8.5. Audiology and Phoniatrics
1600-LekM4CNZAUD-NJ
The lectures are intended to present issues related to the physiology of the upper respiratory tract, which will allow for a proper understanding of disease processes. Also, the widely discussed problems in the field of malformations of the upper respiratory tract and ears will allow for a proper understanding of the problem, which will facilitate the proper handling of such cases in the future. A particularly important problem discussed during the lectures is the diagnosis and treatment of neoplasms in the field of the larynx, nose and paranasal sinuses, nasopharynx, middle and lower pharynx, and oral cavity. A separate issue is the aspects of acute and chronic inflammatory diseases in the field of otolaryngology. During the lectures, the problems of acute inflammations of the mouth, pharynx, larynx and ears will be presented in detail, as well as appropriate diagnostic and treatment algorithms. With regard to chronic diseases of the ear, larynx, oropharynx and pharynx, the basic principles of diagnostics and qualification for surgical treatment will be discussed. Various techniques of surgical procedures will be presented, from functional surgery that preserves the function of the organs to radical procedures that deprive the patient of the basic functions of the diseased organs. Much attention will be paid to the issues related to otitis-related inflammatory complications, with an emphasis on the appropriate approach to the diagnosis of these conditions and appropriate treatment. The lectures are also intended to familiarize students with the problems of emergencies, such as bleeding and shortness of breath, and the appropriate management of the patient. Hearing and balance disorders with the presented algorithm of diagnostics and treatment of these disease entities are a separate issue widely discussed.
The exercises conducted during the classes are devoted to:
- mastering the ability to collect an interview from the patient and family history in diseases of the ear, nose and paranasal sinuses, oropharynx, larynx
- mastering the technique of examining the ear, nose and paranasal sinuses, mouth, throat, larynx, esophagus, trachea and bronchi,
- mastering the ability to independently perform basic procedures related to ORL organs.
- getting acquainted with modern methods of endoscopic and microsurgical examinations,
- getting acquainted with the methods of functional examination of the organ of hearing and balance, functional examination of the larynx and methods of objective assessment of nasal patency.
- getting to know the most common procedures and basic surgical methods with particular emphasis on endoscopic and microsurgical methods, including the use of laser radiation.
- getting acquainted with rehabilitation methods of patients after total laryngectomy, rehabilitation of hearing loss and balance, voice and speech disorders.
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Term 2022/23:
The lectures are intended to present issues related to the physiology of the upper respiratory tract, which will allow for a proper understanding of disease processes. Also, the widely discussed problems in the field of malformations of the upper respiratory tract and ears will allow for a proper understanding of the problem, which will facilitate the proper handling of such cases in the future. A particularly important problem discussed during the lectures is the diagnosis and treatment of neoplasms in the field of the larynx, nose and paranasal sinuses, nasopharynx, middle and lower pharynx, and oral cavity. A separate issue is the aspects of acute and chronic inflammatory diseases in the field of otolaryngology. During the lectures, the problems of acute inflammations of the mouth, pharynx, larynx and ears will be presented in detail, as well as appropriate diagnostic and treatment algorithms. With regard to chronic diseases of the ear, larynx, oropharynx and pharynx, the basic principles of diagnostics and qualification for surgical treatment will be discussed. Various techniques of surgical procedures will be presented, from functional surgery that preserves the function of the organs to radical procedures that deprive the patient of the basic functions of the diseased organs. Much attention will be paid to the issues related to otitis-related inflammatory complications, with an emphasis on the appropriate approach to the diagnosis of these conditions and appropriate treatment. The lectures are also intended to familiarize students with the problems of emergencies, such as bleeding and shortness of breath, and the appropriate management of the patient. Hearing and balance disorders with the presented algorithm of diagnostics and treatment of these disease entities are a separate issue widely discussed.
The exercises conducted during the classes are devoted to:
- mastering the ability to collect an interview from the patient and family history in diseases of the ear, nose and paranasal sinuses, oropharynx, larynx
- mastering the technique of examining the ear, nose and paranasal sinuses, mouth, throat, larynx, esophagus, trachea and bronchi,
- mastering the ability to independently perform basic procedures related to ORL organs.
- getting acquainted with modern methods of endoscopic and microsurgical examinations,
- getting acquainted with the methods of functional examination of the organ of hearing and balance, functional examination of the larynx and methods of objective assessment of nasal patency.
- getting to know the most common procedures and basic surgical methods with particular emphasis on endoscopic and microsurgical methods, including the use of laser radiation.
- getting acquainted with rehabilitation methods of patients after total laryngectomy, rehabilitation of hearing loss and balance, voice and speech disorders.
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Total student workload
1. The workload related to the classes requiring the direct participation of academic teachers is:
- participation in seminars: 6 hours
- participation in exercises: 18 hours stationary
- consultations: remotely 2 hours
- completion of the assessment: 1 hour remotely
Workload related to the activities that require direct
the participation of academic teachers is 27 hours, which corresponds to
1.08 ECTS points
2. Balance of student workload:
- participation in seminars: 6 hours
- participation in exercises: 18 hours
- consultation: 1 hour
- preparation for the seminar (including reading the indicated
literature): 10 hours
- preparation for exercises: 10 hours
- preparation for credit and examination: 6 + 3 = 9 hours
The total student workload is 54 hours, which corresponds to
2.16 ECTS points
3. Workload related to the conducted research:
- reading the indicated scientific literature: 4 hours
- participation in seminars (taking into account research results and
research papers in the field of otolaryngology): 3 hours
- participation in exercises (taking into account the results of studies
research in the field of otolaryngology): 5 hours
- preparation to pass (including studies
research in the field of otolaryngology): 2 hours
- consultations taking into account scientific studies in the field
otolaryngology): 1 hour
The total student workload related to the research conducted
research hours is 15 hours, which corresponds to 0.6 ECTS points
4. Time required to prepare for and participate in the assessment process:
preparation for passing and passing: 6 + 3 = 9 hours
(0.36 ECTS points)
5. Balance of student workload of a practical nature:
- participation in exercises: 18 hours is
- preparation for exercises 15 hours
The total student workload of a practical nature is 33 hours, which corresponds to 1.32 ECTS points
Learning outcomes - knowledge
W1. defines diseases of the outer ear, acute otitis media, chronic otitis media in adults and children F K_W12.a
W2. recognizes exudative otitis media - diagnostic and management algorithm; foreign bodies in the ear F K_W12.a
W3. calculates aurogenic intracranial complications, diagnostics of facial nerve damage F K_W12.b
W4. defines hearing loss: clinical division, diagnostic tests, treatment F K_W12.e
W5. is able to practically assess imaging examinations of the middle ear F K_W12.a
W6. knows the methods of endoscopic examination in otolaryngology:
esophagoscopy, tracheobronchoscopy, microlaryngoscopy, sinusoscopy F K_W12.c
W7. lists acute and chronic diseases of the oral cavity, pharynx and larynx (excluding neoplasms of the larynx and pharynx) - diagnosis and treatment F K_W12.a
W8. lists laryngeal neoplasms - symptoms, diagnostics, algorithm, management, treatment F K_W12.f
W9. arranges openings of the nose and paranasal sinuses, symptoms, diagnosis, treatment F K_W12.f
W10. knows the management of sudden laryngeal dyspnea F K_W12.d
W11. defines diseases of the esophagus, especially burns and neoplasms: symptoms, treatment, complications / review of diagnostic methods F K_W12.f
W12. evaluates radiological examinations performed in the diagnosis of diseases of the esophagus F K_W12.a
W13. defines neoplasms of the middle throat and nasopharynx, syndromes of damage to the base of the skull F K_W12.f
W14. recognizes laryngological manifestations of systemic diseases F K_W12.a
W15. recognizes neck tumors F K_W12.f
W16. defines precancerous conditions in otolaryngology - principles of diagnosis and management F K_W12.f
W17. lists acute and chronic sinusitis: diagnosis and treatment, intracranial complications of sinusitis F K_W12.a
W18. knows the causes of nosebleeds, rules of conduct
F K_W12.d
W19. defines dizziness- as a diagnostic and therapeutic problem F K_W12.a
W20. lists and defines injuries in otolaryngology (fractures of the craniofacial bone, temporal bone, injuries to the neck, ear, facial integuments)
F K_W12.c
W21. He knows the treatment standards in head and neck oncology F K_W12.f
Learning outcomes - skills
U1. plans and conducts an ENT interview E K_U01
U2. is able to perform anterior and posterior rhinoscopy F K_U25
U3. carries out examination of the oral cavity and pharynx F K_U25
U4. conducts examination of indirect laryngoscopy F K_U25
U5. is able to perform an otoscope F K_U25
U6. lists types of tests of the patency of the Eustachian tubes F K_U25
U7. performs F K_U26 reed tests
U8. presents and performs examination of the neck lymph nodes F K_U25
Learning outcomes - social competencies
K1. demonstrates oncological vigilance, knows life-threatening conditions in otolaryngology and on this basis is able to make an initial diagnosis, especially a suspicion of a disease requiring sudden and urgent intervention K_ K01.
K2. acquires the ability to communicate well with the patient in terms of providing the most important information in the field of otolaryngology, using professional terminology K _ K03
K3. demonstrates sensitivity to the patient's suffering, to his concern for his own health, to the pain and inconvenience of an otolaryngological examination - he cares for delicacy in the instrumental activities undertaken during the otolaryngological examination - K_K04
K4. is aware of the need for constant development and learning K_K04
Teaching methods
1. Seminars: didactic discussion
case studies
information and seminar seminars
2. Exercises: demonstration with instruction
subject exercises
Expository teaching methods
- problem-based lecture
Exploratory teaching methods
- practical
- seminar
Online teaching methods
- content-presentation-oriented methods
Type of course
compulsory course
Prerequisites
A student starting education in the subject of otolaryngology should have knowledge
in the field of anatomy and physiology of the head and neck.
Course coordinators
Assessment criteria
1. Continuous assessment of the current preparation for classes (seminars) in the form of a test on specific topics of classes> 60%
W1 - W20
2. Prolonged observation during practical classes in order to assess social competences> 60% K1-K4
3. Passing the classes with a practical test in otolaryngological examination> 75% w10, W18, U1-U8
4. Final credit for the course - test exam
The condition for obtaining a pass is achieving a result of 60% of positive answers (0-40 points)
0%≤ - <60% - 2
60%≤ - <71% - 3
71 %≤ - < 80% - 3+
80%≤ - <88% - 4
88%≤ - <92% - 4+
92% ≤ - < 100% - 5
Practical placement
Bibliography
1. Bochenek A., Reicher M.: Anatomia człowieka PZWL
2. Boeninghaus H.G.: Otolaryngologia. PZWL, Warszawa 1997
3. Becker W., Naumann H.H., Pfaltz C.R.: Choroby uszu, nosa i gardła. Bel Corp, Warszawa 1999.
4. Zakrzewski A. (red.): Otolaryngologia kliniczna
Additional information
Additional information (registration calendar, class conductors,
localization and schedules of classes), might be available in the USOSweb system: