This issue of Otolaryngologic Clinics, guest edited by Drs. Maja Svrakic and Meredith E. Adams is devoted to The Dizzy Patient. This issue is one of six selected each year by our series consulting editor, Dr. Sujana S. Chandrasekhar. With its broad differential diagnosis and significant impact on quality of life, dizziness is a common symptom that presents substantial diagnostic and therapeutic challenges. This issue focuses on the clinical evaluation and management of the range of dizziness symptomatology and syndromes. Articles in this issue include: Overview of dizziness in practice; Interviewing and counseling the dizzy patient with focus on quality of life; The efficient dizziness history and exam; Efficient use of audiovestibular testing; Neuroimaging of dizziness and vertigo; Positional vertigo; Acute vestibular syndrome and ER presentations of dizziness; Chronic central vestibulopathies for the otolaryngologist; Vestibular migraine and its comorbidities; Progressive and degenerative peripheral vestibular disorders; The dizzy child; Neuropsychology of dizziness and related disorders; Non-vestibular dizziness; Vestibular therapy and fall risk assessment; Current and emerging medical therapies for dizziness; Allergy, immunotherapy and alternative treatments for dizziness; and New frontiers in managing the dizzy patient. Provides in-depth, clinical reviews on dizzy patients, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

This issue of Otolaryngologic Clinics, guest edited by Drs. Maja Svrakic and Meredith E. Adams is devoted to The Dizzy Patient. This issue is one of six selected each year by our series consulting editor, Dr. Sujana S. Chandrasekhar. With its broad differential diagnosis and significant impact on quality of life, dizziness is a common symptom that presents substantial diagnostic and therapeutic challenges. This issue focuses on the clinical evaluation and management of the range of dizziness symptomatology and syndromes. Articles in this issue include: Overview of dizziness in practice; Interviewing and counseling the dizzy patient with focus on quality of life; The efficient dizziness history and exam; Efficient use of audiovestibular testing; Neuroimaging of dizziness and vertigo; Positional vertigo; Acute vestibular syndrome and ER presentations of dizziness; Chronic central vestibulopathies for the otolaryngologist; Vestibular migraine and its comorbidities; Progressive and degenerative peripheral vestibular disorders; The dizzy child; Neuropsychology of dizziness and related disorders; Non-vestibular dizziness; Vestibular therapy and fall risk assessment; Current and emerging medical therapies for dizziness; Allergy, immunotherapy and alternative treatments for dizziness; and New frontiers in managing the dizzy patient. Provides in-depth, clinical reviews on dizzy patients, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

Dizziness comes in many forms in each age group – some specific to an age group (e.g. benign paroxysmal vertigo of childhood) while others span the age spectrum (e.g., migraine-associated vertigo). This content organizes evaluation and management of the dizzy patient by age to bring a fresh perspective to seeing these often difficult patients. The pediatric section begins with a review of vestibular embryology and physiology and moves toward a comprehensive discussion of methods – both bedside and in the vestibular lab - to evaluate the child with dizziness, or “clumsiness, concluding with an exploration of the differential diagnosis of dizziness and relevant findings. Dizziness in the adolescent points to migraine headache as a common cause, enumerates treatment strategies for migraine-associated vertigo, and offers guidelines for when to image the adolescent with dizziness.Adult dizziness is more a compilation of the relevant diagnoses, but the section starts with dizziness that can affect young adults – especially members of our Armed Forces fighting overseas – traumatic brain injury/blast injury. This content also has relevance for patients inmotor vehicle accidents and head injury patients. Medicolegal aspects of evaluation and management of dizzy patients are succinctlycovered in “Evaluation of Dizziness in the Litigating Patient. The final chapter in this section, “Other Causes of Dizziness, provides a very thorough overview of unusual causes of dizziness in the adult population.Dizziness associated with advancing age is quite common and often multifactorial, as is highlighted in the chapter “Dizziness in theElderly. A comprehensive review of the posterior cerebral circulation, transient ischemic attacks, and posterior circulation stroke is presented in the chapter, “Vertebrobasilar Insufficiency. No coverage of dizziness in the elderly is complete without an exposition of polypharmacy and medication effects. Other common diagnoses of dizziness in the elderly are thoughtfully reviewed along with a survey of new and old techniques to rehabilitate the older patient with dizziness or disequilibrium.Patients presenting with dizziness can harbor serious, if not life-threatening, conditions such as stroke, brain abscess, or severe chronic ear disease. At the end of several articles, the reader will find a relevant table – What Not To Miss – a list of clinically significant signs and symptoms not to ignore, or conditions (differential diagnosis) that may masquerade as that discussed in the chapter but criticallyimportant that the practitioner should not overlook in the evaluation of the patient. Many articles in this edition start with a clinical scenario so the reader can recognize common presenting symptoms, demographic features, and factors in the medical history that will aid in making the diagnosis.

This issue of Otolaryngologic Clinics, guest edited by Drs. Sarah K. Wise, Ashkan Monfared, and Nicole C. Schmitt is devoted to Biologics in Otolaryngology. This issue is one of six selected each year by our series consulting editor, Dr. Sujana S. Chandrasekhar. Articles in this issue include: Biologics in otolaryngology overview, Current evidence for biologic therapy in chronic rhinosinusitis with nasal polyposis, Choosing the right patient for biologic therapy in CRSwNP, Knowledge gaps and research needs for biologic therapy in rhinology practice, Mechanisms and practical use of biologic therapies for allergy and asthma indications, Immunotherapeutic strategies in head and neck cancer, Cetuximab in head and neck cancer, Anti-PD-1 immune checkpoint blockade for head and neck cancer, Advances in adoptive cell therapy for head and neck cancer, Biologics for the treatment of recurrent respiratory papillomatosis, Past and future biologics for otologic disorders, Biological treatments for Neurofibromatosis Type II and other skullbase disorders, and Biologics in treatment of autoimmune ear disorders.

In this issue of Otolaryngologic Clinics, Guest Editors Nancy M. Young and Anne Marie Tharpe bring their considerable expertise to the topic of Childhood Hearing Loss. Top experts in the field cover key topics such as Auditory Neuropathy Spectrum Disorder, Cochlear Implantation for Unilateral Hearing Loss, Guidelines and Consensus Statements, and more. - Provides in-depth, clinical reviews on Childhood Hearing Loss, providing actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews. - Contains 14 relevant, practice-oriented topics including Mechanisms of Ototoxicity & Otoprotection; Early identification and Management of Congenital CMV; Genetics of Childhood Hearing Loss; The Impact and evaluation of Fatigue and Listening Effort on Children with Hearing Loss; and more.

In this issue of Otolaryngologic Clinics, guest editors Drs. Jean Anderson Eloy, Christina H. Fang, and Vijay Agarwal bring their considerable expertise to the topic of Pituitary Surgery. The management of pituitary lesions has evolved significantly in recent decades, and practice patterns vary considerably depending on location, setting, and surgeon preference. In this issue, top experts in the field consider topics such as new advances in endoscopic techniques, current understanding of skull base anatomy, and the performance of extended approaches in a safe and efficient manner—all timely and valuable information to the practicing rhinologist, neurosurgeon, and comprehensive otolaryngologist, particularly those seeking to learn more about developing an integrated pituitary surgical practice. Contains 21 relevant, practice-oriented topics including anatomic considerations in endoscopic pituitary surgery; preoperative workup for patients with pituitary lesions; differential diagnosis and radiographic imaging of pituitary lesions; anesthetic considerations in endoscopic pituitary surgery; pediatric pituitary surgery; non-surgical interventions for pituitary lesions; and more. Provides in-depth clinical reviews on pituitary surgery, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.