2018/2019

2021/2022

DM270

MED/31 (OTORINOLARINGOLOGY)

DEPARTMENT OF CLINICAL-SURGICAL, DIAGNOSTIC AND PEDIATRIC SCIENCES

SCHOOL OF DENTAL MEDICINE

PERCORSO COMUNE

4°

(01/03/2022 - 03/06/2022)

2

16 lesson hours

Italian

ORAL TEST

PAGELLA FABIO GIUSEPPE MARIA - 2 ECTS

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OTORHINOLARYNGOLOGY - Student objectives:
1) Be able to describe the pathophysiology of the sinonasal district, pharynx, larynx, external and middle ear; be able to recognize the clinical aspects of chronic and acute inflammations of these anatomical structures: the sinonasal district (e.g. infectious, allergic and idiopathic rhinitis), the pharynx (e.g. pharyngitis and tonsillitis), the larynx (e.g. laryngitis in adults and children), the external and middle ear (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) Be able to describe and recognize clinically suspicious lesions of the head and neck (tumors of the oral cavity, pharynx, larynx, sinonasal district) and their local - regional metastases. Become familiar with the principles of their management (therapy).
3) 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) (*).
4) Be able to describe the pathophysiology, clinical aspects and treatment principles of ENT emergencies: epistaxis, dyspnea, tracheobronchial and esophageal foreign bodies, sudden-onset hearing and vestibular loss (*).
5) Develop an understanding of the fundamental concepts and features of the diagnostic procedures (endoscopy, hearing and vestibular investigations, nasal function examination) and be able to demonstrate competence in the interpretation of their results (*).
6) Facial nerve: anatomy, physiology and clinical aspects of facial nerve disorders (*)
(*) common with audiology

OTORHINOLARYNGOLOGY:
- NOSE
· Sinonasal anatomy and physiology
· Epistaxis
· Rhinosinusitis
· Complications of the rhinosinusitis
· Juvenile angiofibroma
· Sinonasal benign and malignant tumors
- ORAL CAVITY
· Anatomy and physiology of the oral cavity
· Inflammatory diseases of the oral cavity
- OROPHARYNX
· Anatomy and physiology of the oropharynx
· Tonsillitis
· Complications of the tonsillitis
· Hyperplasia of the lymphoepithelial organs
· Obstructive sleep-related breathing disorders
- HYPOPHARYNX/LARYNX
· Anatomy and physiology of the hypopharynx and larynx
· Benign diseases
· Pharyngolaryngeal neurological diseases
- SALIVARY GLANDS
· Anatomy and physiology of the salivary glands
· Sialadenitis
· Neoplasms of the salivary glands
- NECK
· Anatomy and physiology of the neck
· Laterocervical masses
· Tracheotomy
- HEAD & NECK NEOPLASMS

OTOLOGY AND AUDIOLOGY:
· 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

-Otorinolaringoiatria - de Campora - Pagnini - Elsevier, 2013
-Trattato di Otorinolaringoiatria ed Audiologia - Pignataro - Cesarani - Felisati - Schindler. Ed. EdiSES

The sense system diseases course ends with an oral examination and has been divided into 3 different units:
Unit A: Otorhinolaryngology and Audiology;
Unit B: Ophthalmology;
Unit C: Odontostomatology and maxillofacial surgery.

The student must undertake an oral exam for each of the three units’ subject.
The final grade is obtained through the arithmetic mean of the three oral tests, rounding up or down. Each unit’s exam may be taken simultaneously or at different times; anyway, all the tests must be accomplished within two close sessions. Generally, the examination timetable foresees 3 sessions: I session (made up of 3 terms: January, February and April), II session (made up of 2 terms: June and July), III session (made up of 2 terms: September and December).
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. 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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