aVLOT7X1p Otorinolaryngologie - přednáška

Lékařská fakulta
jaro 2019
Rozsah
1/0/0. 15. 2 kr. Ukončení: zk.
Vyučující
MUDr. Hana Binková, Ph.D. (přednášející)
prof. MUDr. Rom Kostřica, CSc. (přednášející)
MUDr. Michaela Máchalová, Ph.D. (přednášející)
MUDr. Jan Rottenberg, Ph.D. (přednášející)
doc. MUDr. Pavel Smilek, Ph.D. (přednášející)
prof. MUDr. Ivo Šlapák, CSc. (přednášející)
MUDr. Pavla Urbánková, Ph.D. (přednášející)
Jaroslava Plavajka (pomocník)
Eva Podborská (pomocník)
Jana Puklová (pomocník)
Bc. Ing. Martina Zatloukalová (pomocník)
Garance
doc. MUDr. Břetislav Gál, Ph.D.
Klinika otorinolaryngologie a chirurgie hlavy a krku – Společná pracoviště s Fakultní nemocnicí u sv. Anny v Brně – Lékařská fakulta
Kontaktní osoba: Monika Pokorná
Dodavatelské pracoviště: Klinika otorinolaryngologie a chirurgie hlavy a krku – Společná pracoviště s Fakultní nemocnicí u sv. Anny v Brně – Lékařská fakulta (60,00 %), Klinika dětské otorhinolaryngologie – Společná pracoviště s Fakultní nemocnicí Brno - pracoviště dětské medicíny – Lékařská fakulta (40,00 %)
Předpoklady
aVLPF0622p Patologická fyziol. II - př && aVLPA0622p Patologie II - před. && aVLIM051p Imunologie - přednáška && aVLLM0522p Lékařská mikrobiologie II -př. && aVLLP0633c Propedeutika III - cv.
Knowledge of theoretical discipline, especially anatomy, physiology, pathological physiology, surgical propaedeutics, microbiology, immunology, pharmacology.
Omezení zápisu do předmětu
Předmět je určen pouze studentům mateřských oborů.
Mateřské obory/plány
Cíle předmětu
Main objectives of the otorhinolaryngologic course are to give information about applied anatomy and physiology of head and neck and to teach students basic principles of diagnosis and treatment of head and neck diseases.
Výstupy z učení
After completing lectures student will be able: - to do basic otorhinolaryngologic assessment - to recognize normal finding in evaluated person - to suggest other medical tests in any pathology - to suggest basic treatment
Osnova
  • Odb. as. MUDr. Jan Rottenberg, Phd., odb. as.MUDr. T.Talach: Basic principles of Audiology Hearing disorder; audiometry – fundamental physical and acoustic concepts; Pure-Tone Audiometry, Speech audiometry, Electric response audiomtery, Otoacustic emissions; hearing aids; cochlear implant. As. MUDr. Rottenberg Jan, PhD.: Basics of neurootology odb. as. MUDr. B.Gál, Ph.D., Odb. as. MUDr. Eva Tóthová: Diseases of thyroid gland, especially tumors, surgical treatment. The lecture summarizes basic methods of investigation in neurootology. It is divided into the four basic themes: 1. Olfactometry - investigation of smell, differential diagnosis of smell disorders 2. Gustometry - investigation of taste, hypogeusia and ageusia as a symptom, diagnostic consequences 3. Audiometry - summary of methods (this theme is a subject of other lecture) 4. Equilibriometry - investigation of vestibular organs, differential diagnosis of vestibular disorders. The lecturer supposes a basic knowledge from anatomy and physiology of sensory organs and basic knowledge of neurology (vestibular disorders) Odb. as. MUDr. Rottenberg Jan, PhD., Odb. as. MUDr. Jan Hanák: Clinical anatomy of anterior and lateral skull base, Up to date concept of diagnosis and treatment of rhinosinusitis (EPOS), Snoring and obstructive sleep apnea The lecture summarizes important data of topographical anatomy of the skull base from the clinical point of view and its practical consequences to clinical symptomatology of skull base diseases, operation techniques and approaches and its complications: 1. Anatomy, development and variability of paranasal sinuses, functional endoscopic sinus surgery and its complications 2.Classification of rhinosinusitis, European position paper on rhinosinusitis and nasal polyposis 3. treatment of Snoring and obstructive sleep apnea 5. Types of facial nerve palsy and their topodiagnostics 6. The subject of skull base surgery The lecturer supposes a basic anatomical knowledge and basic orientation in Otolaryngology. Ass. prof. MUDr. P. Smilek, PhD., Odb. as. MUDr. B.Gál, Ph.D.: Emergency and First Aid Procedures 1. Bleeding (nasal, form larynx, trachea, oesophagus and ear) 2. Dyspnea( differential diagnosis, tracheotomy, intubation, care of tracheostomy) 3. Foreign bodies ( in the hypopharynx, esophagus, larynx, trachea,bronchi, nose and ear) 4. Corrosion and scalds ( in the mouth and oesophagus) Ass. prof. MUDr. P. Smilek, PhD.: Basics principles in ENT Oncology 1. Etiology 2. Prognosis of Head and Neck Cancer 3. The basic strategy of treatment 4. Treatment of lymph node metastasis 5. Cancer of the nose and paranasal sinuses 6. Cancer of the epipharynx 7. Cancer of the Oropharynx 8. Cancer of the Larynx 9. Follow up Odb. as. MUDr. Pavla Urbánková, PhD.: Serious complications of inflammatory disease in ENT; Uniqueness of inflammatory disease in ENT; Primary sources of inflammation; Mastoiditis acuta; Otogenic infective complications; Intracranial complications of I. phase and II. phase; Primary source: Nose – Sinusitis; Nasal furuncle; Orbital sinusitis complications; Possible intracranial complications of sinusitis; Primary source: Oral cavity Base of oral cavity; Cheilitis; Primary source: pharynx; Abscessus et phlegmona peritonsillaris; Abscessus et phlegmona parapharyngealis; Sepsis tonsillogenes (angina septica, sepsis post anginam, trombophlebitis v. jug. int.); Mediastinal complications of deep neck inflammation
Literatura
  • BEHRBOHM, Hans, Walter BECKER, Hans Heinz NAUMANN a Carl Rudolf PFALTZ. Ear, nose, and throat diseases : with head and neck surgery. 3rd ed. Stuttgart: Thieme, 2009, x, 461. ISBN 9783136712030. info
Výukové metody
Lectures, practical training of basic ENT evaluation, video sessions, presentations by professionals in the inpatient ward and operating theatre.
Metody hodnocení
Během semestru je vyžadována povinná účast. Používané metody ve výuce: přednášky, diskuse v hodině, praktický nácvik ORL vyšetření, prezentace kazuistik -video, obrazová dokumentace. Očekává se, že studenti přijdou na stáže připravení, včetně odpovídajících teoretických znalostí preklinických oborů. Závěrečné hodnocení - ústní zkouška.
Vyučovací jazyk
Angličtina
Informace učitele
The lecture will be held from 4th to 11th week every Tuesday in the ENT lecture hall from 1.20 p.m. to 3.00 p.m. CONTENT OF LECTURES WILL BE PART OF THE EXAMINATION FROM OTORHINOLARYNGOLOGY. Questions from otorhinolaryngology 1. Examination of hearing, pure – tone audiometry 2. Objective audiometry, tympanometry, otoacoustic emissions 3. Examination of the vestibular apparatus 4. Developmental defects of the ear 5. Diseases of external ear (injuries to the pinna, inspissated cerumen in the auditory meatus - cerumen obturans, inflammations of the pinna and external auditory canal 6. Tumours of the ear 7. Neurinoma nervi statoacustici 8. Acute inflammation of the middle ear 9. Otitis media chronica 10. Otitis media chronica secretorica ( OME ) 11. Mastoiditis acuta 12. Otosclerosis 13. Tympanoplasties and operations performed at chronic inflammation of the middle ear and at its sequelae 14. Intracranial complications of otogenic etiology (meningitis, abscess, thrombophlebitis of s. sigmoidei ) 15. Peripheral paresis of the facial nerve 16. Acute sensorineural hearing loss 17. Morbus Ménièri 18. Disorders of hearing caused by noise ( hypacusis perceptiva professionalis ) 19. Ototoxicity 20. Hearing – aids 21. Cochlear implants 22. Injuries to the inner ear, fractures of the temporal bone 23. Effects of disturbed hearing on the development of speech 1. Examination of the nose and of paranasal sinuses 2. Developmental disorders of the nose and paranasal sinuses, clefts 3. Complications of inflammations in the nose and paranasal sinuses 4. Dermatic diseases of the nares 5. Rhinitis acuta (definitions, terminology and classification) 6. Rhinitis chronica 7. Nasal polyps 8. Disturbances of smell 9. Causes of nasal obstruction 10. Tumours in the upper respiratory passages 11. Tumours of the orbit 12. Functional endonasal surgery 13. Epistaxis 14. Diseases of the nasal septum 15. Injuries of the nose and paranasal sinuses 16. Examination of the larynx and hypopharynx 17. Developmental defects of the larynx and trachea 18. Differential diagnosis of hoarseness 19. Acute inflammations of the larynx 20. Chronic inflammations of the larynx 21. Benign tumours of the larynx 22. Malignant tumours of the larynx 23. Indications for tracheotomy 24. Disturbances of motor innervation of the larynx 25. Differential diagnosis of dyspnoea 26. Injuries to the larynx 27. Foreign bodies in the lower respiratory passages, bronchoscopy 1. Examination of the oral cavity and pharynx 2. Hypertrophy of the nasopharyngeal tonsillar 3. Tumours of the nasopharynx (juvenile angiofibroma, carcinoma,…) 4. Acute inflammations of the pharynx 5. Phlegmon and abscess peritonsillar and retropharyngeal (+Odontogenic complications in the ENT region) 6. Phlegmon and abscess parapharyngeal, thrombophlebitis, sepsis 7. Chronic inflammations of the pharynx 8. Indications for tonsillectomy 9. Injuries in the region of the pharynx and oral cavity 10. Tumours of the pharynx and oral cavity 11. Differencial diagnostics of the throat swelling 12. Inflammations of the salivary glands 13. Sialolithiasis 14. Tumours of the salivary glands 15. Developmental defect of the oesophagus 16. Diverticles of the hypopharynx and oesophagus 17. Bleeding from the hypopharynx and oesophagu 18. Inflammations of the hypopharynx and oesophagus 19. Malignant tumours of the hypopharynx and oesophagus 20. Foreign bodies in the hypopharynx and oesoph 21. Corrosion of the oesophagus ( oesophagitis corrosiva ) 22. Methods of the throat examination 23. Deep throat infections 24. Injuries of external throat 25. Developmental anomalies and cysts and fistulas of the throat 26. Differencial diagnostics of the throat swelling 27. Tumorous affection of the lymphatic nodes in the neck (diagnosis and therapy) 28. Tumours of the thyroid 29. Organic and functional disorders of voice 30. Defects of speech (hyperponia, tumultus sermonis, dyslalia,…)
Další komentáře
Předmět je dovoleno ukončit i mimo zkouškové období.
Předmět je vyučován každý semestr.
Výuka probíhá blokově.
Předmět je zařazen také v obdobích podzim 2017, jaro 2018, podzim 2018, podzim 2019, jaro 2020, podzim 2020, jaro 2021, podzim 2021, jaro 2022, podzim 2022, jaro 2023, podzim 2023, jaro 2024, podzim 2024, jaro 2025.