Diseases of the Ear Nose and Throat Lecture Notes 11th Edition PDF
201.2 MB PDF
‘Lecture Notes in ENT’ enjoys an important place in the affections of generations of students and teachers of ENT. For many of us, this little book introduced us to a specialty that has fascinated us for our entire careers. For decades it was the standard undergraduate introduction to a subject not always well taught in medical schools, where the curriculum tended to focus disproportionately on the supposed ‘mainstream’ disciplines. I was conscious throughout the revisions of the need to keep fidelity with what I felt were the strengths of earlier editions – brevity, readability,
and a preference for sound advice of real relevance in day-to-day patient care over esoteric discussions, supported throughout by good quality images and illustrations. Th e specialty has changed out of all recognition. ENT surgeons are now to the fore in head and neck oncology, thyroid surgery, facial plastic surgery, the medical and surgical management of respiratory allergy and in many of the respiratory conditions that present in early childhood. Th is has necessitated several new chapters and a radical pruning of some earlier material. To keep the book at a reasonable length I have had to jettison coverage of many conditions that, though interesting in themselves, don’t present with any great frequency outside of specialist clinics. I have added a completely new section on ‘Emergencies’ as many ENT conditions present acutely and good advice on early management can be difficult to come by.
If ENT has evolved, so teaching methods and the medical school curriculum have changed. I have tried to reflect those changes. ‘Lecture Notes’ may seem an anachronism in an age when undergraduates attend fewer and fewer lectures, but new teaching and learning methods mean that a concise summary of a specialty in a single text is even more relevant. I have included short introductions to the clinical aspects of basic science that underpin the diagnosis and management of common conditions. Students still like pithy revision aids and I have included some ‘nuggets’ of wisdom in the form of clinical practice points throughout, with an emphasis on making students aware of ‘red flag’ signs that need early intervention and pointing out common clinical pitfalls. Many ENT disorders still present and are dealt with in primary care, often without recourse to elaborate equipment or complex interventions and I hope this book will prove a useful clinical guide to colleagues ‘at the coalface’ in General Practice. I have tried to summarize the principles of treatment for common conditions and to identify those where expert help is needed.
ENT is a very clinical specialty with many conditions easily identified by simple examination and observation. Hence I have used multiple clinical photographs, x-rays, scans and diagrams, some of which are from my own clinical practice but many of which kind colleagues and patients let me use, for which I am very grateful. I owe a particular debt to Mr. Peter Bull FRCS, Emeritus ENT Consultant Sheffield, the author of the last five editions of Lecture Notes, who was my mentor and trainer and who advised and supported me throughout this revision.
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