Education - General medicine

DEPARTMENT OF OTORHINOLARYNGOLOGY AND HEAD AND NECK SURGERY

Nagyerdei krt. 98. sz., Debrecen, 4032, Tel: +36-52-255-805

E-mail:

Course Director: Balázs Sztanó M.D., Ph.D. habil., Associate Professor, Head of Department

Year, semester: 5th year, 1st semester, or 5th year, 2nd semester

Lectures: 10

Practicals: 20

Seminar: Requirements

Education: Ten lectures and practices. The attendance of the lectures is recommended, the practices are compulsory, One practice may be missed, the others should be compemented. During the practice on the 6th week a Self Control Test, on the 10th week Practical Exam is hely.

Examination:  the type of exam is an oral colloquium, two topics have to be worked out and presented, which is preceded by competency test written on the day of the exam.

In addition to the mandatory literature indicated below, the curriculum also includes the themes of lectures and practices.

Instuctors:

 Lectures:

Practices:

1st week:

General informations. Exposition of general methods in otorhinolaryngology. Demonstration of instruments required at basic examinations:practising of their use. (Use of the head mirror,otological examination with aural-speculum,examination with Otoscope, rhinoscopy anterior, rhinoscopy posterior, laryngeal examination with mirror, pharyngeal examination).

2nd week:

Physiology of hearing-practice in audiometry (whispering speech, conversational speech, examinations with tuning-fork, treshold audiometry, objective audiometry and special tests). Audiometrical methods in practice.

3rd week:

Symptomatology of ear diseases,Investigation of functioning of auditory tube (Valsalva’s experiment, Polizter’s test, tympanometry). Exposition and demonstration of ear operations, tympanoplasty, antrotomy, mastoidectomy, the essence of radical ear operation. (operating theatre, videoprogram).

4th week:

Nose and paranasal sinus operations, (FESS) nasal endoscopy videoprogram). Demonstration of maxillary sinus punction. Control method of epistaxis. Anterior nasal packing and Belloque-tamponade.

5th week:

Tonsillectomy, adenoidectomy. Indications of tonsillectomy and adenotomy. (operating theater)Diff. diagnosis of cervical masses. Cervical nodes, cervical trigones, deep neck abscess as a complication of acute tonsillitis.

6th week:

Malignant diseases of larynx. Presentation of larynx operations/video or operating theatre. Endoscopes in the oto-rhynolaryngological

practice.

Self Control Test

7th week:

Demonstration of microlaryngoscopy and oesophagoscopy. Laryngological connections of Laser surgery/video or operating theatre. Use of laryngoscope.

8th week:

Practice in the Center for Medical Simulation. Conicotomy, tracheotomy. Transoral and transtracheostomal intubation. Fiberoscopy,otoscopy.

9th week:

Vestibular examinations. Evaluation of spontaneus vestibular symptoms. Incuded examinations. (Rotatorical examination of electrical rotatory chair, electrony stagmography,analysis of optokinetic and positional nystagmus). Demonstration of examination methods.

10th week

Practical exam

Themes of the oral exam

EAR

1.     Anatomy and physiology of the external ear
2.     Anatomy and physiology of the middle ear
3.     Anatomy of the inner ear
4.     Referred otalgia
5.     Physiology of hearing
6.     Eustachian tube disorders
7.     Tests of the auditory apparatus
8.     Tuning fork tests
9.     Audiometry
10.    Objective measurement of hearing
11.    Disorders of the pinna and external auditory canal
12.    Hearing aids, cochlear implantation
13.    Acute otitis media
14.    Otolabyrinthitis syphilitica and middle ear tuberculosis
15.    Chronic otitis media
16.    Main surgical procedures of middle ear disorders
17.    Tympanoplasty
18.    Glomus tumor
19.    Skeletal disorders causing hearing loss
20.    Tinnitus – SNHL
21.    Intratemporal complications of suppurative otitis media
22.    Temporal bone fractures
23.    Intracranial complications of suppurative otitis media
24.   Noise induced hearing loss
25.    Presbyacusis, noise trauma, ototoxicity
26.    Méniere,s disease
27.    Sudden hearing loss
28.   Acustic neuroma
29.    Anatomy and physiology of the vestibular system
30.   The vestibular function tests
31.   Differential diagnosis of hearing loss
32.   Differential diagnosis of vertigo
33.   Anatomy and physiology of the facial nerve
34.   Congenital hearing impairments

NOSE

1. The anatomy and physiology of the nose and paranasal sinuses

2. Inflammatory disorders of the nasal mucosa

3. Allergic and vasomotor rhinitis

4. Epistaxis and its management

5. Nasal liquorhea

6. Acute sinusitis

7. Frontobasal skull fractures

8. Complications of paranasal sinusitis

9. Malignant tumors of the nasal cavity and paranasal sinuses

10. Endoscopic anatomy of the nasal cavity

11. Lateral and median neck cysts

12. Trauma of the nose and paranasal sinuses

13. The anatomy and physiology of the esophagus and trachea

14. Congenital disorders, foreign bodies and caustic burns of esophagus

15. Dysphagia, odynophagia

16. Inflammatory disorders of the salivary glands (mumps, acut suppurative parotitis, chronic sialadenitis)

17. Salivary gland calculi

18. Neoplasms of the salivary glands

19. Trauma of the neck

20. Differential diagnosis of neck nodes

21. Ludwig,s angina

22. Lateral neck masses

23. Medial neck masses

24. Endoscopic procedures in otolaryngology

LARYNX

25. The anatomy and physiology of the larynx
26. Congenital disorders of the larynx
27. Trauma of the larynx
28. Acute and chronic inflammatory diseases of the larynx
29. Premalignant disorders of the larynx
30. Malignant neoplasms of the larynx
31. Surgery of the larynx
32. Movement disorders of the larynx
33. Tracheostomy (indications, types, complications)
34. Symptoms of laryngeal disorders
35. Croup syndrome (acute epiglottitis, acute subglottic croup laryngitis, diphteria, angioneurotic edema)
36. The anatomy and physiology of the pharynx, spaces of the neck
37. Traumatic disorders of the pharynx (mechanical, chemical injuries)
38. Movement disorders of the pharynx
39. Acute inflammatory diseases of the pharynx (acut adenoditis, tonsillitis, peritonsillar abscess)
40. Vincent,s Angina, angina agranulocytotica, herpangina, infectious mononucleosis
41. Trismus
42. Indications and contraindications of tonsillo-adenoidectomy
43. Differential diagnosis of tonsillitis
44. Juvenile angiofibroma of the  nasopharynx
45. Benign and malignant neoplasms of the pharynx

Department of and Head and Neck Surgery

TITLES OF THESISES

1. Title: Implantable hearing aids

2. Title: Modern treatment of upper airway stenoses

3. Title: Postlaryngectomy voice and pulmonary rehabilitation

Tutor: Balazs Sztanó M.D. Ph.D.habil.

4. Title: The role of cochlear implant in hearing rehabilitation

5. Title: The role of  middle  ear implantation and active and passive bone anchored hearing aids in hearing rehabilitation

Tutor: Laszlo Toth M.D., Ph.D. habil.

6. Title: Analysis of the aetiology and patomechanism of the development of the otitis media with effusion

7. Title: Modern aspects of tonsillectomy versus tonsillotomy

8. Title: The effectiveness of surgical treatment of focal oto-rhino-laryngological diseases on dermatologic diseases

9. Title: The utility of the neuromonitor during surgeries of the big salivary glands

Tutor: Szilard Gyula Rezes M.D., Ph.D.

10. Title: Tinnitus as a symptom of the systemic microvascular dysfunction

Tutor: Zsuzsanna Piros M.D.