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Supervisor
Gunta Sumeraga

Study Course Description

Course Description Statuss:Approved
Course Description Version:6.00
Study Course Accepted:13.02.2020
Study Course Information
Course Code:ORLK_001LQF level:Level 6
Credit Points:3.00ECTS:4.50
Branch of Science:Medicine; OtorhinolaryngologyTarget Audience:Medicine
Study Course Supervisor
Course Supervisor:Gunta Sumeraga
Study Course Implementer
Structural Unit:Department of Otorhinolaryngology
The Head of Structural Unit:Gunta Sumeraga
Contacts:Rīga, Pilsoņu iela 13, VSIA P.Stradiņa KUS, 23.korpuss, otorinokatatrsu[pnkts]lv, +371 67615148
Study Course Planning
Full-Time - 1. Semester No.
Lectures (number)9Lecture Length (academic hours)2Total Contact Hours of Lectures18
Classes (number)7Class Length (academic hours)3Total Contact Hours of Classes21
Total Contact Hours39
Lectures (number)Lecture Length (academic hours)Total Contact Hours of Lectures0
Classes (number)7Class Length (academic hours)3Total Contact Hours of Classes21
Total Contact Hours21
Study course description
Preliminary Knowledge:
Anatomy, physiology, including pathological physiology, acoustics and general surgery. Recommended knowledge in roentgenology and radiology, oncology, infectious diseases and neurology.
Objective:
Give students knowledge about the role of otorhinolaryngology in general pathology, to acquaint students with clinical symptoms, current diagnostic, treatment and prophylaxis of ENT diseases and to develop necessary skills in clinical examination of the ENT organs.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Clinical Anatomy and Physiology of the Nose, Paranasal Sinuses, Oral Cavity and Middle Part of the Pharynx Class test. Practical work with the aim to acquire external and endoscopic examination methods of the nose, paranasal sinuses, oral cavity and middle part of the pharynx. Examination of respiratory and olfactory functions of the nose. Independent work. Diagnostic and treatment manipulations: anterior rhinoscopy, pharyngoscopy, vasoconstriction of the nasal mucosa.Classes1.00clinical base
2Clinical Anatomy and Physiology of the Nasopharynx, Hypopharynx and Larynx. Pharyngeal Lymphoid Ring: Structure and Physiology Class test. Practical work with the aim to acquire examination methods of the lower pharynx, nasopharynx, neck and larynx. Self-dependent work. Posterior rhinoscopy, indirect (mirror) laryngoscopy. Bacteriological and cytological investigation methods. Neck palpation. Voice evaluation methods.Classes1.00clinical base
3Clinical Anatomy and Physiology of the Outer, Middle and Inner Ear. Physiology of Hearing and Vestibular System Class test. Practical work with the aim to acquire external examination methods of the auricle and mastoid process, otoscopy, otomicroscopy, hearing evaluation with speech voice and tuning forks. Pure tone audiometry. Tympanometry. Objective hearing testing methods. External ear canal cleansing and irrigation.Classes1.00clinical base
4Colloquium - Written part about anatomy, physiology and investigation methods of the ENT organs. Practical part: demonstration of ENT organs examination methods (anterior/porterior rhinoscopy, pharyngoscopy, indirect laryngoscopy, otoscopy)Classes1.00clinical base
5Acute and Chronic Pharyngitis, Tonsillitis. Deep Neck Infections Class test. Aetiology, pathogenesis, diagnostics, differential diagnosis, treatment and working ability. Tonsillar hypertrophy, sleep apnea. Complications. Cervical lymphadenitis. Indications and contraindications of the surgical treatment. Practical work. Patient investigation or/and clinical case discussion.Classes1.00clinical base
6Rhinitis. Acute and Chronic Rhinosinusitis. Intracranial and Intraorbital Complications Class test. Discussion of aetiology, pathogenesis, diagnostics, treatment and working ability. Additional examination methods of the paranasal sinuses: radiological investigations, diagnostic punctures of the paranasal sinuses. Complications. Practical work. Patient investigation or/and clinical case discussion.Classes1.00clinical base
7Acute and Chronic Otitis Media. Diseases of the Auricle and External Auditory Canal. Intratemporal and Intracranial Complications Class test. Discussion of the aetiology, pathogenesis, diagnostics, treatment and working ability. Radiological investigation methods of the mastoid process, pyramidal part of the temporal bone. Ear surgery. Complications. Otosclerosis. Practical work. Patient investigation or/and clinical case discussion.Classes1.00clinical base
8Introduction in Otorhinolaryngology. Rhinosinusitis. Nasal Obstruction Symptoms of nasal diseases in patients with systemic disorders. Non-allergic rhinitis: occupational, medicamentous, hormonal, idiopathic, atrophic. Clinical symptoms, causes and treatment tactics. Nasal obstruction: causes, classification, diagnostic methods, treatment tactics. Allergic rhinitis: classification, diagnostic methods, pharmacological treatment.Lectures1.00E-Studies platform
9Acute and Chronic Tonsillitis, Differential Diagnosis, Complications Aetiology, classification, pathogenesis, symptoms, diagnostics, differential diagnosis and therapy of tonsillitis. Potential complications of tonsillitis, diagnostics and treatment.Lectures1.00E-Studies platform
10Inflammatory Outer, Middle and Inner Ear Diseases Inflammation of the outer ear: aetiology, classification, pathogenesis, clinical symptoms. Acute middle ear inflammation: classification, complications, treatment plan. Chronic middle ear inflammation: classification, complications, treatment. Labyrinthitis: aetiology, classification, pathogenesis, clinical symptoms, diagnostics and treatment plan.Lectures1.00E-Studies platform
11Trauma of the ENT Organs. Foreign Bodies. Laryngeal Stenosis Acute situations in ENT praxis. Diagnostic methods, first aid principles, potential complications. Epistaxis, facial and temporal bone fractures. Foreign bodies in ENT organs, diagnostics and management, potential complications. Laryngeal stenosis: clinical symptoms, aetiology, diagnostics, first aid and treatment.Lectures1.00E-Studies platform
12Granulomatous diseases in ENT organs. Manifestations of granulomatous diseases in ENT organs: symptoms, clinics, diagnostics, treatment.Lectures1.00E-Studies platform
13Hearing Impairment and Peripheral Vestibular Disorders Hearing impairment aetiology, classification, diagnostics and treatment options. Hearing screening in new-borns. Indications for hearing aids, BAHA and cochlear implantation. Vestibular vertigo symptoms and clinical manifestations, nystagmus. Vestibular vertigo aetiology, diagnostic methods and treatment options.Lectures1.00E-Studies platform
14Laryngeal Inflammatory Diseases Classification, aetiology and pathogenesis, clinics, diagnostics, potential complications and treatment methods of laryngeal inflammatory diseases. Laryngopharyngeal reflux disease, clinical manifestations and treatment options.Lectures1.00E-Studies platform
15Paediatric ENT Diseases Waldeyer’s ring, structure of tonsillar tissue, immunological function in children. Clinical classification of tonsillar diseases. Acute and chronic tonsillitis in children, lymphoid tissue hyperplasia. Local diseases of the tonsils. Adenoids and adenoiditis. Tonsillitis differential diagnosis and treatment options in children.Lectures1.00E-Studies platform
16ENT Oncology Head and neck tumours. Clinics, diagnostics, TNM classification, principles of treatment, prognosis.Lectures1.00E-Studies platform
17Acute and Chronic Laryngitis. Functional Voice Disorders. Vocal Cord Paralysis. Laryngeal Stenosis. Tracheostomy Class test. Revision of the practical examination methods- anterior and posterior rhinoscopy, pharyngoscopy, indirect laryngoscopy, otoscopy and neck palpation. Patient investigation or/and clinical case discussion.Classes1.00clinical base
18Hearing Disorders. Peripheral Vestibular Disorders. Meniere Disease. Tinnitus. BPPV. Hearing Rehabilitation Class test. Aetiology, diagnostics, treatment. Hearing rehabilitation options. Tinnitus. Benign paroxysmal positional vertigo (BPPV). Meniere disease, vestibular neuritis. Practical work. Patient investigation or/and clinical case discussion.Classes1.00clinical base
19Injuries and Foreign Bodies of the ENT Organs. Epistaxis Class test. Aetiology, therapy in case of epistaxis, nasal tamponade. Fractures of the nose and paranasal sinuses, management principles. Trauma of the external ear, temporal bone fracture. Acoustic traumas. Laryngeal traumas. Frost bits, chemical burns of the upper airways. Foreign body removal, emergency situations. Practical work. Patient investigation or/and clinical case discussion.Classes1.00clinical base
20Head and Neck Tumours Class test. Diagnosis and treatment methods. Early symptoms of the malignant tumours of the nose, paranasal sinuses, pharynx and larynx. TNM classification, staging. Inspection of the head and neck, metastasis in the cervical lymph- nodes. Care of the patients with tracheotomy after surgical and/or radiation therapy. Rehabilitation after postoperative functional lesions and cosmetic defects. Laryngeal papillomatosis.Practical work. Patient investigation or/and clinical caseClasses1.00clinical base
21Paediatric Otolaryngology. Consultation in Paediatrics. Adenotonsillar Diseases. Secretor Middle Ear Inflammation. Hearing Impairment in Paediatric Population, Rehabilitation Options. Most Common Craniofacial Syndromes. Head and Neck Tumours. Congenital Malformations. Class test. Practical work. Patient investigation or/and clinical case discussion.Classes1.00clinical base
22Clinical and Practical Class Class test. Most common ENT organ pathologies. Practical work. Patient investigation with examination and treatment plan formulation or/and clinical case discussion.Classes1.00clinical base
23Presentation of the clinical scenarios. Discussion, questions about the course content.Classes1.00clinical base
Assessment
Unaided Work:
Students independently acquire skills in the ENT organ investigation. At the end of the course students present a clinical case and academic report.
Assessment Criteria:
1) Assessment of theoretical knowledge held at the beginning of every practical class in a format of MCQ test (Multiple Choice Questions) about individually read material and literature about the topic. 2) Colloquium during 5th semester is held on the 4th practical class. Colloquium consists of two parts – theoretical and practical part. Students’ theoretical knowledge is evaluated during two open (written) questions about ENT organ clinical anatomy, physiology and investigation methods, and practical skills in ENT organ investigation during individual demonstration of specific manipulations. 3) Final examination – computerized MCQ (Multiple Choice Question) test is held at the end of the 6th semester during examination period. During the exam students’ theoretical knowledge about aetiology, pathogenesis, clinical manifestations, diagnostics, treatment principles and prophylaxis of ENT organ diseases are evaluated.
Final Examination (Full-Time):Exam (Written)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:Upon successful completion of the course students will have acquired knowledge and will be able to: • characterise clinical anatomy of the nose and paranasal sinuses, pharynx, larynx and ear, outline physiology of the ENT organs and their main functions; • describe structure, principle of function and possible impairment of hearing and vestibular apparatus; • explain production of the speech, language and voice; • identify diseases of the ear, neck and nose; • classify treatment methods and organize treatment plan; • timely recognize complications of the diseases, in case of complicated and challenging treatment be able to organize multidisciplinary cooperation; • explain peculiarities of ENT organs in different age groups.
Skills:Upon successful completion of the course students: • demonstrate skills and abilities in endoscopic examination of the ENT organs; • are able to interpret results obtained by additional tests: rhinomanometry, hearing tests and radiological investigation; • explain and recommend methods for preventing ear and throat diseases and ear hygiene methods to the patients and/or their parents; • comprehend pharmacological and surgical treatment methods of the ENT organ diseases.
Competencies:• Are capable to plan their scientific thesis, use the results from the evidence based clinical trials found in literature overviews; • justify own opinion in planning treatment for a ENT disease; • gauge and give prognosis of the disease results; • know risk factors, treatment methods and prognosis affecting factors of the oncological diseases in the ENT organs.
Clinical Skills:
No.SkillLevel
1Anterior rhinoscopyB1 - Pre-clinical (training equipment)
2Finger-nose testA - Theoretical
3Indirect laryngoscopyB1 - Pre-clinical (training equipment)
4Otoscopy with the head lampB1 - Pre-clinical (training equipment)
5PharyngoscopyB1 - Pre-clinical (training equipment)
6Posterior rhinoscopyB1 - Pre-clinical (training equipment)
7Rinne testA - Theoretical
8Romberg testA - Theoretical
9Weber testA - Theoretical
Bibliography
No.Reference
1Basic Otorhinolaryngology A Step-by-Step Learning Guide. R.Probst, G.Grevers, H.Iro Themie 2006, p. 430
2Ballenger’s Otolaryngology: Head and Neck Surgery (17th edition). Authors: Snow, James B. Wackym, P. Ashley. PMPH USA, Ltd, 2009.
3T.Metin Onerci. Diagnosis in Otorhinolaryngology An Illustrated Guide. Springer 2009, p. 178
4ABC of Ear, Nose and Throat (6 th edition). Harold S. Ludman, Patrick Bradley, and Patrick J. Bradley 2012.
5Head and Neck Cancer : Treatment, Rehabilitation, and Outcomes Dr Elizabeth C Ward and Corina J van As-Brooks 2014.
6Rosen's Emergency Medicine: Concepts and Clinical Practice, Ninth Edition; 2018 (Chapter 62 Otorhinolaryngology)
7Cummings Otolaryngology, Sixth Edition. Flint MD, Paul W., Haughey MD FACS, Bruce H., Lund CBE MS FRCS FRCSEd, Valerie J., Niparko MD, John K., Robbins MD FACS, K. Thomas 2016.
8Human Anatomy, Color Atlas and Textbook, Sixth Edition (2017) (Chapter 7: Head and Neck)
9Bailey's Head and Neck Surgery—Otolaryngology (5th Edition) Jonas T. Johnson.
10Lekciju materiāli e-studijās.
1Otorhinolaryngology, Head & Neck Surgery. European Manual of Medicine. M.Anniko, M,Bernal Sprekelsen, V.Bonkowsky, P.Bradley, S.Iurato. Springer 2010, p.737
2Pediatric Audiology. Diagnosis, Technology and Management. J.R.Madell, C.Flexer, Themie 2009, p. 329
3Survey of Audiology Fundamentals for Audiologists and Health Professionals. David A DeBonis, Konstance L.Dondrue 2nd ed. P. 538
4Otolaryngology Research Advances: Obstruction Sleep Apnea: Ccauses, Treatment and Health Implication Author: Sacchetti, Lisandro M. Mangiardi, Priscilla Publisher: Nova Sciense Publishers, Inc 2012
5Imaging for Otolaryngologists Author.Dunnebier, Erwin Publisher: TIS, 2011
6Functional and Selective Neck Dissection Authors: Gavilon, Javier Herianz, Jesus De Santa, Lawuna W Publisher: Themie Medical Publishers, Inc 2002
7Literatūras avoti meklējami RSU abonētajā datu bāzē- Ebrary eBooks, Clinikal Key un RSU bibliotēkas lasītavā
1RSU e-studiju vide