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Septal deformity Deviation of the nasal septum may occur naturally or arise as a result of nasa...

Otosclerosis This is an autosomal dominant condition of variable pene - trance in which excess b...

PARANASAL SINUSES Internal inspection of the nasal fossae can be achieved to a limited extent wi...

Presbycusis Presbycusis is characterised by a gradual loss of hearing in both ears, with or witho...

Management of epistaxis Anterior bleeding from Kiesselbach’s plexus may be controlled by silver n...

Neoplasms Exostosis is an area of hyperostosis rather than a neoplasm that arises from the bone ...

Otitis media with effusion (glue ear) Otitis media with e ff usion (OME) is a middle ear e ff usion...

Inflammation and infection Otitis externa is very common and consists of generalised inflammation ...

Learning objectives To be familiar with: The anatomy of the ear • The conditions of the outer, mi...

Malignant tumours The most common malignant tumours to occur within the nasal cavity and paranasa...

EXAMINATION OF THE NOSE AND EXAMINATION OF THE NOSE AND

IMAGING OF PARANASAL SINUSES Plain radiographs are of limited value in the assessment of sinus d...

INTRODUCTION Disorders a ff ecting the ear, nose and sinus are common reasons for primary care att...

Chronic rhinosinusitis CRS is common, a ff ecting around 11% of the population. The aetiology is ...

EPISTAXIS The causes of epistaxis are listed in Table 51.2 . The most common site of bleeding i...

EXAMINATION OF THE EAR The instruments required for examination are shown in Figure 51.5 . Examin...

CONDITIONS OF THE INNER EAR Congenital sensorineural hearing loss Half of congenital sensorineu...

CONDITIONS OF THE MIDDLE EAR Congenital anomalies Aural atresia and congenital anomalies of the ...

Chronic otitis media Chronic otitis media (COM) is a persisting (at least 2 weeks to 3 months) ab...

CONDITIONS OF THE EXTERNAL EAR Congenital anomalies The external and middle ear originate from th...