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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.
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Seitenzahl: 277
Veröffentlichungsjahr: 2025
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
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
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...
Cover
Table of Contents
Title Page
Copyright
Preface
Acknowledgements
Begin Reading
Index
End User License Agreement
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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
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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
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.
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
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
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
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.
