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Otolaryngology

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Data

Official data in SubjectManager for the following academic year: 2019-2020

Course director

Dr. Imre GERLINGER (gerlinger.imre@pte.hu, imre.gerlinger@kk.pte.hu), professor

Department of Oto-rhino-laryngology

Subject data

Code of subject: OAK-FUL-T  |  3 credit  |  General Medicine |  Clinical module  |  autumn

Prerequisites: OAP-PA2-T completed

Exam course: no

Number of hours/semester

14 lectures + 28 practices + 0 seminars = total of 42 hours

Course headcount limitations

min. 1

Topic

Short description of the course: Selections from the fundamental parts of the ORL
The main educational task of the subject: Learning the basics of ORL.

Lectures

  • 1. Introduction into Otolaryngology - Dr. Gerlinger Imre
  • 2. Anatomy of the ear, physiology of hearing - Dr. Pytel József
  • 3. Objective and subjective audiometry - Dr. Németh Adrienne
  • 4. Diseases of the external ear and tympanic membrane - Dr. Gerlinger Imre
  • 5. Acute serousus /suppurative otitis media - Dr. Gerlinger Imre
  • 6. Otitis media suppurativa chronica and complications - Dr. Lujber László
  • 7. Acute and chronic infections of the nose and paranasal sinues - Dr. Gerlinger Imre
  • 8. Tinnitus, vertigo - Dr. Harmat Kinga
  • 9. Tumors of the the paranasal sinuses - Dr. Gerlinger Imre
  • 10. Diseases of the salivary glands, Facial nerve palsy. - Dr. Lujber László
  • 11. Diseases of the oral cavity (benign and malignant) - Dr. Szanyi István
  • 12. Benign tumors of the larynx. TOP TEN ENT. - Dr. Gerlinger Imre
  • 13. Malignant tumors of the larynx and hypopharynx. Malignant oropharyngeal tumors. - Dr. Szanyi István
  • 14. Answers, questions (date and location discussed later) - Dr. Gerlinger Imre

Practices

  • 1. Examine the patient's ear
  • 2. Examine the patient's nose and nasal cavities /anterior rhinoscopy/
  • 3. Examine the patient's oral cavity
  • 4. Examine the patient's larynx and hypopharynx /indirect laryngoscopy/
  • 5. Examine the patient's nasopharynx /posterior rhinoscopy/
  • 6. Tests of the patient's hearing /voice, Weber test, Rinne test/
  • 7. Tests of the patient's vestibular system /spontaneous nystagmus Romberg test, past-pointing, walking/
  • 8. Tests of the patient's neck
  • 9. Tests of the patient's function of the facial nerve
  • 10. Tests of the patient's signs of meningitis
  • 11. Tests of the patient's Eustachian tube function
  • 12. Caloric test
  • 13. Control of epistaxis
  • 14. Myringotomy
  • 15. Feeding by nasogastric tube
  • 16. Tracheal tubes
  • 17. X-ray films
  • 18. Hearing aids
  • 19. Antral lavage
  • 20. Draining of a peritonsillar abscess
  • 21. Irrigation of external ear canal, removal of foreign bodies from the external ear canal and nose
  • 22. Pure tone audiometry
  • 23. Speech audiometry
  • 24. Otoacoustic emissions
  • 25. Brainstem evoked response audiometry
  • 26. CT, MR, US demonstration
  • 27. Repetition
  • 28. Repetition

Seminars

Reading material

Obligatory literature

Literature developed by the Department

Notes

Recommended literature

Readings: Karmody: Otorhinolaryngology
www.peditop.com
www.meditopEU.com

Conditions for acceptance of the semester

Acceptance of the semester: Participation in the lectures and practices.

Mid-term exams

There is no possibility

Making up for missed classes

Consultation with instruktor

Exam topics/questions

Requirements of the final examination
I. Physical examination by head-mirror /headlight/
Examine the patient
1. ear
2. nose and nasal cavities /anterior rhinoscopy/
3. oral cavity
4. larynx and hypopharynx /indirect laryngoscopy/
5. nasopharynx /posterior rhinoscopy/

II. A. Clinical tests
6 different examinations:
Weber and Rinne test
Spontaneous vestibular signs
Examinations of the neck (lymph nodes, thyreoid gland)
Examinations of the nervus facialis functions
Examinations of the meningeal signs

II. B. Demonstrate how to use the instruments of
1. control of epistaxis
- anterior nasal packing
- posterior nasal packing
2. myringotomy, grommet
3. feeding by nasogastric tube
4. tracheal tubes
5. antral lavage
6. draining of a peritonsillar abscess
7. irrigation of external ear canal
8. removal of foreign bodies from the external ear canal and nose
9. topical anaesthesia of the nasal and oro-pharyngeal mucosa
10. X-ray films: Velin, Schüller, Stenvers.CT, MR, US demonstration.
11. pure tone audiometry, speech audiometry, BERA
12. hearing aids
13. humidifying bandage

III. Theoretical questions
1. Pure tone audiometry, speech audiometry
2. Otoacoustic emissions, brainstem evoked response audiometry
3. Diseases of the pinna and the external ear canal
4. Diseases of the tympanic membrane, tumours of the external ear (benign, malignant tumours)
5. Serous otitis media (acute, chronic)
6. Suppurative otitis media (acute, chronic)
7. Complications of suppurative otitis media
8. Idiopathic facial nerve palsy, Bell palsy
9. Disorders of the inner ear, congenital malformations, hereditary deafness
10. Trauma of the temporal bone (longitudinal, transverse fractures)
11. Otosclerosis, tympanosclerosis
12. Fluid systems of the labyrinth, Méniére’s disease, toxic lesions of the inner ear
13. Acoustic tumours, noise induced hearing losses
14. Tinnitus
15. Cochlear implantation
16. Sleep apnea
17. Benign/malignant tumours of the paranasal sinuses
18. Obstruction of the nasal airway, rhinitis (forms of rhinitis, except allergic rhinitis)
19. Allergic rhinitis
20. Fractures of the paranasal sinuses. Fronto-basal, maxillo-facial, blow-out fractures, Le Fort fractures
21. Acute and chronic rhinosinusitis
22. Tumours of the salivary glands (benign and malignant)
23. Differential diagnosis of the neck masses (neck regions I-VII, origin of metastases)
24. Infectious diseases of the oral cavity and the pharynx (peritonsillar abscess)
25. Precancerous disorders in the oral cavity, pharynx, larynx and esophagus
26. Malignant tumours in the oral cavity and pharynx (+ nasopharyngeal tumours)
27. Clinical symptoms and signs of benign and malignant diseases of the larynx, hypopharynx and base of the tongue
28. Acute and chronic infections of the larynx, acut epiglottitis, phlegmonous epiglottitis, abscess of the epiglottis
29. Benign tumours of the larynx.
30. Laryngeal cancer (supraglottic, glottic, subglottic), TNM stage
31. Congenital malformations of the neck, benign tumours of the neck
32. Thyroiditis, malignant tumours of the thyroid gland
33. Clinical signs of obstructions of the upper airways (upper airway stenosis), conicotomy, tracheotomy
34. Foreign bodies in the bronchial system, foreign bodies of the esophagus
35. Tumours of the esophagus, dysphagia
36. Vertigo in otolaryngological practice

Examiners

  • Dr. Bakó Péter
  • Dr. Gerlinger Imre
  • Dr. Harmat Kinga
  • Dr. Lujber László
  • Dr. Németh Adrienne
  • Dr. Pytel József
  • Dr. Révész Péter
  • Dr. Szanyi István

Instructor / tutor of practices and seminars

  • Dr. Bakó Péter
  • Dr. Burián András
  • Dr. Gerlinger Imre
  • Dr. Harmat Kinga
  • Dr. Háromi István
  • Dr. Lujber László
  • Dr. Németh Adrienne
  • Dr. Piski Zalán Szabolcs
  • Dr. Pytel József
  • Dr. Révész Péter
  • Dr. Szanyi István