Cummings Otolaryngology
Head and Neck Surgery
- 8th Edition - September 30, 2025
- Latest edition
- Editors: Howard W. Francis, Bruce H. Haughey, Marci M. Lesperance, Valerie J. Lund, K. Thomas Robbins, Stephen S. Park, Alexander Hillel
- Language: English
For otolaryngologists at all levels and across all subspecialties, Cummings Otolaryngology: Head and Neck Surgery, Eighth Edition, remains the #1 reference of choice for authorita… Read more
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For otolaryngologists at all levels and across all subspecialties, Cummings Otolaryngology: Head and Neck Surgery, Eighth Edition, remains the #1 reference of choice for authoritative answers and easily accessible clinical content on every topic in this complex field. This award-winning text is ideal for all stages of your career—from residency and board certification through the challenges faced in daily clinical practice. Now meticulously reviewed and updated throughout, this modern classic keeps you up to date with the latest minimally invasive procedures, recent changes in rhinology, new techniques and technologies that are shaping patient outcomes, and much more.
- Provides comprehensive, accessible coverage of every area of the field in three convenient volumes, covering general otolaryngology, facial plastic surgery, sinus/rhinology, laryngology, head and neck surgery and oncology, otology and neurotology, and pediatric otolaryngology
- Contains 11 new chapters, including Healthcare Disparities in Otolaryngology, COVID-19 in Otolaryngology, Gender Affirming Surgery, Functional Rhinoplasty, Laryngeal Paralysis, Subglottic and Tracheal Stenosis, Gender Affirming Voice Care, Tumor Immunology and Immunotherapy, 22q11 Deletion Syndrome, Enlarged Vestibular Aqueduct Syndrome, and Pediatric Thyroid Disorders
- Offers new insights in allergy, olfaction, nonallergic rhinitis, epistaxis, nasal measurement, the management and outcomes of chronic rhinosinusitis, facial pain, the sino-orbital interface, systemic diseases affecting the nose and sinuses, and more
- Features outstanding visual support with 4,000+ high-quality images (many new to this edition) and hundreds of quick-reference tables and boxes
- Includes access to 165 videos—more than double the number in the previous edition. Videos include key indicator (Accreditation Council for Graduate Medical Education Key Indicator Procedures) and surgical videos, offering residents and practitioners the opportunity to visualize and better understand the critical elements of these core procedures
- Provides a fresh perspective on facial plastic and reconstructive surgery from new editor, Dr. Stephen S. Park, as well as new perspectives from associate editors who contribute their knowledge and expertise to various sections throughout the text
- An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date
Otolaryngologists – trainee and practicing
VOLUME I
PART I Measuring Outcomes and Performance
1 Outcomes Research
2 Interpreting Medical Data
3 Health Care Disparities in Otolaryngology
4 COVID-19 in Otolaryngology: Pandemic Response and Sequelae of Long COVID
PART II General Otolaryngology
5 History, Physical Examination, and the Preoperative Evaluation
6 General Considerations of Anesthesia and Management of the Difficult Airway
7 Tracheotomy
8 Overview of Diagnostic Imaging of the Head and Neck
9 Deep Neck and Odontogenic Infections
10 Head and Neck Manifestations in the Immunocompromised Host
11 Upper Aerodigestive Manifestations of Systemic Disease
12 Otolaryngology in Older Adults
13 Pain Management in the Head and Neck Patient
14 Sleep Apnea and Sleep Disorders
PART III Facial Plastic and Reconstructive Surgery
SECTION 1 Facial Surgery
15 Aesthetic Facial Analysis
16 Recognition and Treatment of Skin Lesions
17 Scar Revision and Keloid Scar Management
18 Facial Trauma: Soft Tissue Lacerations and Burns
19 Craniomaxillofacial Trauma
20 Reconstruction of Facial Defects
21 Hair Restoration: Medical and Surgical Techniques
22 Management of Aging Skin
23 Rhytidectomy and Facial Liposuction
24 Facial Implants and Fat Grafting
25 Forehead, Brow, and Eyelid Surgery
26 Facial Feminization Surgery
27 Otoplasty
28 Rehabilitation of Facial Paralysis
SECTION 2 Rhinoplasty
29 Management of the Nasal Septum
30 Nasal Fractures
31 Primary Rhinoplasty
32 Revision Rhinoplasty and Ethnic Considerations
33 Functional Rhinoplasty
PART IV Sinus, Rhinology, and Allergy/Immunology
34 Allergy and Immunology of the Upper Airway
35 Olfactory Function and Dysfunction
36 Objective Assessment of Respiratory Tract Function
37 Imaging of the Nose and Sinuses
38 Nonallergic Rhinitis
39 Acute Rhinosinusitis: Pathogenesis, Treatment, and Complications
40 Pathogenesis of Chronic Rhinosinusitis
41 Chronic Rhinosinusitis: Evidence-Based Medical Treatment
42 Chronic Rhinosinusitis: Outcomes of Medical and Surgical Treatment
43 Primary Sinus Surgery
44 Causes of Failure, Revision Surgery, and Management of Complications in Endoscopic Sinus Surgery
45 Management of the Frontal Sinuses
46 Epistaxis
47 Cerebrospinal Fluid Rhinorrhea
48 Sino-Orbital Interface
49 Benign Tumors of the Sinonasal Tract
50 Systemic Disease of the Nose and Sinuses
51 Facial Pain
PART V Laryngology and Bronchoesophagology
52 Laryngeal and Pharyngeal Function
53 Visual Documentation of the Larynx
54 Voice Evaluation and Therapy
55 Neurologic Disorders of the Larynx
56 Laryngeal Paralysis
57 The Professional Voice
58 Laser Surgery: Basic Principles and Safety Considerations
59 Benign Vocal Fold Mucosal Disorders
60 Acute and Chronic Laryngopharyngitis
61 Medialization Thyroplasty
62 Arytenoid Adduction and Abduction
63 Laryngeal Reinnervation
64 Chronic Aspiration
65 Laryngeal and Esophageal Trauma
66 Laryngeal Stenosis
67 Subglottic and Tracheal Stenosis
68 Diseases of the Esophagus
69 Transnasal Esophagoscopy
70 Zenker Diverticulum
71 Tracheobronchial Endoscopy
72 Gender-Affirming Voice Care
VOLUME II
PART VI Head and Neck Surgery and Oncology
SECTION 1 General Considerations
73 Tumor Immunology and Immunotherapy
74 Biology of Head and Neck Cancers
75 Epidemiology of HPV-Positive Head and Neck Cancer
76 Radiotherapy Principles in Head and Neck Cancer: Radiation Physics, Radiobiology, and Clinical Principles
77 Chemotherapy and Targeted Agents for Head and Neck Squamous Cell Carcinoma
78 Skin Flap Physiology and Wound Healing
79 Free Tissue Transfer
80 Integrating Palliative and Curative Care Strategies in the Practice of Otolaryngology
81 Management of Cutaneous Head and Neck Melanoma
SECTION 2 Salivary Glands
82 Physiology of the Salivary Glands
83 Diagnostic Imaging and Fine-Needle Aspiration of Salivary Glands
84 Inflammatory Disorders of the Salivary Glands
85 Benign Neoplasms of the Salivary Glands
86 Malignant Neoplasms of the Salivary Glands
SECTION 3 Oral Cavity
87 Physiology of the Oral Cavity
88 Oral Mucosal Lesions
89 Odontogenesis, Odontogenic Cysts, and Odontogenic Tumors
90 Temporomandibular Joint Disorders
91 Benign Tumors and Tumor-like Lesions of the Oral Cavity
92 Malignant Neoplasms of the Oral Cavity
93 Reconstruction of the Mandible
94 Prosthetic Management of Head and Neck Defects
SECTION 4 Pharynx and Esophagus
95 Benign and Malignant Tumors of the Nasopharynx
96 Surgical Therapy of Oropharyngeal Cancer
97 Reconstruction of the Oropharynx
98 Swallowing Function and Implications in Head and Neck Cancer
99 Diagnostic Imaging of the Pharynx and Esophagus
100 Neoplasms of the Hypopharynx and Cervical Esophagus
101 Reconstruction of the Hypopharynx and Esophagus
SECTION 5 Larynx
102 Diagnostic Imaging of the Larynx
103 Malignant Tumors of the Larynx
104 Management of Early Glottic Cancer
105 Transoral Laser Microresection of Advanced Laryngeal Tumors
106 Conservation Laryngeal Surgery
107 Total Laryngectomy and Laryngopharyngectomy
108 Radiation Therapy for Cancer of the Larynx and Hypopharynx
109 Vocal and Speech Rehabilitation After Laryngectomy
110 Diagnosis and Management of Tracheal Neoplasms
SECTION 6 Neck
111 Differential Diagnosis of Neck Masses
112 Ultrasound Imaging of the Neck
113 Neoplasms of the Neck
114 Lymphomas Presenting in the Head and Neck
115 Radiation Therapy and Management of the Cervical Lymph Nodes and Malignant Skull Base Tumors
116 Neck Dissection
117 Complications of Neck Surgery
118 Penetrating and Blunt Trauma to the Neck
SECTION 7 Thyroid/Parathyroid
119 Disorders of the Thyroid Gland
120 Management of Thyroid Neoplasms
121 Management of Parathyroid Disorders
122 Surgical Robotics in Otolaryngology
123 Management of Thyroid Eye Disease (Graves Ophthalmopathy)
PART VII Otology, Neurotology, and Skull Base Surgery
SECTION 1 Basic Science
124 Anatomy of the Temporal Bone, External Ear, and Middle Ear
125 Neuroanatomy of Auditory System
126 Principles of Auditory Physiology
127 Neuroanatomy of Vestibular System
128 Principles of Applied Vestibular Physiology
129 Anatomy and Physiology of Eustachian Tube
130 Clinical Evaluation and Management of the Eustachian Tube
131 Cortical Neuroplasticity in Hearing Loss
132 Age-Related Hearing and Balance Disorders: Implications for Population Health
SECTION 2 Diagnostic Assessment
133 Diagnostic Audiology and Electrophysiologic Assessment of Hearing
134 Neuroradiology of the Temporal Bone and Skull Base
135 Interventional Neuroradiology of the Skull Base, Head, and Neck
136 Otologic Symptoms and Syndromes
SECTION 3 External Ear
137 Infections of External Ear
138 Topical Therapies of External Ear Disorders
SECTION 4 Middle Ear, Mastoid, and Temporal Bone
139 Chronic Otitis Media, Mastoiditis, and Petrositis
140 Complications of Temporal Bone Infections
141 Tympanoplasty and Ossiculoplasty
142 Mastoidectomy: Surgical Techniques
143 Middle Ear Endoscopic Surgery
144 Clinical Assessment and Surgical Treatment of Conductive Hearing Loss
145 Otosclerosis
146 Management of Temporal Bone Trauma
VOLUME III
SECTION 5 Inner Ear
147 Cochlear Transduction and Peripheral Auditory Pathology
148 Genetic Sensorineural Hearing Loss
149 Otologic Manifestations of Systemic Disease
150 Sensorineural Hearing Loss in Adults
151 Tinnitus and Hyperacusis
152 Noise-Induced Hearing Loss
153 Infections of the Labyrinth
154 Autoimmune Inner Ear Disease and Autoinflammatory Disease
155 Vestibular and Auditory Ototoxicity
156 Pharmacologic and Molecular Therapies of the Cochlear and Vestibular Labyrinths
SECTION 6 Auditory Prosthetic Stimulation, Devices, and Rehabilitative Audiology
157 Implantable Hearing Devices
158 Cochlear Implantation: Patient Evaluation and Device Selection
159 Medical and Surgical Considerations in Cochlear Implantation
160 Cochlear Implantation in Adults: Results, Outcomes, and Rehabilitation
161 Auditory Brainstem Implantation
162 Hearing Aid Amplification
SECTION 7 Vestibular Disorders
163 Evaluation of the Patient With Dizziness
164 Peripheral Vestibular Disorders
165 Central Vestibular Disorders
166 Surgery for Vestibular Disorders
167 Vestibular and Balance Rehabilitation Therapy: Program Essentials
SECTION 8 Facial Nerve Disorders
168 Tests of Facial Nerve Function
169 Clinical Disorders of the Facial Nerve
170 Intratemporal Facial Nerve Surgery
SECTION 9 Cranial Base
171 Surgical Anatomy of the Lateral Skull Base
172 Surgery of the Anterior and Middle Cranial Base
173 Transnasal Endoscopic-Assisted Surgery of the Anterior Skull Base
174 Malignancies of the Paranasal Sinus
175 Temporal Bone Neoplasms and Lateral Cranial Base Surgery
176 Neoplasms of the Posterior Fossa
177 Intraoperative Monitoring of Cranial Nerves in Neurotologic Surgery
178 Radiation Therapy for Schwannomas and Paragangliomas of the Cranial Base
PART VIII Pediatric Otolaryngology
SECTION 1 General
179 General Considerations in Pediatric Otolaryngology
180 Anesthesia in Pediatric Otolaryngology
181 Pediatric Speech Disorders
182 Evaluation and Management of Pediatric Obstructive Sleep Apnea
183 Complex and Nonobstructive Sleep Disorders in Children
184 Understanding and Evaluating Genetic and Genomic Disorders in Pediatric Otolaryngology
SECTION 2 Craniofacial
185 Craniofacial Surgery for Congenital and Acquired Deformities
186 Cleft Lip and Palate
187 Velopharyngeal Dysfunction
188 22q11.2 Deletion Syndrome
189 Congenital and Acquired Malformations of the Nose and Nasopharynx
190 Pediatric Facial Fractures
SECTION 3 Infections and Inflammation
191 Pediatric Chronic Rhinosinusitis
192 Pediatric Infectious Disease
193 Otitis Media With Effusion
SECTION 4 Hearing Loss and Pediatric Otology
194 Early Detection and Diagnosis of Infant Hearing Impairment
195 Pediatric Otologic Surgery
196 Congenital Malformations of the Inner Ear
197 Enlarged Vestibular Aqueduct Syndrome
198 Evaluation and Management of Congenital Aural Atresia
199 Microtia Reconstruction
200 Pediatric Cochlear Implantation
201 Evaluation and Management of Pediatric Vestibular Disorders
SECTION 5 Head and Neck
202 Pediatric Congenital and Inflammatory Masses of the Head and Neck
203 Vascular Anomalies of the Head and Neck
204 Salivary Gland Disease in Children
205 Pediatric Thyroid Disease
206 Pediatric Head and Neck Neoplasms
SECTION 6 Pharynx, Larynx, Trachea, and Esophagus
207 Infant Feeding and Ankyloglossia
208 Evaluation and Management of the Pediatric Airway
209 Recurrent Respiratory Papillomatosis
210 Evaluation and Management of Pediatric Voice Disorders
211 Laryngotracheal Stenosis and Tracheal Anomalies
212 Laryngotracheal Clefts
213 Pediatric Tracheotomy and Decannulation
214 Aerodigestive Foreign Bodies and Caustic Ingestions
215 Management of Pediatric Dysphagia, Laryngopharyngeal and Gastroesophageal Reflux Disease, and Eosinophilic Esophagitis
- Edition: 8
- Latest edition
- Published: September 30, 2025
- Language: English
HF
Howard W. Francis
Dr. Howard Francis is the Richard Hall Chaney, Sr. Distinguished Professor of Otolaryngology, Professor of Head and Neck Surgery and Communication Sciences, and Chair of Head and Neck Surgery and Communication Sciences at Duke University School of Medicine. His clinical work focuses on the diagnosis and treatment of ear diseases and skull base disorders. Dr. Francis takes great pride in the mastery of his craft and the high standard of his teams. As an ENT doctor, otologist, and neurotologist, he serves patients of all ages from infancy to the senior years, and his expertise spans the full range of the medical and surgical management of complex ear diseases, balance disorders, and hearing disorders - including performing cochlear implant surgery in adults and children.
Affiliations and expertise
Richard Hall Chaney, Sr. Distinguished Professor of Otolaryngology, Chair, Department of Head and Neck Surgery & Communication Sciences, Duke University Health System, USABH
Bruce H. Haughey
Dr. Haughey is a board-certified otolaryngologist with advanced fellowship training in head and neck cancer surgery. He specializes in surgical interventions to address cancers of the throat, vocal cords, sinuses, thyroid, parathyroid, submandibular and salivary glands, neck and skull. His primary clinical interests also include surgery to address skin cancers on the face and neck, including melanoma and facial reconstruction surgeries, as well as microvascular free tissue transfer procedures and laryngeal and sinus disorders. A respected researcher whose work has contributed to the development of new and minimally invasive methods for removing head and neck cancers, Dr. Haughey earned his medical degree at the University of Auckland in New Zealand before completing his residency as Chief Resident, earning a Master of Science in otolaryngology - head and neck surgery and carrying out a prestigious skull base and neuro-otology fellowship, all at the University of Iowa in Iowa City.
Affiliations and expertise
AdventHealth Medical Group Otolaryngology and Head and Neck Surgery at Celebration, USAML
Marci M. Lesperance
Dr. Marci Lesperance is the associate chief clinical officer for Children’s Specialty and Women’s Services, University of Michigan Medical Group. She served as the division chief of Pediatric Otolaryngology at Michigan Medicine for 15 years. Her research has been funded by NIH and outside foundations. She has previously served as surgeon in chief for the Children’s and Women’s Hospital, program director for the University of Michigan’s Pediatric Otolaryngology Fellowship, and past president of the American Society of Pediatric Otolaryngology. Dr. Lesperance is a member of numerous professional organizations in otolaryngology and pediatrics. Her research interests include hereditary hearing loss, molecular genetics of hearing loss, and genetic testing. She is also editor of the Elsevier text, Cummings Pediatric Otolaryngology, which is a spin-off from the main Cummings Otolaryngology text.
Affiliations and expertise
Professor, Department of Otolaryngology-Head and Neck Surgery, Associate Chief Clinical Officer, Children’s Specialty and Women’s Services, USAVL
Valerie J. Lund
Valerie Lund is Professor Emeritus of Rhinology at the Ear Institute, University College London and is an Honorary Consultant ENT Surgeon at the Royal National Throat Nose and Ear Hospital (University College London Trust), University College Hospital. She deals with all nose and sinus conditions with a particular interest in sinonasal tumors and has been involved in endoscopic sinus surgery and its extended applications since the early 1980’s. She has contributed extensively to the literature. She has received several prizes including the George Davey Howell (1990, 2008, 2015), W J Harrison (Royal Society of Medicine 2012), BMA Book awards and Jobson Horne Prize (2018) . In 2008 she was awarded a CBE for services to medicine by the Queen, is a member of the German Academy of Science (Leopoldina) and is an Honorary Fellow of the American College of Surgeons.
Affiliations and expertise
Professor of Rhinology, University College, London; Honorary Consultant ENT Surgeon, Royal National Throat, Nose and Ear Hospital Trust, University College and Moorfields Eye Hospitals, London, UKKR
K. Thomas Robbins
In 2004, K. Thomas Robbins was appointed the Director at the SimmonsCooper Cancer Institute at Southern Illinois University. Dr. Robbins has served as a co-editor of the Cummings Otolaryngology-Head & Neck Surgery, since the 4th edition. He has been the author or co-author of hundreds of proffered publications. He has served on several editorial boards, including the Archives of Otolaryngology-Head and Neck Surgery. He is a past president of the American Head and Neck Society and served on the Board of Governors of the American College of Surgeons. He has chaired the Committee for Head and Neck Surgery and Oncology of the American Academy of Otolaryngology-Head and Neck Surgery and the Otolaryngology Head and Neck Surgery Council of the American College of Surgeons. Dr. Robbins’ academic interests have focused on modifications for conservation neck dissection and neck dissection nomenclature and he has received research funding from the National Cancer Institute.
Affiliations and expertise
Executive Director, SimmonsCooper Cancer Institute at SIU; Professor, Division of Otolaryngology Head & Neck Surgery, Southern Illinois University School of Medicine, Springfield, IL, USASP
Stephen S. Park
Stephen S. Park, MD, is currently the Director of the Division of Facial Plastic and Reconstructive Surgery and Professor & Chair of the Department of Otolaryngology – Head and Neck Surgery at the University of Virginia. He also serves as the interim chair of the Department of Plastic Surgery. His primary clinical interest is in the field of facial plastic surgery, particularly facial reconstruction, rejuvenation, and rhinoplasty.
Dr. Park is internationally recognized as one of the leaders in Facial Plastic Surgery and has given numerous lectures around the world on these topics. He has authored publications on various topics in Facial Plastic Surgery. He has been the president of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), a Director with the American Board of Otolaryngology – Head & Neck Surgery, and the vice-chair of the Otolaryngology Residency Review Committee (RRC).
Affiliations and expertise
G. Slaughter Fitz-Hugh Professor and Chair, Dept. of Otolaryngology – H&N Surgery, Division of Facial Plastic Surgery, Interim Chair, Dept. of Plastic Surgery, University of Virginia, USA