VLOT7X1c Otorhinolaryngology - practice

Faculty of Medicine
Autumn 2017
Extent and Intensity
0/3/0. 2 credit(s). Type of Completion: z (credit).
Teacher(s)
MUDr. Hana Binková, Ph.D. (seminar tutor)
MUDr. Michaela Máchalová, Ph.D. (seminar tutor)
Jaroslava Plavajka (seminar tutor)
MUDr. Jan Rottenberg, Ph.D. (seminar tutor)
doc. MUDr. Pavel Smilek, Ph.D. (seminar tutor)
prof. MUDr. Ivo Šlapák, CSc. (seminar tutor)
MUDr. Pavla Urbánková, Ph.D. (seminar tutor)
Eva Podborská (assistant)
Bc. Ing. Martina Zatloukalová (assistant)
Guaranteed by
doc. MUDr. Břetislav Gál, Ph.D.
Department of Otorhinolaryngology and Head and Neck Surgery – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine
Contact Person: Eva Podborská
Supplier department: Department of Otorhinolaryngology and Head and Neck Surgery – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine
Prerequisites
VLPF0622p Pathophysiol. II - lect. && VLPA0622p Pathology II - lecture && VLIM051p Immunology - lecture && VLLM0522p Medical Microbiology II - lect && VLLP0633c Clinical Introduction III - practice
Knowledge od theoretical discipline, especially anatomy and physiology.
Course Enrolment Limitations
The course is only offered to the students of the study fields the course is directly associated with.
fields of study / plans the course is directly associated with
Course objectives
Otorhinolaryngology and head and neck surgery deals with region of head, neck and partially thorax. Technical development of recent years allowed impressive development both as regards diagnosis and treatment. In basic evaluation methods Otorhinolaryngology remains very demanding as for time and technical skillfulness. Very deeply placed spaces of ear, nose, epipharynx, larynx, trachea, oesophagus and region of skull base demand by evaluation and surgery extraordinary ability of orientation, skillfulness, patients and fineness. ENT organs are also very sensitive for perception of pain and abundant reflexes. It all is necessary to respect in training evaluating skill in scholarship. Otorhinolaryngology was one of the first disciplines which use in surgery microscope. Disease of ENT organs is very frequent and ENT used to be placed on third place (behind internal medicine and surgery) as for number of patients. For general practitioner is ENT region very important, because it creates about 30 % of his patients in out patient room. In pediatric out patient room is this percentage even higher. In Otorhinolaryngology there is also a big amount of emergency and first aid diagnosis which are a threat do death (Bleeding, dyspnea, foreign bodies, corrosions and scalds, sudden hearing loss, acute vertigo etc). Every physician should to be informed about their urgent treatment.
Learning outcomes
After completing lectures student will be able: - to do basic otorhinolaryngologic assessment - to recognize normal finding in evaluated person - to suggest another medical tests in any pathology - to suggest basic treatment
Syllabus
  • 1st day (Monday, FNUSA) The hearing and balance system, applied anatomy and physiology, methods of investigation, inspection, palpation, otoscopy - practical training. The basic pathological finding on the ear drum I. - slides, demonstrations of patients. Video - function of hearing system, otoacustic emisions (OAE). 2nd day (Tuesday, FNUSA) Radiography of the temporal bone (Schueller´s view, Stenvers´ view, CT), surgical treatment of acute and chronic Otitis Media, reconstructive surgery. Practical course and operating theatre. Stapedotomy - video demonstration. Video: FESS, slides: Ear II, Nose. Nose and paranasal sinuses, applied anatomy and physiology, external inspection and palpation, anterior rhinoscopy - practical course, radiology of the sinuses, classical radical treatment and functional endoscopic sinus surgery (FESS) - video demonstration. Patologic findings - slides. 3rd day (Wednesday, FNUSA) Nasopharynx and oropharynx - applied anatomy and physiology, posterior rhinoscopy - practical training, investigation of the oral cavity and salivary glands, Waldayer´s lymphoepithelial ring, functional assessment of the Eustachian tube. Patologic findings - slides. The correction of saddle nose - videodemonstration 4th day (Thursday, FDN) Congenital anomalies of the ear, types of disorder, possibilities of treatment, slides. Otitis media acuta – etiology, otoscopy, diagnosis, therapy – slides, pathologic findings, video demonstration – paracenthesis. Complications of middle ear inflammation, therapy, video demonstration – antromastoidectomy. Chronic inflammation of the middle ear – focused on children´s age – etiology, diagnosis, therapy, video demonstration – implantation of pressure equalizing tube, myringoplasty. Practical training – otoscopy, presence in evaluation of children patient in outpatient room, presence in operating theathre. 5th day (Friday, FDN) Nasopharynx and oropharynx - applied anatomy and physiology, posterior rhinoscopy - practical training, Waldayer´s lymphoepithelial ring, - focused on children´s age. Acute and chronic inflammations in tonsil´s region, obstructive sleep apnoe syndrome, evaluation, therapy. Video demonstration – tonsilotomy. Practical training – evaluation of nasopharynx and oropharynx. 6th day (Monday, FNUSA) Hypopharynx and Larynx - applied anatomy and physiology, methods of investigation - indirect laryngoscopy and hypopharyngoscopy – practical training, functional disorders of the larynx. Dyspnoe, tracheotomy – video demonstration. 7th day (Tuesday, FDN) Functional endoscopic sinus surgery (FESS) focused on children´s age, surgery of choanal atresia, dacryocystorhinostomy. Development of paranasal sinuses, acute and chronic inflammations, complications and their resolution - video demonstrations. Patologic findings - slides. Foreign bodies in otorhinolaryngology – evaluation, methods of extraction, bronchoscopy. Practical training – evaluation of larynx, hypopharynx, rhinoscopy, external neck. 8th day (Wednesday, FNUSA) Cervical lymphatic system - applied anatomy and physiology, methods of investigation - practical training. Differential diagnosis of tumors of neck. Head and neck cancer - strategy of treatment. Endoscopy (Microlaryngoscopy and bronchoscopy) - in Otolaryngology. Video demonstration - Restoration of the voice by endolaryngeal surgery.
Literature
    required literature
  • KLOZAR, Jan. Speciální otorinolaryngologie. 1. vyd. Praha: Karolinum, 2005, 224 s. ISBN 8024611252. info
  • UCHYTIL, Bořivoj, Pavel SMILEK, Rom KOSTŘICA and Miroslav NOVOTNÝ. Vyšetřovací metody a základní diagnostika v otorinolaryngologii (Methods of investigation and basic diagnosis in otorhinolaryngology). 1st ed. Praha: Triton, 2002, 254 pp. Edice Levou zadní. ISBN 80-7254-190-0. info
    recommended literature
  • ČADA, Karel. Základy otorinolaryngologie. 2. podstatně přeprac. vyd. Brno: Masarykova univerzita, 1996, 250 s. ISBN 80-210-1342-7. info
  • SMILEK, Pavel, Rom KOSTŘICA, Zdenek MECHL and Vladimír SPURNÝ. Maligní nádory hlavy a krku (Head and neck malignant tumors). In Diagnostické a léčebné postupy u maligních chorob. 1st ed. Praha: Grada Publishing, spol. s r.o., 2002, p. 21-31. ISBN 80-7169-792-3. info
  • Hybášek Ivan: Ušní, nosní a krční lékařství
  • ŠLAPÁK, Ivo. Dětská otorinolaryngologie. 1. vyd. Praha: Mladá fronta, 2013, 333 s. ISBN 9788020429001. info
  • UCHYTIL, Bořivoj. Vyšetřovací metody a základní diagnostika v otorinolaryngologii. 1. vyd. Praha: Triton, 2002, 254 s. ISBN 8072541900. info
  • ČADA, Karel. Základy otorinolaryngologie. 2. podstatně přeprac. vyd. Brno: Masarykova univerzita, 1996, 250 s. ISBN 80-210-1342-7. info
  • Colour atlas of otorhinolaryngology :slide collection : The ear. Edited by Bruce Benjamin. 1st ed. London: Martin Dunitz, 1995, 200 diapoz. ISBN 1-85317-278-2. info
  • Manual of middle ear surgery :mastoid surgery and reconstructive procedures. Edited by Mirko Tos. [1st ed.]. Stuttgart: Georg Thieme Verlag, 1995, xii, 432 p. ISBN 3-13-114901-9. info
  • BECKER, Walter, Hans Heinz NAUMANN, Carl Rudolf PFALTZ and Richard A. BUCKINGHAM. Ear, nose and throat diseases : a pocket reference. 2nd rev. ed. Stuttgart: Thieme, 1994, xiv, 583. ISBN 3136712021. info
Teaching methods
Lectures, practical training of basic ENT evaluation, video sessions, presentations by professionals in the inpatient ward and operating theatre.
Assessment methods
Attendance in practices and seminars is compulsory; the presence of students is recorded. Teaching methods: lectures, discussion, practical training in ENT evaluation, presentation of individual cases – videos, pictures, watching surgery in operating theatre. Final appreciation- student will prove his ability to provide ENT examination and recognize normal ENT finding.
Language of instruction
Czech
Further comments (probably available only in Czech)
The course can also be completed outside the examination period.
The course is taught each semester.
The course is taught: in blocks.
Listed among pre-requisites of other courses
The course is also listed under the following terms autumn 2018, spring 2019, autumn 2019, spring 2020, autumn 2020, spring 2021, autumn 2021, spring 2022, autumn 2022, spring 2023, autumn 2023, spring 2024, autumn 2024, spring 2025.
  • Enrolment Statistics (Autumn 2017, recent)
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