Head and Neck 3

8/3/2019 Head and Neck 3

1/16

= q T m e `

^k` amr~ a`b~pz` Nz& Zmrk`n ~mal`n mjip~ ~k` cozr~ tmz~ ic ~k`

rlpaa ukobk or ~k` bzmfoma tmz~! k` ~mal`n mjip~ bzmfoma jif`r mfn

~k` rt`bocob c`m~pz`r ic `mbk ic ~k`h&

înmy u` mz` eiofe ~i ~mal mjip~ ~k` r`bifn tmz~ ukobk or ~k`

cmboma jif`r +~k` jif` ~km~ cizhofe ~k` rkmt` ic ~k` cmb`/! mfn

~k` i~k`z fmh` ic ~k`h or ~k` s`rzibzmfoph +s`rzi7 z`c`z ~i ~k`

cmb`/ ukoa` ~k` i~k`z fmh` ic ~k` bzmfoma jif`r or ~k`

f`pzibzmfoph +f`pzi7 z`c`z ~i ~k` jzmof/&

Fi~`7 ^k` nocc`z`fb` j`~u``f ~k` rlpaa mfn ~k` bzmfoph or ~km~

~k` bzmfoph or ~k` rlpaa uo~kip~ ~k` hmfnoja`&

J@CIZ@ U@ R^MZ^ ! TA@MR@ L@@T AIILOFE Î ^K@ TOB^PZ@

OF ^K@ RAON@ IC ^K@ NZ !BIW O^ UOAA K@AT _IP RI HPBK

^k` jif` ~km~ bif~zojp~ofe ~i ~k` cmboma rlà`~if mz` => of

fphj`z mfn hir~ ic ~k`h mz` bipta` jif` +if` if ~k` zoek~ mfn

if` if ~k` a`c~/ uk`z`mr ~k` bzmfoma jif`r hir~ ic ~k`h mz`

rofea` jif` `{b`t~ ~k` ~`htizma jif` # ~k` tmzo`~ma jif`&

(~k` cozr~ jif` ic ~k` cmboma rlà`~if or ~k` wyeihm~ob jif`

!ukobk u` bmf c`à o~ s`zy `mroay !mfn ~k`z` or : wyeihm~ob jif`r

+zoek~ # a`c~ /&

(~k` r`bifn if` or ~k` hm{oaamzy jif` !mfn mari u` kms` :

hm{oaamzy jif`r ^k` nocc`z`fb` j`~u``f ~k` rlpaa mfn ~k`

bzmfoph or ~km~ ~k` bzmfoph or ~k` rlpaa uo~kip~ ~k`

hmfnoja`&+zoek~ # a`c~ /!~k`y cpr`r ~ie`~k`z mfn cizh ~k` ptt`z


2/16

: q T m e `

gmu !kiu`s`z ~k` aiu`z gmu hmn` pt ic if` jif` ukobk or ~k`

hmfnoja` &

(~k` ~kozn if` o~ or ~k` fmrma jif`&

^k` fmrma jif` bifror~ ic : rhmaa tam~`r ~km~ cizhofe ~k` jzone`

+ziic/ ic ~k` fir` ! ~k`r` jif` rofb` ~k`y mz` s`zy tzihof`f~ mfn

u`ml jif`r < ~k`y mz` ~k` hir~ bihhif jif` ~i j` czmb~pz` of

~k` rlpaa&

(mfi~k`z if` ~km~ or aibm~`n m ao~~a` jo~ j`kofn ~k` fmrma jif`

bmaa`n ~k` ambzohma jif` +ambzohma7 z`c`z ~i ~k` ~`mzr/&

Uk`f u` aiil ~i ~k`r` jif` u` uoaa cofn m n`tz`rroif iz cirrm

~km~ bif~mof m rmbr ic biff`b~os` ~orrp` !~k`r` rmb biaa`b~ofe ~k`

~`mzr ri uk`f o~ or coaa`n ! ~k` ~`mzr uoaa j` nzitt`n ip~ czih ~k`

h`noma mrt`b~ ic ~k` `y` !~km~ or uky u` bmaa`n ~k`r` jif` ~k`

ambzohma jif`&

(~k` sih`z

O~ or ~zomfepamz rkmt`n mfn rkmzt`n jif`! mfn o~ or bifron`z`n

s`zy ohtiz~mf~ j`bmpr` o~ or bif~zojp~ofe ~i ~k` ofc`zoiz kmac ic

~k` fmrma r`t~ph&

~k` fmrma bmso~y noson`n of~i zoek~ mfn a`c~ fmrma bmso~o`r mfn

~k`r` nosoroif cizh`n jy ~k` r`t~ph !~k` ptt`z kmac ic ~k` fmrma

r`t~ph or hmn` jy ~k` s`z~obma tamf ic ~k` `~khion jif` kiu`s`z

~k` aiu`z kmac or hmn` jy ~k` sih`z&Ri ~k` sih`z or rofea` jif` mfn bif~zojp~ofe ~i ~k` aiu`z kmac ic

~k` fmrma r`t~ph ukobk noson`r ~k` fmrma bmso~y of~i zoek~ # a`c~

kmac&


3/16

2 q T m e `

(~k` tmam~of` jif`

U` bmffi~ r`` ~k`h czih ~k` mf~`zoiz soù u` kms` ~i aiil czih

~k` ofc`zoiz mrt`b~ ic ~k` rlpaa j`bmpr` ~k`y mz` bif~zojp~ofe ~i

~k` tir~`zoiz ~kozn ic ~k` kmzn tmam~`&

'j`~u``f ~k` fmrma bmso~y mfn ~k` izma bmso~y ~k`z` or m

r`tmzm~ofe umaa bmaa`n ~k` tmam~`! ri ~k` tmam~` cizhofe ~k` ziic

ic ~k` izma bmso~y mfn ~k` caiiz ic ~k` fmrma bmso~y&

'~k` tmam~` hmn` pt ic nocc`z`f~ r~zpb~pz`! ~k` tmz~ ~km~ bif~mof

~k` jif` or s`zy kmzn ukoa` mfi~k`z tmz~ bif~mof hprba` +ric~

~orrp`/ or ric~& Ri u` kms`7 =(kmzn tmam~` :( ric~ tmam~`&

'fiu! ~k` jif` ic ~k` kmzn tmam~`7

=( mf~`zoiz : ~kozn hmn` jy ~k` hm{oaamzy jif`&

:( Tir~`zoiz = ~kozn hmn` jy ~k` tmam~of` jif`&

(of ~k` am~`zma umaa ic ~k` fmrma bmso~y ~k`z` or m rhmaa rkàs`r ic

jif` ~km~ n`rb`fnofe niuf czih ~k`z` mfn u` z`c`z ~i ~k`h mr m

bifbkm` +rofepamz 7 bifbkm/ !~kir` bifbkm` mz` eiofe niuf ~i

tzi~`b~ ~k` it`fofe if ~k` am~`zma umaa ic ~k` fmrma bmso~y&

'~k`z` or m rt`bo`r uo~kof ~k` jif` bmaa`n tmzmfmrma rofpr`r mfn

~kir` rofpr`r prpmaay it`f`n of~i ~k` am~`zma umaa ic ~k` fmrma

bmso~y mfn ~k`y mz` tzi~`b~`n jy jify rkàs`r bmaa`n ~k` bifbkm`&'if `mbk am~`zma umaa u` kms` 2 rkàs`r +bifbkm`/


4/16

> q T m e `

`~khion jif`&

kiu`s`z! ~k` ofc`zoiz bifbkm of ji~k ron`r mz` r`tmzm~` jif`r !

~km~ uky ~k`y mz` bifron`z mr m tmz~ ic cmboma rlà`~if &

(~k` amr~ jif` ic ~k` cmboma rlà`~if o~ or ~k` hmfnoja` ukobk or

cizh ~k` aiu`z gmu &

Fiu! of m zèoifma umy +fi~ zàm~`n ~i ~k`r` jif`r/ u` noson` ~k`

cmb` of~i nocc`z`f~ zèoif7

=(ciz`k`mn zèoif

~k` jif` ~km~ bif~zojp~ofe hir~ ic ~k` ciz`k`mn zèoif o~ or ~k`

czif~ma jif` +kiu`s`z ~k` czif~ma jif` mari bif~zojp~ofe ~i ~k`

bzmfoph mfn kàt of bis`zofe ~k` jzmof/

:( j`f`m~k ~k` ciz`k`mn u` bmf cofn : amze` rtmb`r bmaa`n ~k`

izjo~ma bmso~o`r !~k`r` bmso~o`r mz` bifron`z`n s`zy ohtiz~mf~

j`bmpr` ~k`y mz` bif~mofofe : ryr~`hr 7

Ri

Rpt`zoiz !honna`! ofc`zoiz bifbkm` aibm~` of ~k` am~`zma umaa ic ~k` fmrma

bmso~y &

Rpt`zoiz tmz~ ic `~khion jif`

Honna`

Ofc`zoiz r`tmzm~` jif` jy o~ràc


5/16

0 q T m e `

M/ ~k` sorpma ryr~`h 7 bifror~ ic ~k` `y`jmaa # ibpamz hprba`

+ukobk or hisofe ~k` `y`jmaa/

J/ ~k` ambzohma ryr~`h 7 bifror~ ic ~k` ambzohma eamfnr ~km~

z`a`mr` ~k` ~`mzr czih ~k` ptt`z am~`zma bizf`z ic ~k` izjo~mabmso~y !~k`f ~k` ~`mzr ei`r maa is`z ~k` `y`jmaa ~i ba`mfr o~ !mfn

~k` prpmaay biaa`b~ of ~k` aiu`z h`noma bizf`z ic ~k` izjo~r uo~kof

m rmbr bmaa`n ~k` ambzohma rmbr &

FI^@7 ~k` izjo~ ni`rf~ ~k` `y`jmaa! o~ or gpr~ m rtmb` of ~k` rlpaa

~km~ bif~mofofe ~k` `y`jmaa mfn ambzohma eamfnr

^k`r` izjo~ma bmso~o`r mz` tyzmhonma of rkmt` mfn kms` > umaar!uo~k o~r jmr` of czif~ ukobk or it`f`n ~i maaiu ~k` `y`jmaa ~i

tzig`b~ mf~`zoizay! mfn o~r mt`{ j`kofn&

+U` uoaa rt`ml mjip~ ~k`h of n`~moar am~`z if /

2( Fmrma bmso~y

noson`n of~i : kmac zoek~ mfn a`c~ jy ~k` fmrma r`t~ph ukobk or

hmn` jy t`zt`fnobpamz tam~ ic `~khion mfn sih`z&

>(gmur

^k` ptt`z gmu hmn` jy hm{oaamzy jif` mfn ~k` aiu`z gmu hmn` jy

~k` hmfnoja`&

Ri ~k`r` mz` ~k` z`eoifma tmz~r ic ~k` s`b`zi bzmfoph< ciz`k`mn

!izjo~ ! fmrma bmso~y ! gmur &

Fiu u` uoaa rt`ml of n`~moar mjip~ `mbk ic ~k`h&

Ciz`k`mn


6/16

3 q T m e `

(hmn` jy7 czif~ma jif`

(~k`z` or s`zy ohtiz~mf~ of~`zr`b~oif prpmaay pr`n jy ~k`

iz~kinif~obr bmaa`n ~k` fmroif&

Ri! ~k` fmroif7 o~ or ~k` of~`zr`b~oif j`~u``f ~k` : fmrma jif`rmfn czif~ma jif`&

mfi~k`z ~kofe or ~km~ ~k` h`~itob rp~pz` ukobk or FI^ maumyr

tz`r`f~ &npzofe n`s`aith`f~ mfn eziu~k ic ~k` rlpaa !~k` czif~ma

jif` hmn` pt ic : kmac +zoek~ mfn a`c~/ mfn ~k` b`f~`z ic

bmabocobm~oif r~mz~ czih ~k`z` + ~km~ or h`mf u` kms` : b`f~`zr ic

bmabocobm~oif zoek~ if` #a`c~ if`/&

Ri npzofe ~k`r` bmabocobm~oif mfn cizhm~oif ic czif~ma jif` !~k`zoek~ # a`c~ kmac prpmaay bif~ofp` ~i bmabocy pf~oa ~k`y z`mbk ~k`

honaof` ! fiu! ~k`r` honaof` uoaa fi~ bmabocy o~ uoaa z`hmof mr m

biff`b~os` ~orrp` rp~pz` bmaa`n ~k` czif~ma rp~pz` + npzofe ~k`

ofcmfby mfn bkoankiin/&

^kor rp~pz` or bifron`z`n s`zy ohtiz~mf~ j`bmpr` o~ or maaiu ciz

~k` `{tmfroif ic ~k` rlpaa! a:fi mr ~k` bkoan eziu~k pt! ~k` rlpaa

uoaa mari eziu& Ri ~i maaiu ciz amze`z eziu~k ic ~k` rlpaa u` l``t

~kor rp~pz` ~k`z`& +~km~ or h`mf mr ~k` rlpaa eziu~k tir~`zoizay

uoaa mari eziu mf~`zoizay jy ~k`r` rp~pz` of ji~k ron` / ~km~ or

uky u` kms` ~k` czif~ma rp~pz`&

Ri ~k` czif~ma rp~pz` fizhmaay uoaa j` tz`r`f~! mfn o~ or mtt`mz m~

joz~k mfn r~oaa pf~oa bkoankiin +prpmaay bair` m~ ~k` me` ic 3 y`mzr/&

j0~`?mz ~k` czif~ma rp~pz` aibm~`n of ~k` h`nomf tamf` mfn of

ohhm~pz` rlpaa mari o~ or prpmaay cpr`r of `mzay bkoankiin mfn

j`bih` if` jif` ukobk ~k` czif~ma jif`&

Kiu`s`z ! oc ~k` czif~ma rp~pz` ni`rf~ bair` m~ ~k` me` ic 3

y`mzr mfn bif~ofp` ~i mnpa~kiin of rih` t`ita` u` nif~ z`c`z


7/16

5 q T m e `

~i o~ mr ~k` czif~ma rp~pz` + j`bmpr` fiu o~ or FI^ fizhma / ri o~

or bmaa`n ~k` h`~itob rp~pz` &

+y2f` h`~itob rp~pz` 7 o~ or ~k` czif~ma rp~pz` jp~ mc~`z ~k` me`

ic 3 y`mzr /

''MAA kphmf kms` czif~ma rp~pz` pf~oa ~k` me` ic 3 y`mzr &

''RIH@ c`u t`zb`f~ mc~`z ~k` me` ic 3 y`mzr! ~k` czif~ma

rp~pz` ni`rf~ bair` !ri fiu o~ or bmaa`n ~k` h`~itob rp~pz` &

(FIU ! oc u` nif~ kms` czif~ma rp~pz` j`ciz` ~k` me` ic 3 y`mzr

! y2f` oc ~k` czif~ma rp~pz` bair` m~ joz~k + ~k` : kmac maz`mny

cpr`r / ! of ~k`r` bmr` ~k`z` uoaa j` fi hpbk `{tmfroif ic ~k` rlpaa

mf`zoizay ri ~k` rlpaa uoaa eziu of i~k`z ron`r jp~ mf~`zoizay

ni`rf~ mfn j`bmpr` ic ~km~ ~k` rkmt` ic ~k` rlpaa of ~k` ofcmf~

uoaa j`bih` ~zomfepamz + s`zy rkmzt mf~`zoizay / of ~k`r` bmr` u`

z`c`z ~i o~ ~zomfepaib`tkmaay &

'' ri ! ~k` ~zomfeaib`tkmay kmtt`n j`bmpr` ic ukm~999

Tz`hm~pz` bairpz` ic czif~ma rp~pz` prpmaay npzofe ofcmfby &

^k` izjo~ma bmso~y

(~k`z` or fi jmr` ic ~k` izjo~ma bmso~y mf~`zoizay ~i maaiu ~k`

`y`jmaa ~i tzig`b~ czih ~k`z` + CZIH ^K@ JIIL 7 mjip~ if`

ro{~k ic ~k` `y` or `{tir`n < ~k` z`hmofn`z or tzi~`b~`n jy ~k`

umaar ic ~k` izjo~ /&~k` mt`{ ic ~k` izjo~ma bmso~y aibm~`n tir~`zoizay mfn bmaa`n ~k`

it~ob bmfma +cizmh`f/ ukobk or maaiu ~k` it~ob f`zs` mfn

itk~kmahob mz~`zy ~i tmrr ~kzipek o~&

j`~u``f ~k` mt`{ mfn jmr` u` kms` > umaar +ziic!caiiz!h`noma


8/16

; q T m e `

umaa!am~`za umaa/&

'' @mbk umaa hmn` pt ic : jif`r `{b`t~ ~k` h`noma umaa hmn` pt

ic > jif`r&

''~k` ziic or hmn` pt ic ~k` czif~ma jif` mfn a`rr`z uofe icrtk`fion jif`&

''~k` am~`zma umaa or hmn` pt ic wyeihm~ob jif` mfn ez`m~`z uofe

ic rtk`fion jif`&

''~k` caiiz or hmn` pt ic hm{oaamzy jif` mfn tir~`zoizay ~k`

tmam~of` jif`&

'' or hmn` pt ic czif~ma tzib`rr ic hm{oaam! ambzohma jif`!

`~khion jif`! ~k` jiny ic rtk`fion jif`&

FI^@7 ~k` fmrma jif` ni`rf~ bif~zojp~ofe ~i ~k` h`noma umaa< o~ or

gpr~ bif~zojp~ofe ~i ~k` jzone` ic ~k` fir`&

]P7 maa ~k` ciaaiuofe jif`r bif~zojp~ofe ~i ~k` h`noma umaa ic ~k`

izjo~ @[B@T^7

=/rtk`fion jif`

:/tmam~of` jif`

2/`~khion jif`

MFRU@Z 7 ~k` tmam~of` jif`

]P7 of ukobk tmz~ ic ~k` izjo~ nir` ~k` a`rr`z uofe ic rtk`fion

bif~zojp~ofe ~k`z` 7

=/ziic

:/caiiz2/h`noma umaa

>/ am~`zma umaa

MFRU@Z7 ~k` ziic


9/16

? q T m e `

(~k` izjo~ma bmso~y bif~mof ~k` `y`jmaa mfn ambzohma mttmzm~pr mfn

~k`z` or mari : corrpz`r + rt`bo`r/ 7

=/ ~k` rpt`zoiz izjo~ma corrpz` 7aibm~`n j`~u``f ~k` ziic # ~k`

am~`zma umaa + aibm~`n tir~`zoizay j`~u``f ~k` ez`m~`z mfn a`rr`zuofe ic ~k` rtk`fion jif` /

:/ ~k` ofc`zoiz izjo~ma corrpz`7 aibm~`n j`~u``f ~k` caiiz # ~k`

am~`zma umaa + aibm~`n tir~`zoizay j`~u``f ~k` hm{oaam mfn ~k`

ez`m~`z uofe ic ~k` rtk`fion / &

^kir` corrpz`r s`zy ohtiz~mf~ j`bmpr` ~k`y maaiu ~k` izjo~ ~i

bihhpfobm~` uo~k i~k`z mz`mr

(~k` rpt`zoiz if`7 bihhpfobm~`r ~k` izjo~ uo~k ~k` bzmfoma bmso~y

+honna` bzmfoma cirrm/ j`bmpr` ~k`z` or s`zy ohtiz~mf~ s`ofr #

f`zs`r+ ~k` ~zibka`mz! ibpaihi~iz f`zs`/ uoaa tmrr ~kzipek ~k`r`

corrpz` ! ~k` f`zs`r bih` czih ~k` jzmof mfn ~k`f tmrr ~kzipek

rpt&izjo~ma corrpz` mfn rpttay ~k` ibpamz hprba` ukobk or ~k`

hprba` ~km~ maaiu yip ~i his` yipz `y` +rpt ! ofc !!!! `~b /&

^k` ofc`zoiz if` 7 bihhpfobm~`r ~k` izjo~ uo~k ~k` ofczm~`htizma

cirrm ukobk or bifron`z`n s`zy ohtiz~mf~ mz`m `rt`bomaay ~i ~k`

t`zrifr uki e`~ rt`bomaow`n of n`f~ma ibbptm~oif + CZIH ^K@

JIIL7 j`bmpr` ~k`r` corrpz` ~zmfrho~r ~k` hm{oaamzy f`zs` mfn

o~r wyeihm~ob jzmfbk ! ~k` ofc`zoiz itk~kmahob s`of! mfn ~k`

ryhtm~k`~ob f`zs`r /&

FMRMA BMSO^_ 7/aibm~oif 7 Ofc7 ~i ~k` mf~ bzmfoma bmso~y

rpt7~i ~k` izma bmso~y


10/16

=4 q T m e `

^k` fmrma bmso~y or noson`n of~i zoek~ mfn a`c~ kmas`r jy Fmrma

r`t~ph ~k` r`t~ph or hmn` pt ic ~k` r`t~ma bmz~oame` ! ~k`

s`z~obma tmam~` ic ~k` `~khion jif` !

mfn ~k` sih`z &

@~khion Jif` 7

bihtir`n ic : tam~`r if` kizowif~ma mfn

~k` i~k`z or t`zt`fnobpamz iz s`z~obma &

~k` kizowif~ma if` or bzojzocizh

Uky 9- ~i maaiu iacmb~izy f`zs` coj`zr

tmrr czih ~k` bmzfoma bmso~y ~i ~k` fmrma

bmso~yBzor~m Emaao 7 rkmzt ptuizn tzig`b~oif ic

~k` `~khion jif` + uk`f ~k` :

t`zt`fnobpamz tam~`r giof ~ie`~k`z mjis`

~k` kizowif~ma tam~` /

CZIH ^K@ JIILUmaar ic ~k` fmrma bmso~y 7

@mbk kmac ic ~k` fmrma bmso~y kmr

m caiiz ! ziic ! am~`zma umaa ! h`noma

iz r`t~ma umaa &

Caiiz 7 ~k` tmam~of` tzib`rr ic ~k`

hm{oaam mfn ~k` kizowif~ma tam~`

ic ~k` tmam~of` jif` &

Ziic 7 ~k` ziic or fmzziu mfn or

cizh`n mf~`zoizay j`f`m~k ~k`

jzone` ic ~k` fir` jj ~k` fmrma

mfn czif~ma jif`r ! of ~k` honna`

jy ~k` bzojzocizh tam~` ic ~k`

`~khion !aibm~`n j`f`m~k ~k`

mf~`zoiz bzmfoma cirrm ! mfn

tir~`zoizay jy ~k` niufumzn

raitofe jiny ic ~k` rtk`fion &

Am~`zma Umaa 7

~k` am~`zma umaa kmr 2 tzig`b~oif

ic ~k` jif` bmaa`n

rpt`zoiz!honna`!ofc`zoiz bifbkm`

' ~k` rtmb` j`aiu `mbk bifbkm`

bmaa`n h`m~pr


11/16

== q T m e `

î bif~ofp` ~k` rkmt` ic ~k` @~khion jif`

: rhmaa uofer +rkàar/ j`bih` m~~mbk`n ~i

~k` am~`zma ron` ic ~k` kizowif~ma tam~`

ukobk bmaa`n rpt`zoiz mfn honna` bifbkm` &

HM[OAAM 7

Hm{oaam or ~k` jif` ic ~k` ptt`z gmu hmn` ic Jiny mfn : Zmhpr

Jiny 7 tyzmhonma of rkmt` uo~k > tzib`rr`r iz aife à`sm~oifr

=( Wyeihm~ob tzib`rr ic Hm{oaam 7 eiofe am~`zmaay ~i ~k` wyeihm~ob jif`

:( Czif~ma tzib`rr 7 tzig`b~ rpt`zoizay ~i ~k` czif~ma jif`

2( Masìamz tzib`rr 7 tzig`b~ofe ofc`zoizay mfn kms` m ribl`~r

mfn bif~mof ~k` zii~ ic ~k` ~``~k + ptt`z ~``~k/

>( tmam~of` tzib`rr 7 tzig`b~ofe tir~`zoizay mfn cizh ~k` mf~`zoiz :)2

ic ~k` kmzn tmam~` &

]p 7 Kiu hmfy Hm{oaamzy jif` of ~k` ptt`z gmu 9

: jif`r ~k` : Masìamz tzib`rr`rji~k Masìamz tzib`rr`r + zoek~ mfn a`c~ if` / cizh ukm~ u` bmaa`n ptt`z

N`f~ma mzbk Jp~ of ~k` aiu`zgmu ukobk hmn` if` jify tmz~hmfnoja` kms`

if` Masìamz tzib`rr biff`b~ofe rpt`zoizay &

FI^@ 7

uk`f yip aiil ~i~k` fmrmabmso~y yip bmf~ r`` ~k` rpt`zoiz

bifbkm` j`bmpr` o~r bis`z`njy ~k` fmrma jif` &


12/16

=: q T m e `

Of Mnno~oif ~i ~k`r` tzib`rr`r ~k` jiny ic ~k` Hm{oaam or `ht~y ofron`

Uky9- ^i z`npb` ~k` u`oek~ ic ~k` rlpaa mfn ciz i~k`z cpfb~oif u` uoaa

h`f~oif o~ of ~k` MOZ ROFPR`r

Hm{oaamzy Moz rofpr or ~k` amze`r~ moz rofpr`r of ~k` rlpaa

Hm{oaamzy Tzib`rr`r

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13/16

=2 q T m e `

HMFNOJA@ 7

~k` jif` ic ~k` aiu`z gmu kms` m + p / rkmt` jiny mfn : rpt`zoiz zmhpr &

' j`bmpr` ~k` jiny or kizowif~ma mfn ~k` zmhpr or s`z~obma ~k` mz`m j`~u``f

~k`h bmaa`n Mfea` mfn o~ `mroay tmatm~`n &

^H GIOF^ 7 ^K@ IFA_ HISMJA@ GIOF^ OF ^K@ RLPAA &

F@BL 7 fmzziuofe ic ~k` bifnyamz tzib`rr

~k` K@MN IC ^K@ HMFNOJA@ 8 BIFN_A@

FI^@ 7

~k` f`zs` ~km~ rpttay ~k` aiu`z ~``~k bmaa`n Aiu`z H`f~ma f`zsÌZ Ofc`zoiz

masìamz f`zs`

~kor f`zs` tmrr uo~kof m cizmhofm of ~k` zmhpr ic ~k` Hmfnoja` m~ ~k` a`sà ic ~k` r`bifn

tz`(hiamz o~ eos` m jzmfbk ukobk tmrr`r ~kzipek H`f~ma cizmhofm + of ~k` jiny ic ~k`

Hmfnoja`/~i eos` r`frm~oif ~i ~k` Bkof mz`m 6

Ri ukm~ or ~k` ohtiz~mf~ c`m~pz`r ~km~ cipfn of ~k` jiny ic ~k` HMFNOJA@ 9- =(

h`f~ma cizmhofm :(masìamz tzib`rr

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14/16

=> q T m e `

^K@ F@BL IC K@ HMFNOJA@ 8 ^K@ F@BL IC ^K@ BIFN_AMZ TZIB@RR

&

^k` hmfnoja` bifron`z`n mr ~k` amze`r~ mfn r~zife`r~ cmboma jif` jp~ o~r~k` r`bifn cmboma jif` ~i j` czmb~pz` - Uky 9

' ifay hismja` jif` of ~k` rlpaa &

Of mnno~oif `mbk zmhpr ic ~k` Hmfnoja` kms` Hmfnojpamz cizmhofm

~kor cizmhofm or s`zy ohtiz~mf~ j`bmpr` ~k` n`f~ma f`zs` ukobk rpttay ~k`

~``~k mfn eos` m jzmfbk ~i H`f~ma f`zs` tmrr ~kzipek ~kor cizmhofm

' ~kor cizmhofm tzi~`b~`n jy m rhmaa jify `a`sm~oif bmaa`n aofepma

TMZMFMRMAROFPR@R 7N@C 7 moz bif~mofofe rtmb`r uo~kof ~k` bzmfoma jif`r

cpf 7 =& Z npb` ~k` u`oek~ ic ~k` rlpaa

:& Siob` hinocobm~oif

2& Ofrpam~oif `cc`b~ tz`s`f~ ~k` airr ic ~k` k`m~ czih ~k` fmrma bmso~y &


15/16

=0 q T m e `

Czih uolo 7

Rofpro~or or ofcamhhm~oif ic ~k` tmzmfmrma rofpr`r! ukobk hmy j` np` ~i

ofc`b~oif! maa`zey! iz mp~iohhpf` orrp`r& Hir~ bmr`r mz` np` ~i m sozma

ofc`b~oif mfn z`rias` is`z ~k`

bipzr` ic =4 nmyr&

Maa ic ~k` rofpr`r it`f ~i ~k`

fmrma bmso~y `{b`t~ 9-

~k` 0~k if` + Hmr~ion moz bàar/

'hmr~ion tzib`rr `mroay tmatm~`n

j`kofn ~k` `mz ! tmz~ ic ~k`

~`htizma jif`& '

it`f of~i honna` `mz

2NPN]NSNISA][SKS

4N\AIINPQSA][SKS~k` ~ii~k zii~ if

~k` ptt`z gmu s`zy r`fro~os` ~i ~k` bian moz

~km~ bih` czih ~k` `fsozifh`f~ ~i ~k`

fmrma bmso~y Ri ~i tz`s`f~ k`m~ air`

Hm{oaamzy rofpr`r npzofe `{kmam~oif uoaa j`

coaa`n uo~k uizh`n moz ri uk`f bian moz

bih` czih ip~ron` ~k` rofpr`r or maz`mny

coaa`n uo~k moz ! ~k` bian moz bif~ofp` ~i ~k`

Z@R + ^K@ bian moz uoaa fi~ z`mbk ~k`

n`f~ma zii~ /

:& Czif~ma rofpr`r 7 aibm~`n of czif~ma jif`

!mjis` ~k` izjo~ ! honna` h`m~pr

' rhmaa`z ~kmf hm{oaamzy

2& Rtk`fion rofpr`r 7

of ~k` jiny ic ~k` rtk`fion pfn`z ~k` ràam

~pbobm &

' rhmaa`z ~kmf czif~ma

> & `~kihonma moz bàar 7ezipt ic hmfy rhmaa

rtmb`r fi~ amze` ~i bmaa`n rofpr`r

mf~`zoiz & honna` ! tir~`zoiz eziptr


16/16

=3 q T m e `

Ta`mr` cizeos` pr oc yip mfy hor~ml` K`jm Zmnmon`k ! Kmym HihmfoEIIN APBL

!!

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&&&7&&&

&- &&

7

Head and Neck 3

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