Veidlapa Nr. M-3 (8)
Study Course Description

Otorhinolaryngology

Main Study Course Information

Course Code
ORLK_001
Branch of Science
Clinical medicine; Otorhinolaryngology
ECTS
4.50
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of Otorhinolaryngology
Contacts

Riga, Pilsoņu Street 13, VSIA P.Stradiņa KUS, 23rd building, otorinokat@rsu.lv, +371 67615148

About Study Course

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.

Preliminary Knowledge

Anatomy, physiology, including pathological physiology, acoustics, general surgery and pharmacology. Recommended knowledge in roentgenology and radiology, oncology, infectious diseases and neurology.

Learning Outcomes

Knowledge

1.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

1.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.

Competences

1.• 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.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
Students independently acquire skills in the ENT organ investigation. At the end of the course students present a clinical case.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
1)Assessment of theoretical knowledge held on E-studies within one week prior to the corresponding practical class in a format of MCQ test (Multiple Choice Questions) or essay type questions about individually read material and literature about the topic. 2)During each practical class, each student is evaluated individually with a mark in a 10-grade system according to student’s involvement and activity during the class and the knowledge that he/she demonstrate. Criteria: • Student arrived on time for the class, • Student is in appropriate attire (white coat, change of shoes), • Student actively participates in the discussion, patient examination and/or analysis of clinical case, correctly answers teacher’s questions and is able to defend ones opinion. 3)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. 4)Clinical case presentation is organised in the 6th semester’s 6th practical class. Each student orally presents independently prepared clinical case of a patient examined during one of the practical classes of the 6th semester. 5)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 is evaluated. Final grade: At the end of each semester and at the end of the whole course, each student receives a mark in a 10-grade scale. 1. Final grade at the end of 5th semester consists of mean mark of the individual evaluations during practical classes and colloquium grade (accordingly 15% and 85%). 2. Final grade at the end of 6th semester consists of mean mark of the individual evaluations during practical classes and clinical case mark (accordingly 15% and 85%). 3. Final grade for the whole course consists of the 5th semester and 6th semester final grade and exam grade (accordingly 25%, 25% and 50%).

Study Course Theme Plan

FULL-TIME
Part 1
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Clinical Anatomy and Physiology of the Nose, Paranasal Sinuses, Oral Cavity and Middle Part of the Pharynx
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Clinical Anatomy and Physiology of the Nasopharynx, Hypopharynx and Larynx. Pharyngeal Lymphoid Ring: Structure and Physiology
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Clinical Anatomy and Physiology of the Outer, Middle and Inner Ear. Physiology of Hearing and Vestibular System
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Colloquium
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Acute and Chronic Pharyngitis, Tonsillitis. Deep Neck Infections
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Rhinitis. Acute and Chronic Rhinosinusitis. Intracranial and Intraorbital Complications
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Diseases of the Auricle and External Auditory Canal. Acute and Chronic Otitis Media. Intratemporal and Intracranial Complications
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
1

Topics

Rhinitis and Rhinosinusitis
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
1

Topics

Acute and Chronic Pharyngitis, Tonsillitis. Deep Neck Infections
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
1

Topics

Ear Anatomy and Diseases
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
1

Topics

Trauma to the ENT Organs, Foreign Bodies, Laryngeal Stenosis
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
1

Topics

Granulomatous diseases in ENT organs
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
1

Topics

Hearing Impairment and Peripheral Vestibular Disorders
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
1

Topics

Laryngeal Inflammatory Diseases
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
1

Topics

Paediatric ENT Diseases
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
1

Topics

ENT Oncology
Total ECTS (Creditpoints):
3.00
Contact hours:
30 Academic Hours
Final Examination:
Test (Semester)
Part 2
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Acute and Chronic Laryngitis. Functional Voice Disorders. Vocal Cord Paralysis. Laryngeal Stenosis. Tracheostomy
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Injuries and Foreign Bodies of the ENT Organs. Epistaxis
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Head and Neck Tumours
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Paediatric Otolaryngology. Consultation in Paediatrics. Adenotonsillar Diseases. Secretor Middle Ear Inflammation. Hearing Impairment in Paediatric Population, Rehabilitation Options. Laryngomalacia. Most Common Craniofacial Syndromes. Head and Neck Tumours. Congenital Malformations
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Clinical and Practical Class
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Final Class. Presentation of Clinical Case. Discussion
Total ECTS (Creditpoints):
1.50
Contact hours:
18 Academic Hours
Final Examination:
Exam (Written)

Bibliography

Required Reading

1.

Basic Otorhinolaryngology A Step-by-Step Learning Guide. R.Probst, G.Grevers, H.Iro Themie 2006, p. 430

2.

Ballenger’s Otolaryngology: Head and Neck Surgery. 17th edition. Authors: Snow, James B. Wackym, P. Ashley. PMPH USA, Ltd, 2009.

3.

T.Metin Onerci. Diagnosis in Otorhinolaryngology An Illustrated Guide. Springer 2009, p. 178

4.

ABC of Ear, Nose and Throat. 6th edition. Harold S. Ludman, Patrick Bradley, and Patrick J. Bradley 2012.

5.

Head and Neck Cancer: Treatment, Rehabilitation, and Outcomes. Dr Elizabeth C. Ward and Corina J. van As-Brooks, 2014.

6.

Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th Edition; 2018 (Chapter 62 Otorhinolaryngology)

7.

Cummings Otolaryngology. 6th Edition. Flint MD, Paul W., Haughey MD FACS, Bruce H., et.al. Thomas 2016.

8.

Human Anatomy, Color Atlas and Textbook. 6th Edition, 2017 (Chapter 7: Head and Neck)

9.

Bailey's Head and Neck Surgery—Otolaryngology. 5th Edition. Jonas T. Johnson.

10.

Lekciju materiāli e-studijās.

Additional Reading

1.

Otorhinolaryngology, Head & Neck Surgery. European Manual of Medicine. M.Anniko, M,Bernal Sprekelsen, et.al. Springer 2010, p.737

2.

Pediatric Audiology. Diagnosis, Technology and Management. J.R.Madell, C.Flexer, Themie 2009, p. 329

3.

Survey of Audiology Fundamentals for Audiologists and Health Professionals. David A DeBonis, Konstance L.Dondrue 2nd ed. P. 538

4.

Otolaryngology Research Advances: Obstruction Sleep Apnea: Ccauses, Treatment and Health Implication. Author: Sacchetti, Lisandro M. Mangiardi. Priscilla Publisher: Nova Sciense Publishers, Inc 2012

5.

Imaging for Otolaryngologists. Author: Dunnebier, Erwin. Publisher: TIS, 2011

6.

Functional and Selective Neck Dissection. Authors: Gavilon, Javier Herianz, Jesus De Santa, Lawuna W. Publisher: Themie Medical Publishers, Inc 2002

7.

Literatūras avoti meklējami RSU abonētajā datu bāzē- Ebrary eBooks, Clinikal Key un RSU bibliotēkas lasītavā

Other Information Sources

1.

RSU e-studiju vide