Evidence-Based Laryngology

Description

One of few text to focus exclusively on evidenced based practice in Laryngology Written by experts in the field Focuses on key areas of interest to both laryngologists and general otolaryngologists This text provides a critical look at the state of the evidence in the most compelling areas of laryngology. Rather than being a comprehensive text covering every single possible area, it focuses on published works in the 9 areas that are of the most interest to laryngologists as well as speech pathologists, general otolaryngologists, and head and neck oncologists managing laryngologic issues. The state of the literature is succinctly summarized and tabulated in each area, allowing the reader to see which areas have high-grade evidence (Levels 1 or 2) to support decision making, and which areas are in need of better quality studies. Each chapter is divided into three main sections: Diagnosis and Pathophysiology, Surgical management, and Non-surgical management. This makes it easier for the reader to browse to the area of interest in each section and to find the evidence basis for a given concept. Evidence-Based Laryngology will be an invaluable resource to otolaryngologists, residents, speech-language pathologists, and other clinicians who manage laryngological problems and would like to know the evidence basis behind different treatment options. Preface References Contents Contributors 1: Vocal Fold Nodules Introduction Etiology and Diagnosis Treatment Conservative Treatment Surgical Treatment References 2: Recurrent Respiratory Papillomatosis Introduction Etiology and Pathogenesis Diagnosis Surgical Management Adjuvant Treatment Interferon-Alfa Cidofovir Bevacizumab HPV Vaccination Other Agents Conclusion References 3: Early Glottic Cancer Introduction Diagnosis Laryngoscopy Laryngostroboscopy Autofluorescence Narrow Band Imaging Computed Axial Tomography (CT) and Magnetic Resonance Imaging (MRI) Positron Emission Tomography (PET) Histopathologic Diagnosis of Malignancy Treatment Radiation Therapy (RT) Conservation Laryngeal Surgery Endoscopic Laryngeal Surgery Photodynamic Therapy References 4: Unilateral Vocal Fold Paralysis and Paresis Introduction Etiology and Incidence Etiology Incidence Diagnosis and Work-Up History Physical Examination Laryngoscopy and Stroboscopy Laryngeal Electromyography Imaging Serology Natural History Treatment Acute Management Voice and Swallowing Therapy Neuromuscular Electrical Stimulation Injection Augmentation Framework Surgery Reinnervation Conclusion Bibliography 5: Spasmodic Dysphonia and Vocal Tremor Introduction Etiology and Pathophysiology Diagnosis Nonsurgical Management Botulinum Toxin Voice Therapy Oral Treatments Surgical Management SLAD-R Myectomy Type 2 Thyroplasty Conclusion References 6: Laryngopharyngeal Reflux Introduction Diagnosis/Pathophysiology Medical Management PPI Efficacy PPI Side Effects Other Oral Treatments Adjuvant Management Diet/Lifestyle Management Upper Esophageal Sphincter Assist Device Conclusions References 7: Chronic Cough Introduction Cough Anatomy and Neurophysiology Chronic Cough Assessment and Workup History and Physical Examination Medication Review Diagnostic Testing Cough Etiology Upper Airway Cough Syndrome Asthma Gastric Reflux Disease Chronic Cough Terminology Pharmacological Management Options for Cough Neuromodulators Inhaled Corticosteroids Proton Pump Inhibitors Antibiotics Oral Corticosteroids Dextromethorphan and Opiates Oral Capsaicin Inhaled Anticholinergics Novel Agents Procedural Management of Chronic Cough Superior Laryngeal Nerve Block Deep Vocal Fold Injection Augmentation Botulinum Toxin Other Management Options Cough Suppression Therapy Conclusion References 8: Laryngotracheal Stenosis Introduction Etiology and Pathophysiology Diagnosis Surgical Management Arytenoidectomy/Posterior Cordotomy Endoscopic Dilation Open Tracheal Resections Tracheostomy Nonsurgical Management Topical and Oral Adjuvant Therapies Inhaled Corticosteroids Intralesional Steroid Injections Conclusion References 9: Dysphagia Introduction Swallowing Physiology The Aging Swallow Bolus Modification and Dysphagia Nasogastric Catheters and Dysphagia Local Anesthesia Effects on Swallowing Mechanics Dysphagia Diagnostics Screening Diagnostic Testing Dysphagia Treatment Traditional Swallowing Therapy Transcutaneous Neuromuscular Electrical Stimulation Transcranial Stimulation Acupuncture Special Populations with Dysphagia Head and Neck Cancer Cricopharyngeal Dysfunction Zenker’s Diverticulum Conclusion References Index