This is the seventh edition of this very useful manual. It has been revised and entirely reset. So far as I know there is no book of its size in the English language which deals with all three subjects, i.e., ear, nose, and throat, so adequately. The first fifty pages deal with the art of laryngoscopy, otoscopy and rhinoscopy. The descriptions are lucid and practical. There is a short descripti...

Hearing loss is often the only symptom of OMAAV at initial presentation, thus making early diagnosis difficult. We present OMAAV in a 70-year-old woman with hearing loss and dry cough. Otoscopy showed otitis media with effusion. Audiometry showed mixed hearing loss, especially in the right ear. Serum myeloperoxidase antineutrophil cytoplasmic antibody was positive. Image analyses showed lung le...

Herein, we report an unusual case of large tonsillolith presented with acute otalgia. Since the tonsils and tonsillar fossa are supplied by the glossopharyngeal nerve, any irritation or pain can be referred to the ear along the tympanic branch of the glossopharyngeal (Jacobson's) nerve. Also, it is worth re-emphasizing that normal otoscopy must be followed by inspection of the nasal cavities, o...

Nose, throat, upper respiratory conditions are leading causes of morbidity in women of all age groups. The normal tympanic membrane (A) is a pale, gray, ovoid semitransplant membrane situated obliquely at the end of the bony external auditory canal. In early otitis media, the membrane is retracted and pink with dilatation of the manubrial and circumferential vessels. Later, as the disease progr...

Isolated bilateral deafness is a rare but possible symptom of vertebrobasilar ischemia, primarily due to occlusion of the anterior inferior cerebellar arteries or their branch, the internal auditory artery. We reported on uncommon case of sudden bilateral sensorineural hearing loss without typical neurological symptoms resulting from vertebrobasilar ischemia. We performed the available examinat...

Acute otitis media in children is very common with an estimated incidence of 85 % within the first year of life. Children usually present with fever, ear fullness, ear discharge and conductive hearing loss. The most common etiologies of acute otitis media in children are Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. The diagnosis is based on clinical examination a...

IMPORTANCE Antimicrobial treatment reduces the symptoms of acute otitis media (AOM). The effect of antimicrobial treatment on the duration of middle ear effusion (MEE) and concomitant hearing impairment is not known. OBJECTIVE To determine whether the antimicrobial treatment of AOM reduces the duration of MEE. DESIGN, SETTING, AND PARTICIPANTS This randomized, double-blind, placebo-controll...