Articles / Chapters

“Articles / Chapters” provides a single canonical page on all topics relevant to the practice of otolaryngology. These articles are mainly intended for use by medical professionals.

Laryngopharyngeal Reflux Scoring Systems

Laryngopharyngeal reflux (LPR) can be defined as chronic irritation of larynx caused by the abnormal backflow of gastric contents into the upper airway, mostly due to upper esophageal sphincter dysfunction. […]
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Does my child need tonsillectomy? – Indications for pediatric tonsillectomy

Tonsillectomy is a surgical procedure performed with or without adenoidectomy that completely removes the tonsil, including its capsule, by dissecting the peritonsillar space between the tonsil capsule and the muscular […]
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Laryngeal Exposure (Opening) Scores

Direct laryngoscopy is a routine procedure conducted to visualize the larynx (voice box), to access, evaluate and treat voice problems. Usually, the laryngoscope is placed through the mouth and the […]
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TNM Staging of Nasopharyngeal Carcinoma (AJCC 8)

Malignancies arising in nasopharynx / nasopharyngeal carcinoma (NPC) have different natural behavior and therapeutic consideration than other head and neck cancers. Nasopharyngeal carcinoma also has a very skewed geographic and […]
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Anatomy and Physiology of Nasopharynx

The nasopharynx is an air-containing cavity at the back of the nose, which occupies the uppermost extent of the aerodigestive tract. It’s like a small cuboidal box about two to […]
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TNM Staging of Oropharyngeal Cancer – Updates in AJCC 8th Edition

The recently released 8th edition of the American Joint Committee on Cancer (AJCC) Staging Manual, Head and Neck Section, introduces significant modifications from the prior 7th edition. In the head and neck […]
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Indications and Contraindications for total laryngectomy

Total laryngectomy is a surgical procedure mostly done for malignancies involving the larynx. In this surgery, the entire larynx (voice box) is removed by resecting the trachea and bringing out […]
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Laryngomalacia – clinical features, surgical and medical management

Laryngomalacia also called “Dis-coordinate pharyngo-laryngomalacia” is the most common congenital lesion of the larynx (60-70%) and is the most common cause of congenital stridor in neonates and infants. The condition […]
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Thyroglossal cyst – Pathogenesis, Clinical features and Treatment options

Thyroglossal duct cyst (TDC) is a frequent congenital midline anomaly of the neck which usually manifests during the first decade of life. TDC is an epithelial lined tract that connects the tongue […]
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Noise Induced Hearing loss (NIHL)

Noise induced hearing loss (NIHL) is defined as reduction in auditory acuity (hearing ability) associated with long term exposure to loud sounds. It is the second most common form of sensorineural […]
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Total Laryngectomy – Evolution, Workup, Surgical steps and Complications

Total laryngectomy is a surgical procedure in which the entire larynx is removed by resecting the trachea and bringing out the lower stump as a respiratory opening in the anterior […]
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TNM Staging of Lip and Oral Cavity cancers – AJCC 8th Edition

The recently released 8th edition of the American Joint Committee on Cancer (AJCC) Staging Manual, Head and Neck Section, introduces significant modifications from the prior 7th edition. In this article, we discuss […]
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TNM AJCC Staging of Head & Neck Cancers

Staging of cancer refers to the classification of cancer by its anatomic disease extent, i.e, how large the tumor is, and if it has spread. This staging system of cancer […]
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Clinical practice guidelines for tonsillectomy

Tonsillectomy is the second most commonly performed surgery in the United States with more than 5,30,000 procedures performed on children younger than 15 years each year. Although tonsillectomy is a […]
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Staging systems for Juvenile Nasopharyngeal Angiofibroma

Juvenile nasopharyngeal angiofibroma (JNA) is an uncommon, slow-growing, benign but locally invasive vascular tumor arising from tissues in the sphenopalatine foramen inside the nasal cavity. JNAs are also reported to […]
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