Focusing mainly on benign conditions, this new resource provides step-by-step guidelines for the diagnosis and surgical treatment of a wide range of conditions in the upper respiratory system. World-renowned, pioneering otolaryngologist William W. Montgomery, MD offers readers the benefit of his extensive clinical and teaching experience at the Harvard Medical School and the Massachusetts Eye and Ear Infirmary. He describes all of today's best approaches and presents a wealth of valuable tips for achieving optimal results, including those procedures that bear his name.

Contents

I. Examination and Diagnosis
oral cavity
oropharynx
laryngopharynx
cervical esophagus
neck
radiology
II. Surgery of the Neck
diagnosis of a cervical mass
lymph nodes of the neck
block dissection of the neck
carotid artery replacement and ligation
congenital cysts and sinuses
pedicled skin flaps
local
distant
III. Surgery of the Salivary Glands
parotid
submandibular
facial nerve paralysis
IV. Surgery of the Cervical Esophagus
cervical esophagotomy and esophagostomy
cricopharyngeal myotomy for dysphagia
hypopharyngeal diverticulum
reconstruction of the cervical esophagus
V. Salivary Bypass Tube
indications for use
method for insertion
VI. Surgery of the Trachea
history of tracheotomy
early tracheotomy tubes
indications for tracheotomy
management of airway obstruction
cricothyrotomy
emergency tracheotomy
orderly tracheotomy
stenosis of tracheostoma
VII. Tracheotomy and Tracheostomy Tubes
care following tracheotomy
home care of tracheotomy or laryngeal tubes
complications of tracheotomy operation
tracheotomy tubes
tracheostomy tubes (laryngectomy)
VIII. Silicone Tracheal Cannula
advantages
method of insertion
postoperative care
selection of long term cannula
valve or cannula
IX. Tracheal Stenosis
classification and etiology
stenosis above the tracheotomy level
at
below
at the end
complete tracheal stenosis
tracheal stenosis with laryngeal paralysis
reconstruction of the cervical trachea
X. Tracheal T-tube
historical
features
insertion
care
removal
anesthesia with t-tube in place
speaking valve
XI. Surgery of the Larynx
external approach for benign lesions
carcinoma of the laryngopharynx
TMN classification
treatment of laryngeal cancer (general rules)
total laryngectomy
subtotal laryngectomy
XII. Alaryngeal Speech
electronic voice devices
esophageal speech
one stage post laryngectomy voice rehabilitation operation
tracheoesophageal shunt
XIII. Laryngeal Paralysis
related anatomy and function
classification
etiology
signs and symptoms
diagnosis
injection techniques
endoscopic techniques
vocal cord lateralization
laser Kashima procedure
external techniques
medialization thyroplasty
valved tracheotomy tubes
reinervation procedure
external arytenoidectomy
XIV. Surgery for Aspiration
epiglottis sew down
laryngeal closure
diversion
conforming laryngeal stent
XV. Laryngeal Stenosis
acute laryngeal stenosis
laryngeal inlet stenosis
anterior glottic stenosis
posterior glottic stenosis
complete glottic stenosis
with paralysis
XVI. Subglottic Stenosis
etiology
signs and symptoms
diagnosis
treatment
XVII. Snoring and Sleep Apnea
Diagnosis
somnoplasty
uvulopalatophryngoplasty
XVIII. Thyroid Gland
anatomy
diagnosis of thyroid disease
indications for thyroid surgery
technique thyroidectomy