AUDIOLOGY AND OTOLOGY - Student objectives:
1) Be able to describe the pathophysiology of the external and middle ear; be able to recognize the clinical aspects of chronic and acute inflammations of these anatomical structures (e.g. otitis externa, eczema of the ear, furuncle of the ear, acute otitis media, otitis media with effusion, chronic suppurative otitis media and chronic otitis media with cholesteatoma) (*).
2) Acquire appropriate knowledge of the pathophysiologic basis and diagnostic methods of hearing disorders (conductive and sensorineural hearing loss) and vestibular disorders (e.g. Menière disease, acute vestibular loss, benign paroxysmal positional vertigo, acoustic neuroma) (*).
3) Be able to describe the pathophysiology, clinical aspects and treatment principles of ENT emergencies: sudden-onset hearing and vestibular loss.
4) Develop an understanding of the fundamental concepts and features of the diagnostic procedures (otoscopy and otomicroscopy, hearing and vestibular investigations) and be able to demonstrate competence in the interpretation of their results (*).
5) Facial nerve: anatomy, physiology and clinical aspects of facial nerve disorders (*)
6) Acquire appropriate knowledge on the indications to hearing aids, the related current regulations, the legal obligations ruling industrial audiology and principles of forensic audiology.
7) Develop a general understanding of healthcare audiology in children and adults.
(*) common with otorhinolaryngology
AUDIOLOGY AND OTOLOGY:
· Anatomy and physiology of the hearing and vestibular system
· Audiological semeiotics (otoscopy and otomicroscopy); tinnitus study
· Classification of hearing disorders
· Hearing investigations: pure-tone audiometry, speech audiometry, impedance audiometry, auditory brainstem
evoked potentials and otoacoustic emissions
· External ear diseases
· Middle ear diseases: acute otitis, chronic otitis (cholesteatomatous and non cholesteatomatous) and their
complications
· Tympanosclerosis and adhesive otitis media. Atelectasis and retraction pockets classification
· Otosclerosis
· Glomus tumors of the temporal bone
· Sudden hearing loss
· Presbyacusis; noise- and toxic-induced hearing disorders
· Central hearing loss
· Hearing rehabilitation: traditional hearing aids, implantable hearing aids, cochlear implants and auditory brain
system implants
· Vestibular and otoneurological semeiotics
· Benign paroxysmal positional vertigo and labyrinth lithiasis
· Perilymphatic fistula and superior canal dehiscence syndrome
· Menière disease
· Vestibular neuritis
· Acoustic neuroma
· Facial nerve palsy
Lectures
Ear, Nose, and Throat Diseases with Head and Neck Surgery - Hans Behrbohm, Oliver Kaschke, Tadeus Nawka, Andrew Swift - Thieme, 3rd edition, 2009
The Sensory System Disease course ends with an oral examination and has been shared into 3 different units:
Unit A: Otorhinolaryngology and Audiology;
Unit B: Ophthalmology;
Unit C: Maxillofacial Surgery Dentistry.
The student will be submitted to an oral exam for Otorhinolaryngology- Audiology and Ophthalmology and a written exam for Maxillofacial Surgery-Dentistry.
The Sensory System Diseases course is an integrated course including three modules:
- Ophthalmology 3 CFU
- Otorhinolaryngology- Audiology 3 CFU
- Maxillofacial Surgery-Dentistry 2 CFU
In order to see the final grade in the personal area, students will have to sit every module.
Each unit’s exam may be taken simultaneously or at different times; anyway, all the tests must be accomplished within two close sessions.
Then Professors will proceed to the registration for the whole integrated course and students will get 8 CFU.
Generally, the examination timetable foresees a winter session (made up of 2 terms: January and February), a summer session (made up of 2 terms: June and July) and an autumn deferred session (September session).
The examination timetable is established according to some specific temporal criteria, planning terms close to each other but also avoiding any possible overlapping, in order to facilitate the achievement of all the three units in one single term.
Concerning the registering the students have to enroll directly on their personal area only after having taken all the exams of the Sensory System Diseases course.
In case of failure, the student may possibly repeat the test in the next term of the same session, at complete discretion of the professor.
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