aZLOT0711c Otorhinolaryngology - practice

Faculty of Medicine
Autumn 2017
Extent and Intensity
0/3/0. 2 credit(s). Type of Completion: z (credit).
Teacher(s)
doc. MUDr. Břetislav Gál, Ph.D. (seminar tutor)
MUDr. Jan Hanák, Ph.D. (seminar tutor), MUDr. Jan Rottenberg, Ph.D. (deputy)
MUDr. Jan Rottenberg, Ph.D. (seminar tutor)
doc. MUDr. Pavel Smilek, Ph.D. (seminar tutor)
prof. MUDr. Ivo Šlapák, CSc. (seminar tutor)
MUDr. Eva Tóthová (seminar tutor)
MUDr. Pavla Urbánková, Ph.D. (seminar tutor), MUDr. Jan Rottenberg, Ph.D. (deputy)
Jaroslava Plavajka (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
Supplier department: Department of Otorhinolaryngology and Head and Neck Surgery – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine
Prerequisites
aZLPA0622c Pathology II - practice && aZLPF0622c Pathophysiol. II - practice && ( aZLLM0522p Medical Microbiology II-lect. || ZLLM0522p Medical Microbiology II-lect. ) && ( aZLIP061p Clin.Introd.to Int.Med.-lect. || ZLIP061p Clin.Introd.to Int.Med.-lect. ) && aZLFA0621c Pharmacology I - pract. && aZLOR0641c Orthodontics I -pract. && aZLPD0631c Periodontology I - practice
Knowledge od theoretical discipline, especially anatomy, physiology, pathological physiology, surgical propedeutics, microbiology, imunology, farmacology.
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
The course comprises basic otorhinolaryngology knowledge, introduces the students to the organization of out patient room, basic ENT evaluation and surgery. The surgery of ear (incl. cochlear implants), oral cavity, pharynx, larynx and endoscopic surgery of sinonasal region, surgery of thyroid gland and surgery of external neck are also included..
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
  • BEHRBOHM, Hans, Walter BECKER, Hans Heinz NAUMANN and Carl Rudolf PFALTZ. Ear, nose, and throat diseases : with head and neck surgery. 3rd ed. Stuttgart: Thieme, 2009, x, 461. ISBN 9783136712030. 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
English
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, autumn 2019, autumn 2020, autumn 2021, autumn 2022, autumn 2023, autumn 2024.
  • Enrolment Statistics (Autumn 2017, recent)
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