Ear, Nose and Throat - Ian Peate - E-Book

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Ian Peate

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PEATE’S BODY SYSTEMS
EAR, NOSE AND THROAT

A CONCISE, ILLUSTRATED, AND ACCESSIBLE GUIDE TO THE EAR, NOSE AND THROAT

Each of the twelve volumes in Peate’s Body Systems series is rooted in the belief that a deep and thorough understanding of the human body is essential for providing the highest standard of care. Offering clear, accessible and up-to-date information on different body systems, this series bridges the gap between complex scientific concepts and practical, everyday applications in health and care settings. This series makes for an invaluable resource for those committed to understanding the intricacies of human biology, physiology and the various systems that sustain life.

Ear, Nose and Throat is the perfect companion for students and newly registered practitioners across nursing and allied health fields with an interest in Ear, Nose and Throat (ENT) care, providing a comprehensive yet easy-to-digest guide for both academic and clinical application.

  • Equips healthcare students and practitioners with the necessary information to provide safe and competent care
  • Features colourful illustrations to aid comprehension, clarify complicated concepts, and render content more engaging and accessible
  • Empowers readers to adapt to a rapidly evolving healthcare landscape, preparing them for the future of healthcare delivery
  • Contains information necessary for effective patient care of those with tinnitus, Ménière’s disease, sinusitis, and other ENT diseases and conditions

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Seitenzahl: 277

Veröffentlichungsjahr: 2025

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Table of Contents

Cover

Table of Contents

Title Page

Copyright

Preface

Acknowledgements

Chapter 1 Anatomy and Physiology: Ear, Nose and Throat

Anatomy and Physiology of the Ear

Physiology of Hearing

The Organ of Corti

Physiology of Balance

Integration of Hearing and Balance

Anatomy and Physiology of the Nose

Olfaction

Resonance of the Voice

Anatomy and Physiology of the Throat

The Anatomy of the Throat

The Physiology of the Throat

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 2 Assessment of the Ears, Nose and Throat

Assessment of the Ears

History Taking

The Physical Examination

Assessing the Ear Canal and the Eardrum

Inspecting the Tympanic Membrane

Hearing Acuity Tests

Assessment of the Nose

History Taking

The Physical Examination

Assessment of the Throat

Documentation and Follow-up

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 3 Tinnitus

Pathophysiological Changes Associated with Tinnitus

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 4 Ménière’s Disease

Pathophysiological Changes Associated with Ménière’s Disease

Epidemiology

Risk Factors

Clinical Presentation

Stages of Ménière’s Disease

Clinical Investigations and Diagnosis

Findings in Ménière’s Disease

Management

Driving

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 5 Sinusitis

The Paranasal Sinuses

Functions of the Paranasal Sinuses

Pathophysiological Changes Associated with Sinusitis

Anatomy and Drainage Pathways

Mechanisms of Sinusitis Development

Clinical Course of Infections

Epidemiology

Risk Factors

Clinical Presentation

Differential Diagnoses

Complications

Clinical Investigations and Diagnosis

Chief Complaint

Symptom Description

Associated Factors and Conditions

Environmental and Occupational Exposures

Medications and Treatments

Lifestyle Factors

Family History

Review of Systems

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 6 Nasal Polyps

Nasal Obstruction

Anatomical Blockage

Inflammatory Conditions

Foreign Body in the Nose

Clinical Approach and Management

Pathophysiological Changes Associated with Nasal Polyps

Cytokine and Chemokine Release

Epithelial Damage and Remodelling

Tissue Oedema

Structural and Functional Alterations

Immunological Factors

Genetic Factors

Microbiome Alterations

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Nasal Endoscopy

Allergy Testing

Aspirin Sensitivity Testing

Biopsy

Laboratory Tests

Differential Diagnosis

Functional Endoscopic Sinus Surgery

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 7 Laryngeal Cancer

Communicating Effectively

Pathophysiological Changes Associated with Laryngeal Cancer

Cellular Changes

Structural and Functional Changes

Systemic Changes

Advanced Stages

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 8 Tonsillitis

Lymphoid Tissue

Quinsy

Pathophysiological Changes Associated with Tonsillitis

Epidemiology

Risk Factors

Clinical Presentation

Differentiating Viral and Bacterial Tonsillitis

Clinical Investigations and Diagnosis

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Index

End User License Agreement

List of Illustrations

Chapter 1

Figure 1.1 Ear

Figure 1.2 Outer ear

Figure 1.3 Middle ear

Figure 1.4 Inner ear

Figure 1.5 The mechanism of hearing

Figure 1.6 Nose

Figure 1.7 The pathway of smell

Figure 1.8 Olfactory epithelium and olfactory receptor cells

Figure 1.9 The olfactory bulb (nerve)

Figure 1.10 Throat

Chapter 2

Figure 2.1 The otoscope

Figure 2.2 Holding the otoscope

Chapter 4

Figure 4.1 (a) Normal membranous labyrinth and (b) dilated membranous labyrinth

Chapter 5

Figure 5.1 Paranasal sinuses

Figure 5.2 Symptoms of sinusitis

Figure 5.3 Correct administration of nasal drops

Chapter 8

Figure 8.1 Throat swab

List of Tables

Chapter 1

Table 1.1 The physiology of hearing – an overview

Table 1.2 The structures and functions of the ear

Chapter 2

Table 2.1 Approaches and strategies that may be used during history taking with a person...

Table 2.2 An overview of the history-taking process

Table 2.3 Conductive versus sensorineural hearing loss

Chapter 3

Table 3.1 Types of ear infection

Table 3.2 Pulsatile and non-pulsatile tinnitus

Table 3.3 Key pathophysiological changes associated with tinnitus

Table 3.4 Risk factors associated with tinnitus

Table 3.5 Aspects of the physical examination

Table 3.6 Health teaching for people with tinnitus

Chapter 4

Table 4.1 Ménière’s disease and endolymphatic hydrops

Table 4.2 Some key aspects associated with the pathophysiological changes and Mén...

Table 4.3 History-taking process associated with Ménière’s disease

Table 4.4 The physical examination related to Ménière’s disease

Chapter 5

Table 5.1 Acute sinusitis and chronic sinusitis

Table 5.2 Pathophysiological changes associated with sinusitis

Table 5.3 Key risk factors associated with sinusitis

Table 5.4 Key educational needs for people with sinusitis

Chapter 6

Table 6.1 Risk factors associated with nasal polyps

Table 6.2 Clinical features associated with nasal polyps

Table 6.3 Health teaching needs, nasal polyps

Chapter 7

Table 7.1 Information giving

Table 7.2 Typical symptoms associated with laryngeal cancer in different regions

Table 7.3 Clinical investigation and diagnosis of laryngeal cancer

Table 7.4 The multidisciplinary team

Table 7.5 Treatment modalities

Table 7.6 Overview of the health teaching needs for people with laryngeal cancer

Chapter 8

Table 8.1 Risk factors for tonsillitis

Table 8.2 Viral and bacterial tonsillitis

Table 8.3 Components of a systematic and comprehensive history taking related to tonsill...

Guide

Cover

Table of Contents

Title Page

Copyright

Preface

Acknowledgements

Begin Reading

Index

End User License Agreement

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Peate’s Body Systems

Ear, Nose and Throat

Ian Peate, OBE FRCN EN(G) RGN DipN(Lond) RNT BEd(Hons) MA(Lond) LLM

Editor in Chief, British Journal of Nursing;

Consultant Editor, Journal of Paramedic Practice;

Consultant Editor, International Journal for Advancing Practice;

Visiting Professor, Northumbria University;

Visiting Professor, Buckinghamshire New University;

Professorial Fellow, University of Roehampton;

Visiting Senior Clinical Fellow, University of Hertfordshire

This edition first published 2025.

©2025, John Wiley & Sons Ltd

All rights reserved, including rights for text and data mining and training of artificial intelligence technologies or similar technologies. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions.

The right of Ian Peate to be identified as the author of this work has been asserted in accordance with law.

Registered Office(s)

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Wiley also publishes its books in a variety of electronic formats and by print-on-demand. Some content that appears in standard print versions of this book may not be available in other formats.

Trademarks: Wiley and the Wiley logo are trademarks or registered trademarks of John Wiley & Sons, Inc. and/or its affiliates in the United States and other countries and may not be used without written permission. All other trademarks are the property of their respective owners. John Wiley & Sons, Inc. is not associated with any product or vendor mentioned in this book.

Limit of Liability/Disclaimer of Warranty

While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

Library of Congress Cataloging-in-Publication Data

Names: Peate, Ian, author.

Title: Ear, nose and throat / Ian Peate, OBE FRCN EN(G), RGN DipN(Lond), RNT Bed BEd (Hons), MA(Lond) LLM; Editor in chief, British Journal of Nursing; Consultant Editor, Journal of Paramedic Practice; Consultant Editor, International Journal for Advancing Practice; Visiting Professor, Northumbria University, Visiting Professor, St Georges University of London and Kingston University London, Professorial Fellow, Roehampton University; Visiting Senior Clinical Fellow, University of Hertfordshire.

Description: First edition. | Hoboken, NJ, USA : John Wiley & Sons, Inc., 2025. | Series: Peate’s body systems | Includes bibliographical references and index.

Identifiers: LCCN 2024041157 | ISBN 9781394252657 (paperback) | ISBN 9781394252664 (epub) | ISBN 9781394252671 (adobe pdf)

Subjects: LCSH: Otolaryngology–Textbooks.

Classification: LCC RF46 .P39 2025 | DDC 617.5/1–dc23/eng/20241226

LC record available at https://lccn.loc.gov/2024041157

Cover Images: © marinashevchenko/Adobe Stock, © phototechno/Getty Images, © 4luck/Adobe Stock, © Oleksandr Pokusai/Adobe Stock

Cover Design: Wiley

Preface

Welcome to Peate’s Body Systems; there are 12 books in the series. This is a comprehensive collection of textbooks designed to support and enrich the knowledge of health and care workers across various fields. This series is intended to be a valuable resource for those who are dedicated to understanding the intricacies of human biology, physiology and the various systems that sustain life.

Peate’s Body Systems series is rooted in the belief that a deep and thorough understanding of the human body is essential for providing the highest standard of care. Each book in this series is thoroughly crafted to offer clear, accurate and up-to-date information on different body systems. The aim is to bridge the gap between complex scientific concepts and practical, everyday applications in healthcare settings.

Purpose and Scope

The purpose of this series is to provide health and care workers with:

Foundational knowledge, with explanations of the anatomical structures and physiological functions of the body systems

Insights into how these systems interact with each other and how they are impacted by various diseases and conditions, highlighting clinical relevance and encouraging practical application

Structure of the Series

Each book in Peate’s Body Systems focuses on a specific body system:

The Cardiovascular System

The Respiratory System

The Digestive System

The Renal System

The Nervous System

The Endocrine System

The Female Reproductive System

The Male Reproductive System

The Musculoskeletal System

The Skin

The Ear, Nose and Throat

The Eyes

Every chapter is designed to be comprehensive yet accessible, making complex information easier to digest and apply. Figures, tables, boxes, illustrations and flowcharts have been extensively used to support visual learning and reinforce key concepts.

This series is tailored for:

Healthcare students: those in nursing and allied health programmes

Practicing professionals: nurses, therapists and other care workers seeking to deepen their understanding and stay current with the latest developments in health and care

Educators and trainers: educators who require reliable and comprehensive teaching materials to advise and instruct the next generation of healthcare providers

Commitment to Excellence.

The series is committed to providing quality educational resources that not only inform but also inspire and empower health and care workers. By equipping you with a robust understanding of the systems of life, you will be better prepared to make informed decisions, deliver compassionate care and ultimately improve patient outcomes.

Thank you for choosing Peate’s Body Systems as your trusted resource. I hope these textbooks serve as a valuable tool in your ongoing journey of learning and professional development.

Ian Peate

London

Acknowledgements

I would like to acknowledge the help and support of my partner Jussi Lahtinen. Acknowledgements also go to staff at the RCN Library in London. My thanks go to Tom Marriott, Christabel Daniel Raj, Bhavya Boopathi and all those at Wiley.