Cummings Otolaryngology

Dr. Howard Francis is the Richard Hall Chaney, Sr. Distinguished Professor of Otolaryngology, Professor of Head and Neck Surgery and Communication Sciences, and Chair of Head and Neck Surgery and Communication Sciences at Duke University School of Medicine. His clinical work focuses on the diagnosis and treatment of ear diseases and skull base disorders. Dr. Francis takes great pride in the mastery of his craft and the high standard of his teams. As an ENT doctor, otologist, and neurotologist, he serves patients of all ages from infancy to the senior years, and his expertise spans the full range of the medical and surgical management of complex ear diseases, balance disorders, and hearing disorders - including performing cochlear implant surgery in adults and children. Dr. Haughey is a board-certified otolaryngologist with advanced fellowship training in head and neck cancer surgery. He specializes in surgical interventions to address cancers of the throat, vocal cords, sinuses, thyroid, parathyroid, submandibular and salivary glands, neck and skull. His primary clinical interests also include surgery to address skin cancers on the face and neck, including melanoma and facial reconstruction surgeries, as well as microvascular free tissue transfer procedures and laryngeal and sinus disorders. A respected researcher whose work has contributed to the development of new and minimally invasive methods for removing head and neck cancers, Dr. Haughey earned his medical degree at the University of Auckland in New Zealand before completing his residency as Chief Resident, earning a Master of Science in otolaryngology - head and neck surgery and carrying out a prestigious skull base and neuro-otology fellowship, all at the University of Iowa in Iowa City. Dr. Marci Lesperance is the associate chief clinical officer for Children's Specialty and Women's Services, University of Michigan Medical Group. She served as the division chief of Pediatric Otolaryngology at Michigan Medicine for 15 years. Her research has been funded by NIH and outside foundations. She has previously served as surgeon in chief for the Children's and Women's Hospital, program director for the University of Michigan's Pediatric Otolaryngology Fellowship, and past president of the American Society of Pediatric Otolaryngology. Dr. Lesperance is a member of numerous professional organizations in otolaryngology and pediatrics. Her research interests include hereditary hearing loss, molecular genetics of hearing loss, and genetic testing. She is also editor of the Elsevier text, Cummings Pediatric Otolaryngology, which is a spin-off from the main Cummings Otolaryngology text. Valerie Lund is Professor Emeritus of Rhinology at the Ear Institute, University College London and is an Honorary Consultant ENT Surgeon at the Royal National Throat Nose and Ear Hospital (University College London Trust), University College Hospital. She deals with all nose and sinus conditions with a particular interest in sinonasal tumors and has been involved in endoscopic sinus surgery and its extended applications since the early 1980's. She has contributed extensively to the literature. She has received several prizes including the George Davey Howell (1990, 2008, 2015), W J Harrison (Royal Society of Medicine 2012), BMA Book awards and Jobson Horne Prize (2018) . In 2008 she was awarded a CBE for services to medicine by the Queen, is a member of the German Academy of Science (Leopoldina) and is an Honorary Fellow of the American College of Surgeons. In 2004, K. Thomas Robbins was appointed the Director at the SimmonsCooper Cancer Institute at Southern Illinois University. Dr. Robbins has served as a co-editor of the Cummings Otolaryngology-Head & Neck Surgery, since the 4th edition. He has been the author or co-author of hundreds of proffered publications. He has served on several editorial boards, including the Archives of Otolaryngology-Head and Neck Surgery. He is a past president of the American Head and Neck Society and served on the Board of Governors of the American College of Surgeons. He has chaired the Committee for Head and Neck Surgery and Oncology of the American Academy of Otolaryngology-Head and Neck Surgery and the Otolaryngology Head and Neck Surgery Council of the American College of Surgeons. Dr. Robbins' academic interests have focused on modifications for conservation neck dissection and neck dissection nomenclature and he has received research funding from the National Cancer Institute. Stephen S. Park, MD, is currently the Director of the Division of Facial Plastic and Reconstructive Surgery and Professor & Chair of the Department of Otolaryngology - Head and Neck Surgery at the University of Virginia. He also serves as the interim chair of the Department of Plastic Surgery. His primary clinical interest is in the field of facial plastic surgery, particularly facial reconstruction, rejuvenation, and rhinoplasty. Dr. Park is internationally recognized as one of the leaders in Facial Plastic Surgery and has given numerous lectures around the world on these topics. He has authored publications on various topics in Facial Plastic Surgery. He has been the president of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), a Director with the American Board of Otolaryngology - Head & Neck Surgery, and the vice-chair of the Otolaryngology Residency Review Committee (RRC).

"…a well-recognized, longstanding comprehensive textbook of otolaryngology and head and neck surgery… This edition provides information to keep up with the continued growth of the field. As well as many more instructional videos, including videos of all of the ACGME's key indicator procedures (KIPs) in otolaryngology… This book is for any practitioner or student of otolaryngology, regardless of their level of experience. World-renowned authors and editors contribute to this book, making it an exceptional resource for information and learning…. one of the hallmark reference textbooks in otolaryngology and head and neck surgery. It compares very well to other comprehensive textbooks in this field. The expansion of the information and procedural techniques in the field necessitates this updated edition. This book is highly recommended for any practitioner in otolaryngology, particularly otolaryngology residents."Review by Alan Micco, MD (Northwestern University Feinberg School of Medicine), ©Doody's Review Service, 2026. Doody's Score: 100, 5 Stars!Review of the previous edition: "The book serves as the definitive, detailed text for otolaryngology. As such, it provides in-depth examination of the field." -Alan Micco, MD (Northwestern University Feinberg School of Medicine) Doody's Review Service

• VOLUME IPART I Measuring Outcomes and Performance1. Outcomes Research2. Interpreting Medical Data3. Health Care Disparities in Otolaryngology4. COVID-19 in Otolaryngology: Pandemic Response and Sequelae of Long COVIDPART II General Otolaryngology5. History, Physical Examination, and the Preoperative Evaluation6. General Considerations of Anesthesia and Management of the Difficult Airway7. Tracheotomy8. Overview of Diagnostic Imaging of the Head and Neck9. Deep Neck and Odontogenic Infections10. Head and Neck Manifestations in the Immunocompromised Host11. Upper Aerodigestive Manifestations of Systemic Disease12. Otolaryngology in Older Adults13. Pain Management in the Head and Neck Patient14. Sleep Apnea and Sleep DisordersPART III Facial Plastic and Reconstructive SurgerySECTION 1 Facial Surgery15. Aesthetic Facial Analysis16. Recognition and Treatment of Skin Lesions17. Scar Revision and Keloid Scar Management18. Facial Trauma: Soft Tissue Lacerations and Burns19. Craniomaxillofacial Trauma20. Reconstruction of Facial Defects21. Hair Restoration: Medical and Surgical Techniques22. Management of Aging Skin23. Rhytidectomy and Facial Liposuction24. Facial Implants and Fat Grafting25. Forehead, Brow, and Eyelid Surgery26. Facial Feminization Surgery27. Otoplasty28. Rehabilitation of Facial ParalysisSECTION 2 Rhinoplasty29. Management of the Nasal Septum30. Nasal Fractures31. Primary Rhinoplasty32. Revision Rhinoplasty and Ethnic Considerations33. Functional RhinoplastyPART IV Sinus, Rhinology, and Allergy/Immunology34. Allergy and Immunology of the Upper Airway35. Olfactory Function and Dysfunction36. Objective Assessment of Respiratory Tract Function37. Imaging of the Nose and Sinuses38. Nonallergic Rhinitis39. Acute Rhinosinusitis: Pathogenesis, Treatment, and Complications40. Pathogenesis of Chronic Rhinosinusitis41. Chronic Rhinosinusitis: Evidence-Based Medical Treatment42. Chronic Rhinosinusitis: Outcomes of Medical and Surgical Treatment43. Primary Sinus Surgery44. Causes of Failure, Revision Surgery, and Management of Complications in Endoscopic Sinus Surgery45. Management of the Frontal Sinuses46. Epistaxis47. Cerebrospinal Fluid Rhinorrhea48. Sino-Orbital Interface49. Benign Tumors of the Sinonasal Tract50. Systemic Disease of the Nose and Sinuses51. Facial PainPART V Laryngology and Bronchoesophagology52. Laryngeal and Pharyngeal Function53. Visual Documentation of the Larynx54. Voice Evaluation and Therapy55. Neurologic Disorders of the Larynx56. Laryngeal Paralysis57. The Professional Voice58. Laser Surgery: Basic Principles and Safety Considerations59. Benign Vocal Fold Mucosal Disorders60. Acute and Chronic Laryngopharyngitis61. Medialization Thyroplasty62. Arytenoid Adduction and Abduction63. Laryngeal Reinnervation64. Chronic Aspiration65. Laryngeal and Esophageal Trauma66. Laryngeal Stenosis67. Subglottic and Tracheal Stenosis68. Diseases of the Esophagus69. Transnasal Esophagoscopy70. Zenker Diverticulum71. Tracheobronchial Endoscopy72. Gender-Affirming Voice CareVOLUME IIPART VI Head and Neck Surgery and OncologySECTION 1 General Considerations73. Tumor Immunology and Immunotherapy74. Biology of Head and Neck Cancers75. Epidemiology of HPV-Positive Head and Neck Cancer76. Radiotherapy Principles in Head and Neck Cancer: Radiation Physics, Radiobiology, and Clinical Principles77. Chemotherapy and Targeted Agents for Head and Neck Squamous Cell Carcinoma78. Skin Flap Physiology and Wound Healing79. Free Tissue Transfer80. Integrating Palliative and Curative Care Strategies in the Practice of Otolaryngology81. Management of Cutaneous Head and Neck MelanomaSECTION 2 Salivary Glands82. Physiology of the Salivary Glands83. Diagnostic Imaging and Fine-Needle Aspiration of Salivary Glands84. Inflammatory Disorders of the Salivary Glands85. Benign Neoplasms of the Salivary Glands86. Malignant Neoplasms of the Salivary GlandsSECTION 3 Oral Cavity87. Physiology of the Oral Cavity88. Oral Mucosal Lesions89. Odontogenesis, Odontogenic Cysts, and Odontogenic Tumors90. Temporomandibular Joint Disorders91. Benign Tumors and Tumor-like Lesions of the Oral Cavity92. Malignant Neoplasms of the Oral Cavity93. Reconstruction of the Mandible94. Prosthetic Management of Head and Neck DefectsSECTION 4 Pharynx and Esophagus95. Benign and Malignant Tumors of the Nasopharynx96. Surgical Therapy of Oropharyngeal Cancer97. Reconstruction of the Oropharynx98. Swallowing Function and Implications in Head and Neck Cancer99. Diagnostic Imaging of the Pharynx and Esophagus100. Neoplasms of the Hypopharynx and Cervical Esophagus101. Reconstruction of the Hypopharynx and EsophagusSECTION 5 Larynx102. Diagnostic Imaging of the Larynx103. Malignant Tumors of the Larynx104. Management of Early Glottic Cancer105. Transoral Laser Microresection of Advanced Laryngeal Tumors106. Conservation Laryngeal Surgery107. Total Laryngectomy and Laryngopharyngectomy108. Radiation Therapy for Cancer of the Larynx and Hypopharynx109. Vocal and Speech Rehabilitation After Laryngectomy110. Diagnosis and Management of Tracheal NeoplasmsSECTION 6 Neck111. Differential Diagnosis of Neck Masses112. Ultrasound Imaging of the Neck113. Neoplasms of the Neck114. Lymphomas Presenting in the Head and Neck115. Radiation Therapy and Management of the Cervical Lymph Nodes and Malignant Skull Base Tumors116. Neck Dissection117. Complications of Neck Surgery118. Penetrating and Blunt Trauma to the NeckSECTION 7 Thyroid/Parathyroid119. Disorders of the Thyroid Gland120. Management of Thyroid Neoplasms121. Management of Parathyroid Disorders122. Surgical Robotics in Otolaryngology123. Management of Thyroid Eye Disease (Graves Ophthalmopathy)PART VII Otology, Neurotology, and Skull Base SurgerySECTION 1 Basic Science124. Anatomy of the Temporal Bone, External Ear, and Middle Ear125. Neuroanatomy of Auditory System126. Principles of Auditory Physiology127. Neuroanatomy of Vestibular System128. Principles of Applied Vestibular Physiology129. Anatomy and Physiology of Eustachian Tube130. Clinical Evaluation and Management of the Eustachian Tube131. Cortical Neuroplasticity in Hearing Loss132. Age-Related Hearing and Balance Disorders: Implications for Population HealthSECTION 2 Diagnostic Assessment133. Diagnostic Audiology and Electrophysiologic Assessment of Hearing134. Neuroradiology of the Temporal Bone and Skull Base135. Interventional Neuroradiology of the Skull Base, Head, and Neck136. Otologic Symptoms and SyndromesSECTION 3 External Ear137. Infections of External Ear138. Topical Therapies of External Ear DisordersSECTION 4 Middle Ear, Mastoid, and Temporal Bone139. Chronic Otitis Media, Mastoiditis, and Petrositis140. Complications of Temporal Bone Infections141. Tympanoplasty and Ossiculoplasty142. Mastoidectomy: Surgical Techniques143. Middle Ear Endoscopic Surgery144. Clinical Assessment and Surgical Treatment of Conductive Hearing Loss145. Otosclerosis146. Management of Temporal Bone TraumaVOLUME IIISECTION 5 Inner Ear147. Cochlear Transduction and Peripheral Auditory Pathology148. Genetic Sensorineural Hearing Loss149. Otologic Manifestations of Systemic Disease150. Sensorineural Hearing Loss in Adults151. Tinnitus and Hyperacusis152. Noise-Induced Hearing Loss153. Infections of the Labyrinth154. Autoimmune Inner Ear Disease and Autoinflammatory Disease155. Vestibular and Auditory Ototoxicity156. Pharmacologic and Molecular Therapies of the Cochlear and Vestibular LabyrinthsSECTION 6 Auditory Prosthetic Stimulation, Devices, and Rehabilitative Audiology157. Implantable Hearing Devices158. Cochlear Implantation: Patient Evaluation and Device Selection159. Medical and Surgical Considerations in Cochlear Implantation160. Cochlear Implantation in Adults: Results, Outcomes, and Rehabilitation161. Auditory Brainstem Implantation162. Hearing Aid AmplificationSECTION 7 Vestibular Disorders163. Evaluation of the Patient With Dizziness164. Peripheral Vestibular Disorders165. Central Vestibular Disorders166. Surgery for Vestibular Disorders167. Vestibular and Balance Rehabilitation Therapy: Program EssentialsSECTION 8 Facial Nerve Disorders168. Tests of Facial Nerve Function169. Clinical Disorders of the Facial Nerve170. Intratemporal Facial Nerve SurgerySECTION 9 Cranial Base171. Surgical Anatomy of the Lateral Skull Base172. Surgery of the Anterior and Middle Cranial Base173. Transnasal Endoscopic-Assisted Surgery of the Anterior Skull Base174. Malignancies of the Paranasal Sinus175. Temporal Bone Neoplasms and Lateral Cranial Base Surgery176. Neoplasms of the Posterior Fossa177. Intraoperative Monitoring of Cranial Nerves in Neurotologic Surgery178. Radiation Therapy for Schwannomas and Paragangliomas of the Cranial BasePART VIII Pediatric OtolaryngologySECTION 1 General179. General Considerations in Pediatric Otolaryngology180. Anesthesia in Pediatric Otolaryngology181. Pediatric Speech Disorders182. Evaluation and Management of Pediatric Obstructive Sleep Apnea183. Complex and Nonobstructive Sleep Disorders in Children184. Understanding and Evaluating Genetic and Genomic Disorders in Pediatric OtolaryngologySECTION 2 Craniofacial185. Craniofacial Surgery for Congenital and Acquired Deformities186. Cleft Lip and Palate187. Velopharyngeal Dysfunction188. 22q11.2 Deletion Syndrome189. Congenital and Acquired Malformations of the Nose and Nasopharynx190. Pediatric Facial FracturesSECTION 3 Infections and Inflammation191. Pediatric Chronic Rhinosinusitis192. Pediatric Infectious Disease193. Otitis Media With EffusionSECTION 4 Hearing Loss and Pediatric Otology194. Early Detection and Diagnosis of Infant Hearing Impairment195. Pediatric Otologic Surgery196. Congenital Malformations of the Inner Ear197. Enlarged Vestibular Aqueduct Syndrome198. Evaluation and Management of Congenital Aural Atresia199. Microtia Reconstruction200. Pediatric Cochlear Implantation201. Evaluation and Management of Pediatric Vestibular DisordersSECTION 5 Head and Neck202. Pediatric Congenital and Inflammatory Masses of the Head and Neck203. Vascular Anomalies of the Head and Neck204. Salivary Gland Disease in Children205. Pediatric Thyroid Disease206. Pediatric Head and Neck NeoplasmsSECTION 6 Pharynx, Larynx, Trachea, and Esophagus207. Infant Feeding and Ankyloglossia208. Evaluation and Management of the Pediatric Airway209. Recurrent Respiratory Papillomatosis210. Evaluation and Management of Pediatric Voice Disorders211. Laryngotracheal Stenosis and Tracheal Anomalies212. Laryngotracheal Clefts213. Pediatric Tracheotomy and Decannulation214. Aerodigestive Foreign Bodies and Caustic Ingestions215. Management of Pediatric Dysphagia, Laryngopharyngeal and Gastroesophageal Reflux Disease, and Eosinophilic Esophagitis