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*9

$POUFOUT

1BSU*
0ART) #HAPTER
#BTJD4DJFODFBOE$MJOJDBM&WBMVBUJPO
#BTJD4DJFODFBOE$MJOJDBM&WBMVBUJPO 7PDBM'PME1BSBMZTJT$BVTFT 0VUDPNFT 
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)NTRODUCTION 
)NTRODUCTION  3OURCESOF.ERVE$AMAGE  
#.3   /VERVIEW  
3UPERIOR,ARYNGEAL.ERVE  3URGERY4RAUMA  
#ERVICAL3EGMENTOF3,.  3URGERYINTHE.ECK 
)NTERNAL"RANCHOF3,.  3URGERYINTHE#HEST 
%XTERNAL"RANCHOF3,.  3URGERYATTHE3KULL"ASE 
2ECURRENT,ARYNGEAL.ERVE   /THER0ROCEDURESAND)NTERVENTIONS  
#ERVICAL3EGMENTOF2,.  -EDICAL$ISEASE 
2,."RANCHING0ATTERNS  -ALIGNANCY  
2ELATIONSHIPOF2,. .ONMALIGNANT$ISEASE  
WITH)NFERIOR4HYROID!RTERY   3TROKE 
2ETROTHYROID3EGMENTOF2,.  /THER.EUROLOGIC$ISEASE  
,ARYNGEAL3EGMENTOF2,.  )DIOPATHIC6OCAL&OLD0ARALYSIS 
.EUROMUSCULAR*UNCTIONS  #ONCLUSION 
2,.#OMMUNICATIONWITH3,. 
#ONCLUSION  #HAPTER
&WBMVBUJPOPG7PDBM'PME1BSBMZTJT
#HAPTER +*TISM;QUX[WV-[\PMZ2+PM]VO
4ZOLJOFTJTBOE%ZTGVODUJPOBM
3FJOOFSWBUJPOPGUIF-BSZOY (ISTORY  
,I^QL4BMITMIZ+PMZaT:*QTTIV\M 6OCAL1UALITYAND3WALLOWING  
6OCAL)NVENTORY 
)NTRODUCTION  !IRWAY  
)NNERVATIONAND&UNCTIONAL!NATOMY -EDICAL(ISTORY%STABLISHING
OF,ARYNGEAL-USCLES   AN%TIOLOGY  
#ONSEQUENCEOF2,.)NJURY  0HYSICAL%XAMINATION 
#ONVENTIONAL4REATMENTFOR 'ENERAL 
,ARYNGEAL0ARALYSIS  ,ARYNGEAL 
3TUDIESIN3ELECTIVE2EINNERVATION  7ORK UP 
3EROLOGY 
)MAGING3TUDIES  
#ONCLUSION 
9 #ONTENTS

#HAPTER )NDIRECT2EHABILITATION 
%JBHOPTUJD&MFDUSPNZPHSBQIZ $IRECT2EHABILITATION 
GPS6OJMBUFSBM7PDBM'PME%ZTNPUJMJUZ 4RANSFEROF3KILLS  
)T0QTTMT4I_ZMVKM:WJQV[WV 6OCAL0RACTICE 
#OMMUNICATING
)NTRODUCTION  IN.OISY%NVIRONMENTS  
$ElNITIONOF)MMOBILITY  2ESULTS  
$ElNITIONOF%LECTROMYOGRAPHY  #ONCLUSION 
4ECHNIQUESOF%LECTROMYOGRAPHY 
%-'7AVEFORMS(OW4HEY!RE$ERIVED #HAPTER
AND7HAT4HEY-EAN   *OKFDUJPO"VHNFOUBUJPO
(OW,%-'$ElNES$YSMOTILITY 3IZMV)+WWXMZ+PIZTM[6.WZL
AND2ElNESTHE$IAGNOSIS 
(OW,%-'#AN'UIDE4REATMENT  )NTRODUCTION 
0HILOSOPHYOF,%-'  )NDICATIONS  
#ASE%XAMPLES  (ISTORICAL.OTE 
#ASE   4IMINGOF)NTERVENTION 
#ASE   4ECHNIQUE  
/FlCE "ASED0ROCEDURE 
2ESULTS 
1BSU**
0ART)) #OMPLICATIONS
5SFBUNFOU
5SFBUNFOU #URRENT3TATUSAND&UTURE'OALS 

#HAPTER #HAPTER
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PG7PDBM'PME1BSBMZTJT +TIZS):W[MV
4]KQIV;]TQKI)VLZM_*TQ\bMZ
)NTRODUCTION
)NTRODUCTION  2ATIONALEFOR6OCAL&OLD,IPOINJECTION 
$YSPHAGIAAND!SPIRATION   0ATIENT3ELECTION 
0ROGNOSIS  4ECHNICAL!SPECTS
,ARYNGEAL%LECTROMYOGRAPHY  OF6OCAL&OLD,IPOINJECTION
!DJUSTINGTHE4REATMENT!LGORITHM  &AT(ARVEST 
#ONCLUSION  ,IPOINJECTION 
0OST OPERATIVE#ARE&OLLOWING
#HAPTER ,IPOINJECTION 
7PJDF5IFSBQZ $URATIONOF"ENElT
GPS6OJMBUFSBM7PDBM'PME1BSBMZTJT #OMPLICATIONSOF,IPOINJECTION
+MTQI.;\M_IZ\-TQbIJM\P)TTMV OFTHE6OCAL&OLDS
!IRWAY 
)NTRODUCTION  3UBOPTIMAL6OICE)MPROVEMENT
!SSESSMENT  /VERINJECTION 
0ERCEPTUAL!SSESSMENT 
3ELF 2ATINGS   #HAPTER
/BJECTIVE-EASUREMENTS  $PMMBHFOJO7PDBM'PME*OKFDUJPO
#OMPENSATIONS   5IZS;+W]ZMa
'UIDELINESFOR0LANNING6OICE4HERAPY 
0ATTERNSOF6OCAL3YMPTOMS   0HYSIOLOGIC#ONSIDERATIONS  
2EHABILITATION(YPOTHESES   (ISTORICAL#ONSIDERATIONS 
4HERAPY0ROCEDURES   4ECHNICAL#ONSIDERATIONS 
#ONTENTS 9*

#LINICAL!PPLICATIONS  #OMPLICATIONS 


#ONCLUSION  4ECHNIQUE  

#HAPTER #HAPTER
5SFBUNFOUPG(MPUUBM*OTVDJFODZ 1SJODJQMFTPG.FEJBMJ[BUJPO-BSZOHPQMBTUZ
6TJOH.JDSPOJ[FE)VNBO"DFMMVMBS +*TISM;QUX[WV4]KQIV;]TQKI
%FSNJT $ZNFUSB

)TJMZ\45MZI\Q )NTRODUCTION
)NDICATIONSFOR3URGERY
)NTRODUCTION  !RYTENOID!DDUCTION  
"ACKGROUND  0ROCEDURE3ELECTION
!DVANTAGESAND$ISADVANTAGES &RAMEWORK3URGERYVS)NJECTION
OF-ICRONIZED!CELLULAR$ERMIS !UGMENTATION 
FOR#LINICAL5SE  0ATIENT3ELECTION  
-ICRONIZED(UMAN!CELLULAR$ERMIS 4IMINGOF-EDIALIZATION,ARYNGOPLASTY
IN#LINICAL,ARYNGOLOGY  4ECHNICAL.OTESAND0ERTINENT
#OMPLICATIONS  !NATOMIC,ANDMARKS
4ECHNICAL!SPECTS #OMPLICATIONS
FOR5SING-ICRONIZED!CELLULAR 3UBOPTIMAL2ESULTS3URGICAL%RRORS 
(UMAN$ERMIS 2EVISION3URGERY
#ONCLUSION ,ONG 4ERM3URGICAL)SSUES 
#ONCLUSION
#HAPTER
7PDBM'PME"VHNFOUBUJPOXJUI$BMDJVN #HAPTER
)ZESPYZMBQBUJUF 4JMBTUJD.FEJBMJ[BUJPO-BSZOHPQMBTUZ
8M\MZ+*MTIN[Sa/ZMOWZa68W[\UI +*TISM;QUX[WV

)NTRODUCTION )NTRODUCTION
)NDICATIONSFOR6OCAL&OLD!UGMENTATION 0ROCEDURE
WITH#A(! 0REPARATION 
4ECHNIQUEOF)NJECTION!UGMENTATION 3URGICAL!PPROACH
WITH#A(! %NDOLARYNGEAL
)N /FlCE)NJECTIONOF#A(!   0ARAGLOTTIC-ANIPULATION
)NJECTIONOF#A(! #ARVINGTHE3ILASTIC)MPLANT
INTHE/PERATING2OOM  )MPLANT)NSERTION 
#ONCLUSION #LOSURE
0OSTOPERATIVE#ARE 
#HAPTER 0OSTOPERATIVE)SSUES
5SFBUNFOUPG(MPUUBM*OTVDJFODZ AND%XPECTED6OCAL2ECOVERY 
6TJOH)ZBMVSPOBO
;\MTTIV0MZ\MOZLSM,IPTY^Q[\ #HAPTER
4IZ[0ITTV+TI]LM4I]ZMV\ .FEJBMJ[BUJPO5IZSPQMBTUZ6TJOH
UIF.POUHPNFSZ5IZSPQMBTUZ4ZTUFN
)NTRODUCTIONAND#ORE-ESSAGES 5IZS)>IZ^IZM[:MJMKKI5*ZIVL[\ML
2ATIONALE 
)NDICATIONS  )NTRODUCTION
)NDICATION5NDER)NVESTIGATION $ESIGNOF4HYROPLASTY0ROSTHESIS
0ATIENT3ELECTION  0ATIENT3ELECTION 
!DVANTAGES  !NESTHESIA 
$ISADVANTAGES  3URGICAL4ECHNIQUE
9** #ONTENTS

7INDOW-EASUREMENT   #HAPTER


7INDOW/UTLINE   "SZUFOPJE3FQPTJUJPOJOH4VSHFSZ
-ETHODFOR#UTTING7INDOW  /IaTM-?WWL[WV
)MPLANT-EASUREMENT
)NSERTIONOF)MPLANT  )NTRODUCTION
#LOSURE  )NDICATIONS 
0OSTOPERATIVE#ARE 6OCAL&OLD-OTION
#OMPLICATIONS 7HAT)SA0OSTERIOR'AP
2ESULTS  (ISTORYOF!RYTENOID3URGERY 
#ONCLUSION -ECHANICSOF!RYTENOID3URGERY
4ECHNIQUEOF!RYTENOID!DDUCTION 
#HAPTER #ONCLUSION
.FEJBMJ[BUJPO5IZSPQMBTUZ
6TJOHUIF7P$P.7PDBM$PSE
.FEJBMJ[BUJPO4ZTUFN 1BSU***
0ART)))
<IVaI35MaMZ)VLZM_*TQ\bMZ 4QFDJBM5PQJDT
4QFDJBM5PQJDT

)NTRODUCTION  #HAPTER


3URGICAL4ECHNIQUE -BSZOHFBM3FJOOFSWBUJPO
2EVISION :IVLIT+8IVQMTTW
#OMPLICATIONS
2ESULTS  )NTRODUCTION
#ONCLUSION 2ATIONALEFOR2EINNERVATIONIN56&0
#HOICEOF$ONOR.ERVE 
#HAPTER #HOICEOF!NESTHESIA
5JUBOJVN.FEJBMJ[BUJPO*NQMBOU #ONTINGENCY0LANS  
*MZQ\;KPVMQLMZ 4ECHNIQUEOF!NSA#ERVICALIS
TO2,.!NASTOMOSIS
4ITANIUMASA"IOMATERIAL 4ECHNIQUEOF(YPOGLOSSAL.ERVE
4ITANIUM6OCAL-EDIALIZATION)MPLANT  TO2,.!NASTOMOSIS 
0REOPERATIVE-EDICATION 0OSTOPERATIVE#ARE
!NESTHESIA  2ESULTSOF!NIMAL3TUDIES
3URGICAL4ECHNIQUE #LINICAL2ESULTS 
/BJECTIVE/UTCOME-EASURES !NSA 2,.
!DVANTAGES  !NSA 2,.AND-EDIALIZATION
#OMPLICATIONS (YPOGLOSSAL.ERVE 
/THER4ITANIUM)MPLANT$EVICES  /RIGINAL2,.
2EINNERVATIONOR-EDIALIZATION 
#HAPTER #RICOTHYROID2EINNERVATION
.FEJBMJ[BUJPO-BSZOHPQMBTUZ !BDUCTOR2EINNERVATION
XJUI(PSF5FY 0HRENIC.ERVE 
&YQBOEFE1PMZUFUSBnVPSPFUIZMFOF
!NSA#ERVICALIS
<QUW\Pa55K+]TTWKP0MVZa<0WNNUIV #OMBINED!DDUCTORAND!BDUCTOR
2EINNERVATION 
)NTRODUCTION "IDIRECTIONAL-OTION!NIMAL-ODELS
4ECHNIQUEOF'ORE 4EX4HYROPLASTY   2EINNERVATIONFOR,ARYNGEAL
0ATIENT0REPARATION3TEPS  4RANSPLANTATION 
/PERATIVE3TEPS  #ONCLUSION
#OMPLICATIONS 
#ONCLUSION 
#ONTENTS 9***

#HAPTER 4HE.EWBORNAND)NFANT!IRWAY
&MFDUSJDBM4UJNVMBUJPO AND3WALLOWING!SSESSMENT
GPS7PDBM'PME1BSBMZTJT AND-ANAGEMENT
5QKPIMT*ZWVQI\W_[SQ -ANAGEMENTOF!IRWAY 6OICE
AND3WALLOWINGIN6OCAL&OLD0ARALYSIS
)NTRODUCTION IN)NFANTS 
"ACKGROUNDAND*USTIlCATION "ILATERAL6OCAL&OLD0ARALYSIS
4HE0ROBLEM ,ONG 4ERM-ANAGEMENT/PTIONS
#RITIQUEOF4RADITIONAL-ANAGEMENT 6OICE#ONCERNSINTHE/LDER#HILD
OF,ARYNGEAL0ARALYSES  AND!DOLESCENT 
0HYSIOLOGICAL"ASES 5NILATERAL,ARYNGEAL0ARALYSIS
FOR,ARYNGEAL3TIMULATION -ANAGEMENT/PTIONS
#HALLENGESIN!PPROACHES ,ARYNGEAL%-'IN#HILDREN
TO,ARYNGEAL3TIMULATION &AMILIAL6OCAL&OLD0ARALYSIS 
,ARYNGEAL3TIMULATING3TRATEGIES #ONCLUSION
)SSUESOF,ONG 4ERM3TIMULATION
AND"IOCOMPATIBILITYOF)MPLANTED #HAPTER
#IRCUITS #JMBUFSBM7PDBM'PME*NNPCJMJUZ
#URRENT(UMAN!PPLICATIONS /MWZOM/WLQVO
$YNAMIC,ARYNGOTRACHEAL#LOSURE
FOR!SPIRATION )NTRODUCTION
$YNAMIC2ESTORATIONOF,ARYNGEAL0ATENCY (ISTORY 
!FTER"ILATERAL6OCAL&OLD0ARALYSIS  %TIOLOGY
0OTENTIAL&UTURE(UMAN!PPLICATIONS  %VALUATION 
)NTEGRATED3WALLOWING2EHABILITATION  !DJUNCTIVE-EASURES
,ARYNGEAL4RANSPLANTATION  AND.ONSURGICAL-ANAGEMENT
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3URGICAL)NDICATIONS  4VCKFDU*OEFY
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#ONCLUSION
HEADING#ONCLUSION
4ECHNICAL!SPECTSFOR5SING-ICRONIZED
!CELLULAR(UMAN$ERMIS 5QKZWVQbML IKMTT]TIZ LMZUQ[ +aUM\ZI Q[ IV
QUXWZ\IV\UI\MZQITNWZITTXZIK\Q\QWVMZ[UIVIO
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KQITTa I^IQTIJTM NWZU WN UQKZWVQbML IKMTT]TIZ [INM\aIVLI^IQTIJQTQ\aNWZQUUMLQI\M][M<PQ[
LMZUQ[ KWUM[ _Q\P [\MXJa[\MX QV[\Z]K\QWV[ TI\\MZXWQV\Q[ISMaIL^IV\IOMW^MZJW^QVMKWT
NWZXZMXIZI\QWVIVL][M<PM\MKPVQKITI[XMK\[ TIOMV?Q\P\PMIL^MV\WNW\PMZUI\MZQIT[[]KP
WNQVRMK\QWVTIZaVOWXTI[\aMQ\PMZQV\PMI_ISM I[ VWVLWVWZ P]UIV KWTTIOMV XZW\MQV +W[
[M\\QVO WZ ]VLMZ OMVMZIT IVM[\PM[QI IZM XZM UWXTI[\1VIUML+WZX;IV\I*IZJIZI+ITQN
[MV\MLMT[M_PMZMQV\PQ[JWWS;WUMSMaXWQV\[ \PQ[NMI\]ZMUIaVWTWVOMZJM]VQY]M<PMZMIZM
QV\PMZMKWV[\Q\]\QWVWN\PMUQKZWVQbMLLMZUQ[ [M^MZIT \MKPVQKIT Q[[]M[ _Q\P XZMXIZI\QWV \PI\
QVKT]LM\PMNWTTW_QVO" U][\ JM UI[\MZML \W PI^M XZMLQK\IJTM ZM[]T\[
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HEADING2EFERENCES
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\W X][PQVO \PM UQ` JIKS IVL NWZ\P IKZW[[
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4REATMENTOF'LOTTAL)NSUFFICIENCY #HAPTER 

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#HAPTER

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WITH#ALCIUM(YDROXYLAPATITE

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#HAPTER
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#HAPTER
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#HAPTER

,ARYNGEAL2EINNERVATION
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 )XXTMJI]U -4 )TTMV /? ;Q[[WV /) !! 0] \MVWQLMK\WUaNWZIQZ_IaUIVIOMUMV\QVJQTI\MZIT
UIV TIZaVOMIT ZMQVVMZ^I\QWV" \PM 6WZ\P_M[\MZV TIZaVOMIT XIZITa[Q[ )VV 7\WT :PQVWT 4IZaVOWT
M`XMZQMVKM4IZaVOW[KWXM !" w  " w 
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 'EORGE'ODING

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aVOWT0MIL6MKS;]ZO" w VMZ^I\QWV WN \PM KIVQVM XW[\MZQWZ KZQKWIZa\MVWQL
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UMV\IT TIZaVOMIT ZMQVVMZ^I\QWV Ja XPZMVQK VMZ^M
3UBJECT)NDEX

" BVUPMPHPVTGBU TFFBMTPJOKFDUJPO m JODIJMESFO


 BVHNFOUBUJPO BVUPMPHPVT DPNQFOTBUJPO 
"$% TFFBOUFSJPSBQQSPBDIUPUIF  GBU DPNQMFYSFQFUJUJWFEJTDIBSHF
DFSWJDBMTQJOF BYPOPUNFTJT  DPNQVUFEUPNPHSBQIZ $5
 
BEEVDUJPOBSZUFOPJEPQFYZ      
 DPOUJOVPVTQPTJUJWFBJSXBZ
BJSXBZPCTUSVDUJPO  # QSFTTVSF
"MMPEFSN BDFMMVMBSIVNBOEFSNJT
 DPSEFDUPNZ  
 CBSJVNTXBMMPX DPSEPUPNZ
BNQMJDBUJPO CFIBWJPSBMSFIBCJMJUBUJPO TFFWPJDF DPSPOBSZBSUFSZCZQBTT
BNZPUSPQIJDMBUFSBMTDMFSPTJT UIFSBQZ DSJDPBSZUFOPJE
BOTBDFSWJDBMJT CJPQMBTUJRVF m EJTMPDBUJPO BSZUFOPJE
BOUFSJPS CPUVMJOVNUPYJOJOKFDUJPO EJTMPDBUJPO
  m   
m BQQSPBDIUPUIFDFSWJDBMTQJOF CPXJOH  m KPJOU  
  #SOJOHTTZSJOHF  m m BSUISJUJT TFFDSJDPBSZUFOPJE
m DFSWJDBMEJTLFDUPNZ TFFBOUFSJPS TFFTZSJOHF #SOJOHT KPJOUYBUJPO
BQQSPBDIUPUIFDFSWJDBMTQJOF #VBMPWPJDFQSPMF m m YBUJPO DSJDPBSZUFOPJE
BOUJSFVYUIFSBQZ BOLZMPTJT
    
BPSUB m NVTDMF TFFNVTDMF QPTUFSJPS
BPSUJD $ DSJDPBSZUFOPJE
m BOFVSZTN DSJDPBSZUFOPJEBOLZMPTJT TFFDSJDP
m EJTTFDUJPO DBMDJVNIZESPYZMBQBUJUF 3BEJFTTF  BSZUFOPJEKPJOUYBUJPO
"SOPME$IJBSJNBMGPSNBUJPO  3BEJBODF
   DSJDPJEDBSUJMBHF
TFF$IJBSJNBMGPSNBUJPO m BMMFSHJDSFBDUJPO DSJDPQIBSZOHFBMNZPUPNZ 
BSUFSZ m JNQMBOU 7P$P.
TFFIZESP  
m DPNNPODBSPUJE  YZMBQBUJUFJNQMBOU DSJDPQIBSZOHFVTNVTDMF
m JOGFSJPSUIZSPJE m JOKFDUFEQFSDVUBOFPVTMZ DSJDPUIZSPJE
m JOUFSOBMDBSPUJE  m QBTUF m BQQSPYJNBUJPO
m TVCDMBWJBO  m UFDIOJRVF m KPJOU
m TVQFSJPSMBSZOHFBM DBSEJBDWBMWFSFQBJS $5 TFFDPNQVUFEUPNPHSBQIZPS
BSZUFOPJE DBSPUJEFOEBSUFSFDUPNZ    DSJDPUIZSPJE
m BEEVDUJPO TFFBSZUFOPJESFQPTJ   $ZNFUSB TFFNJDSPOJ[FEBDFMMVMBS
UJPOJOHQSPDFEVSF DFOUSBMWFOPVTDBUIFUFSJ[BUJPO EFSNJT
m DBSUJMBHF  DFQTUSVNBOBMZTJT DZUPNFHBMPWJSVT
m EJTMPDBUJPO TFFDSJDPBSZUFOPJE DFSWJDBMTQJOF BOUFSJPSBQQSPBDI
EJTMPDBUJPO   
m SFQPTJUJPOJOHQSPDFEVSF $IBSDPU.BSJF5PPUIEJTFBTF  %
BSZUFOPJEBEEVDUJPO
    
       DIFTUSBEJPHSBQIZ %J)" %FVY
 
m m JODIJMESFO $IJBSJNBMGPSNBUJPO EJQIUIFSJB 
BSZUFOPJEFDUPNZ     DJTQMBUJO  EZTGVODUJPOBMSFJOOFSWBUJPO 
  DPMMBHFO  TFFTZOLJOFUJDSFJOOFSWBUJPO
BSZUFOPJEPQFYZ m BVUPMPHPVT  EZTQIBHJB     
BTQJSBUJPO        m CPWJOF    EZTQIPOJBQMJDBWFOUSJDVMBSJT  
      m IPNPMPHPVT    
BUSPQIZ     m IVNBO EZTQOFB  
 3UBJECT)NDEX

& (SBWFTEJTFBTF m BVUPMPHPVTGBU  


(3#"4 m m DPNQMJDBUJPOT
FMFDUSJDBMQBDJOH TFFGVODUJPOBM HSPPWF USBDIFPFTPQIBHFBM 5&
 m m DPOUSBJOEJDBUJPO
FMFDUSJBMTUJNVMBUJPO (VJMMBJO#BSSTZOESPNF m QFSDVUBOFPVT
FMFDUSJDBMTUJNVMBUJPO TFFGVOD m UFDIOJRVFT
UJPOBMFMFDUSJDBMTUJNVMBUJPO m USBOTDVUBOFPVT
FMFDUSPNZPHSBQIZ &.(
   ) m USBOTPSBM
          JOUFSBSZUFOPJENVTDMF 
        )" TFFIZBMVSPOJDBDJE TFFNVTDMF JOUFSBSZUFOPJE
 IFNBUPNB JOUVCBUJPO
m JODIJMESFO )FOOFNBOTTJ[FQSJODJQMF  m FOEPUSBDIFBM
&.( TFFFMFDUSPNZPHSBQIZ IFSQFT m JOKVSZ
FOEPUSBDIFBMJOUVCBUJPO TFFJOUV m TJNQMFY *TTIJLJUZQF*UIZSPQMBTUZ TFFNFEJ
CBUJPO m [PTUFS BMJ[BUJPOMBSZOHPQMBTUZ
&QTUFJO#BSSWJSVT I*(' TFFIVNBOJOTVMJOMJLF *USFM**OFVSBMTUJNVMBUPS
FTPQIBHFBMDBODFS  HSPXUIGBDUPS
FTPQIBHFDUPNZ IPBSTFOFTT
FYBNJOBUJPO MBSZOHFBM )PSOFSTTZOESPNF  +
IVNBOJOTVMJOMJLFHSPXUIGBDUPS
I*('
 KPTUMFTJHO
' IZBMVSPOBO TFFIZBMVSPOJD
BDJE )"

GBTDJB  IZBMVSPOJDBDJE )"


    -
GBU 
m IBSWFTU  m DPNQMJDBUJPOT MBSHFBNQMJUVEFNPUPSVOJU
'&&4 TFFCFSPQUJDFOEPTDPQJD m JOKFDUJPO MBSZOHFBM
FWBMVBUJPOPGTXBMMPXJOH m SFTPSQUJPO  m EZTUPOJB TFFTQBTNPEJD
CFSPQUJDFOEPTDPQJDFWBMVBUJPOPG m BMMFSHZ EZTQIPOJB
TXBMMPXJOH '&&4
  IZESPDFQIBMVT m FMFDUSPNZPHSBQIZ TFFFMFDUSP
CSJMMBUJPO IZESPYZMBQBUJUFJNQMBOU 7P$P.
 NZPHSBQIZ
V TFFJOVFO[B  m QBDJOH TFFGVODUJPOBMFMFDUSJDBM
GPSDFQTEFMJWFSZ m BJSXBZDPNQSPNJTF TUJNVMBUJPO
GSBNFXPSLTVSHFSZ TFFNFEJBMJ[B m DPNQMJDBUJPOT m USBOTQMBOUBUJPO
UJPOMBSZOHPQMBTUZ m IFNBUPNB m VMUSBTPVOE
GVODUJPOBMFMFDUSJDBMTUJNVMBUJPO m SFWJTJPO MBSZOHPTDPQZ
QBDJOH
     m UIZSPQMBTUZ m CFSPQUJD
m BTQJSBUJPO IZQFSGVODUJPO TVQSBHMPUUJD  m JOEJSFDU
m EFHMVUJUJWF IZQFSGVODUJPOBMDPNQFOTBUJPO m SJHJE
m GPSBCEVDUJPO   MBSZOHPTUSPCPTDPQZ TFFTUSPCPT
m GPSMBSZOHFBMUSBOTQMBOUBUJPO IZQFSUIZSPJEJTN DPQZ
 IZQPHMPTTBMOFSWF TFFOFSWF  MBTFS DBSCPOEJPYJEF
m GPSTXBMMPXJOH IZQPHMPTTBM MBUFSBMJ[BUJPO
m GPSWPJDF m BSZUFOPJE
m JOTQBTNPEJDEZTQIPOJB m WPDBMGPME 
m QBUUFSO * MBUFSPYBUJPO
m SFDVSSFOUMBSZOHFBMOFSWF  -&.( TFFFMFDUSPNZPHSBQIZ
   JEJPQBUIJDWPDBMGPMEQBSBMZTJT  MJHBNFOU
TFFWPDBMGPMEQBSBMZTJT  m JOGFSJPSDSJDPUIZSPJE
JEJPQBUIJD m PG#FSSZ
( JOGFSJPSDFSWJDBM OPEPTF
 MJHBNFOUVNBSUFSJPTVN
HBOHMJPO MJHBUJPOPGBQBUFOUEVDUVT
HBOHMJPO JOGFSJPSDFSWJDBM JOVFO[B V
 BSUFSJPTVT
OPEPTF
 JOKFDUJPOBVHNFOUBUJPO   MJQPJOKFDUJPO TFFJOKFDUJPO 
HFMGPBNJODIJMESFO         BVUPMPHPVTGBU
HFOFUIFSBQZ   MJQPTVDUJPO
(PSFUFY TFFQPMZUFUSBVPSP m EJSFDUNJDSPMBSZOHPTDPQZ MPCFDUPNZ
FUIZMFOF FYQBOEFE m JOEJSFDUMBSZOHPTDPQZ MVOHDBODFS
3UBJECT)NDEX 

-ZNFCPSSFMJPTJT m VOJU  m mSFQBJSPG


MZNQIPNB m mBDUJPOQPUFOUJBM m TQJOBMBDDFTTPSZ
.15 TFFNBYJNVNQIPOBUJPO m TUJNVMBUPS TFFOFVSPQSPTUIFTJT
UJNF m TVQFSJPSMBSZOHFBM     
. .3* TFFNBHOFUJDSFTPOBODF  
JNBHJOH m mEFTDFOEJOHEJWJTJPO
NBHOFUJDSFTPOBODFJNBHJOH .3*
 NVMUJQMFTDMFSPTJT m mFYUFSOBMCSBODI 
   NVTDMF m m(BMFOTBOBTUPNPTJT 
NBMJHOBODZ   m DSJDPBSZUFOPJE m mJOKVSZ
NBYJNVNQIPOBUJPOUJNF .15
 m DSJDPQIBSZOHFVT    m mJOUFSOBMCSBODI  
    m DSJDPUIZSPJE $5
     m mNJEEMFEJWJTJPO
NFEJBMJ[BUJPOMBSZOHPQMBTUZ   m mTVQFSJPSEJWJTJPO
      m GBTUUXJUDIUZQF**CFST m WBHVT  
m CJMBUFSBM  m (BMFOTBOBTUPNPTJT OFVSBQSBYJB
m DBSUJMBHF m JOGFSJPSQIBSZOHFBM OFVSPNVTDVMBS
m DPNQMJDBUJPOT DPOTUSJDUPS m KVODUJPO
m (PSFUFY m JOUFSBSZUFOPJE *"
    m QFEJDMF  
m IZESPYZMBQBUJUF   m QMBTUJDJUZ
m JNQMBOUFYUSVTJPO m MBUFSBMDSJDPBSZUFOPJE -$"
 OFVSPQSPTUIFTJT
m JNQMBOUNBMQPTJUJPO    m QSPCMFNT
m PWFSNFEJBMJ[BUJPO m QPTUFSJPSDSJDPBSZUFOPJE 1$"
 OFVSPQSPTUIFUJDEFWJDF TFFOFVSP
m QFSGPSBUJPO     m    QSPTUIFTJT
m QFSTJTUFOUHMPUUJDHBQ  OFVSPSSIBQIZ  
m QPTUPQFSBUJWFBJSXBZ m TMPXDPOUSBDUJOHUZQF*CFST m SFDVSSFOUMBSZOHFBMOFSWF
PCTUSVDUJPO   
m SFWJTJPO m TMPXUXJUDIUZQF*CFST OFVSPUNFTJT 
m TJMBTUJD m UIZSPBSZUFOPJE 5"
    /.1 
m UFDIOJRVFm      OPEPTFHBOHMJPO TFFHBOHMJPO 
m UJNJOH m UZQF* TMPXUXJUDI
CFST JOGFSJPSDFSWJDBM
m UJUBOJVN m UZQF** GBTUUXJUDI
CFST OVDMFVT
m VOEFSDPSSFDUJPO   m BNCJHVPVT
m VOTBUJTGBDUPSZWPJDFSFTVMU m WPDBMJT  m SFUSPGBDJBM
 NZBTUIFOJBHSBWJT  m USBDUVTTPMJUBSJVT
m JODIJMESFO NZPLZNJB
NFEJBTUJOBM NZPTJOIFBWZDIBJO .)$
 
m NFUBTUBTFT 0
m QSPDFEVSF
.)$ TFFNZPTJOIFBWZDIBJO / PSHBOPQIPTQIBUF
NJDSPOJ[FEBDFMMVMBSEFSNJT 0SUOFSTDBSEJPWPDBMTZOESPNF
$ZNFUSB
    OBTPHBTUSJDUVCFJOTFSUJPO  
m BMMFSHJDSFBDUJPOT OFSWF PVUDPNFTDBMF
m DPNQMJDBUJPOT m BOBTUPNPTJTPG(BMFO  
m JODIJMESFO m BOTBDFSWJDBMJT
m QSFQBSBUJPO  m DPNNVOJDBUJOH 1
m WJSBMUSBOTNJTTJPO m DSJDPJEBOBTUPNPTJT
m "MMPEFSN m GPSMBSZOHFBMSFJOOFSWBUJPO  QBDJOH TFFGVODUJPOBMFMFDUSJDB
m IPNPMPHPVTEFSNJT IZQPHMPTTBM TUJNVMBUJPO
NJUPNZDJO m HMPTTPQIBSZOHFBM QBMBUBMQBSBMZTJT
NPEJFECBSJVNTXBMMPX   m IZQPHMPTTBM m QBSBO 
 m JOUFSBSZUFOPJEQMFYVT QBSBHBOHMJPNB
.POUHPNFSZUIZSPQMBTUZJNQMBOU m SFDVSSFOUMBSZOHFBM    QBSBMZUJDGBMTFUUP
TZTUFN          QBSFTJT    
m DPNQMJDBUJPOT m 1BSLJOTPOTEJTFBTF
m SFTVMUT m mBEEVDUPSEJWJTJPO QBUFOUEVDUVTBSUFSJPTVT
.PSSJTPOQSPDFEVSF m mDFSWJDBMTFHNFOU m MJHBUJPO
NPUPS m mQSJNBSZ QFSJDBSEJBMFVTJPO
m JOOFSWBUJPO m mSFBOBTUPNPTJT  QMFVSJUJT
 3UBJECT)NDEX

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