The ethmoid sinuses describe a labyrinth of air-filled cavities located in the superior and lateral part of the nose, rather like a honeycomb. The walls are very thin, thus allowing easy spread of infection and tumour to adjacent structures such as the orbit through the lamina papyracea, and the anterior cranial fossa via the cribriform plate. Frontal sinus Orbit Ethmoid sinus Lamina papyracea Ostiomeatal complex Maxillary sinus Nasal cavity Teeth Vocal resonance The individual quality of the voice is imparted by the size and form of the nasal cavity.