Quick Reference Guide for Otolaryngology

Kim Scott, FNP, MSN, AE-C, is a Nurse Practitioner with a six-physician partnership at Eastern Virginia Ear, Nose & Throat Specialists, Chesapeake, VA. She is experienced in critical care, home health and patient education and has been a sub-investigator in more than 12 research projects. Her research work focused on asthma, rhinitis, COPD and community-acquired pneumonia and bronchitis.

Preface ix 1 . Physical Examination Documentation of Normal and Abnormal Findings From the Ear, Nose, and Throat Examination 1 Procedure Protocol: Pneumatic Otoscopy 5 Procedure Protocol: Rinne and Weber Tuning Fork Tests 7 Procedure Protocol: Nasal Endoscopy 11 Procedure Protocol: Evaluating the Nasopharynx With Indirect Mirror Examination 12 Video 1.1: Nasal endoscopy Video 1.2: Flexible fi beroptic laryngoscopy Procedure Protocol: Flexible Fiberoptic Laryngoscopy 22 Procedure Protocol: Evaluating the Larynx With Indirect Mirror Examination 23 2. Ear, Nose, and Throat Anatomy and Physiology Normal Findings 33 3. Physical Examination of the Cranial Nerves for the Head and Neck 61 4. Evaluation and Management of Facial Nerve Conditions 89 5. Evaluation and Management of Hearing and Tinnitus 101 6. Evaluation and Management of External Ear Conditions 129 Procedure Protocol: Ear Cleaning 134 Procedure Protocol: Otowick Insertion 134 7. Evaluation and Management of Middle Ear Conditions 149 Procedure Protocol: Myringotomy With and Without Tympanostomy or Pressure Equalizer Tube Insertion 160 Procedure Protocol: Paper Patch Myringoplasty 166 8. Evaluation and Management of Inner Ear Conditions 179 Procedure Protocol: Epley Maneuver 190 9. Evaluation and Management of Olfactory Disorders 201 10. Evaluation and Management of the NoseExternal Conditions 209 Scott_96064_PTR_00_i-x_03-11-14.indd vii 3/12/2014 5:10:56 PM 11. Evaluation and Management of the Nasal Cavity and Paranasal Sinuses 215 Procedure Protocol: Silver Nitrate Cauterization for Epistaxis 229 Procedure Protocol: Nasal Packing for Epistaxis 230 Staging Criteria: How to Read and/or Determine Cancer Staging 242 Staging Criteria: TNM Staging System for the Nasal Cavity and Paranasal Sinuses 243 12. Evaluation and Management of Nasopharynx Conditions 249 Staging Criteria: TNM Staging System for the Nasopharynx 253 13. Evaluation and Management of Oropharynx Disorders 255 Procedure Protocol: Needle Drainage and Incision and Drainage of a Peritonsillar Abscess 272 Procedure Protocol: Lingual Frenulectomy 280 Staging Criteria: TNM Staging Criteria: Lip and Oral Cavity Cancer 284 Staging Criteria: TNM Staging Criteria: Oropharyngeal and Hypopharyngeal Cancer 285 14. Evaluation and Management of Sleep Apnea 291 15. Evaluation and Management of Salivary Gland Conditions 301 Staging Criteria: TNM Staging Criteria for Salivary Gland Cancerous Tumors 315 16. Evaluation and Management of Benign Neck Conditions 323 17. Overview of Malignant Neck Conditions 345 18. Evaluation and Management of Thyroid Disorders 355 Staging Criteria: TNM Staging Criteria for Thyroid Cancer 368 19. Evaluation and Management of Parathyroid Disorders 373 20. Evaluation and Management of Trachea Disorders and Conditions 383 21. Evaluation and Management of Esophageal Disorders 401 22. Evaluation and Management of Larynx and Hypopharynx Disorders 413 Video 22.1: Stroboscopy: False vocal cord use Video 22.2: Left vocal cord paralysis patient 1 Video 22.3: Left vocal cord paralysis patient 2 Video 22.4: Stroboscopy: Normal vocal cord function Video 22.5: Stroboscopy: Bilateral ball-valving vocal cord polyps Staging Criteria: TNM Staging Criteria for Larynx 433 23. Overview of Lesions of the