alexandria university faculty of medicine ent department€¦ · skull base surgery x neuro-otology...

Alexandria University

Faculty of Medicine

ENT Department

Doctor Degree Program Specifications

Basic Information:

1. Program title: Doctor Degree in Otorhinolaryngology.

2. Program Award/Degree: Doctor degree

3. Department (s) offering the program: ENT

4. Program Director: Prof. Dr. Mohammed Hassab (Head of the Department)

5. Program Coordinator: Prof. Dr. Alaa Gaafar.

6. External evaluator (s): Prof. Dr. Shafik Khalifa

7. Type of the program:

Professional Information:

1- Program Aims: The aim of this program is to:

1.1. Have sufficient deep and broad Knowledge and understanding of basic facts and

theories of Otolaryngology and related subjects/ fields

1.2 Improve the ability to make decisions in various professional situations (including dilemmas

& controversial issues)

1.3 Perform a comprehensive and detailed ENT examination and reach appropriate

diagnosis/differential diagnosis in wide range of ENT problems.

Teach juniors, master all techniques (Basic &Advanced), support the conduct of research, and

lead effectively and cooperatively in a specialty Health care team.

1.4 Appropriately and ethically get an informed consent for difficult/ risky surgical

interventions.

2- Academic reference standards (ARS) & ILOs: Intended learning outcomes (ILOs) of Doctor Degree in Otorhinolaryngology designed and approved by

Department of Otorhinolaryngology Faculty of Medicine. Alexandria University. Based on Generic

Academic Reference Standards (ARS): Postgraduate Medical Education, Egypt (2009).

Published by National Authority for Quality Assurance and Accreditation of Education (NAQAAE)

National

[http://naqaae.org/main/php/book/index.php]

Domain Core Competencies

(by area)

ILOs

A. Knowledge and

understanding

Graduate of this

program must have the

advanced knowledge and

understanding about:

• Anatomy, physiology

and pathology related

to ENT practice.

• Quality standards of

clinical and surgical

ENT practice.

A1. Discuss advanced surgical

anatomy of significance to the practice

of Otolaryngology both in adults and

pediatric age group.

A2. Discuss etiology, pathogenesis

and pathology of broad spectrum of

otolaryngology diseases.

A3. Correlate clinical manifestations,

complications, diagnostic modalities,

out-come and treatment plans for

broad spectrum of otolaryngology

problems.

A4. Develop thorough knowledge

regarding the advanced knowledge of

pharmacotherapy, oncology, laser

physics, wound healing, voice

measurement and language

development.

A5.Discuss management of patients in

the preoperative period with special

emphasis on those with associated

medical problems.

A6.Acquire different modalities for

management of pain related to ENT

surgery.

• Basics and ethics of

scientific research

A7.Identify advanced Knowledge of

research science (scientific & ethical)

to be utilized and rules of publishing

in indexed journals and winning

research grants.

A8.Recognize recent trends in

epidemiological and other community

data to advance individual /family /

community and population health.

B. Intellectual

skills

Graduate must be able to do

the following:

• Analyze, evaluate & use information of different sources.

• Critical &logic thinking.

• Decision making

B1. Utilize sources of information like

medical records, patient’s

family/friends to augment medical and

surgical history.

B2.Select medical and investigative

parameters to be used in assessing the

patient’s response to intervention and

re-evaluate management plan

accordingly.

B3.Manipulate, interpret and present

numerical and narrative data

B4.Assess logically, systematically

and conceptually to draw reasoned

conclusions/ reach sustainable

judgments in difficult incomplete

problems.

B5.Modify approaches to analyze and

evaluate the information collected in

different patterns of diseases &

problems

B6.Improve the ability to take

decisions in various professional

situations (including dilemmas &

controversial issues).

• Create research methods

• Ability to follow the recent and evolving issues in the field of practice

B7.Manage discussions on basis of

evidence and proofs.

B8.Assess critically and audit the

outcomes of professional activities

during provision of medical care.

B9.Construct and effectively

complete research projects.

B10.Utilize the Scientific method in

research with emphasis on creativity

and ethical consideration.

C. Professional

skills

Graduate must be able to

perform the following:

• Perfect all basic and advanced procedural skills related to otolaryngology practice

• Work effectively and

C1.Perform a comprehensive and

detailed ENT examination and reach

appropriate diagnosis/differential

diagnosis in wide range of ENT

problems.

C2.Master all techniques of Life

Support (Basic &Advanced.)

C3.Utilize sources of information like

medical records, patient are

family/friends to augment medical and

surgical history.

C4.Perform adequately and safely all

basic and advanced major surgical

interventions.

C5.Support the conduct of research,

and integration of current research

findings and best practices into the

practice setting

C6. Get an informed consent for

difficult/ risky surgical interventions.

C7.Teach juniors appropriate

cooperatively in medical team.

techniques for obtaining, performing

and documenting a complete medical

history and physical examination for

otolaryngology patients.

C8.Communicate with, consult and

respect the role of other health-care

providers.

C9.Lead effectively and cooperatively

in a specialty Health care team.

C10.Work effectively and

cooperatively in consultation teams.

C11.Discuss professional errors in an

honest way.

D. General and

transferrable

skills

Graduate should be

competent in the following:

• Teaching skills and planning research.

• Lead teams and co-operate with colleagues and seniors

• Retrieving and processing different sources of information to obtain data from multiple technologic sources.

• Planning of developed courses to improve

D1.Develop skill in self-assessment

regarding work quality

D2.Design professional development

plans for self and junior colleagues.

D3.Develop ability to work within a

health care network

D4.Develop ability to work as part of a

team

D5.Demonstrates meticulous record

keeping, entailing legible and accurate

operative notes

D6.Demonstrate ability to teach,

support & guide junior staff.

D7.Utilize all sources of recent

communication technology in

facilitating work with his team

colleagues and seniors.

D8.Plan professional development

practice of juniors.

courses to improve practice and

enhance performance of juniors.

D9.Adhere to codes of conduct,

standards and requirements of

professional and statutory bodies.

E. Attitudes and

ethical

behavior

Teach and implement ethical

regulations in his

professional and practical

practices.

E1. Demonstrate ethical choices, values

and professional practices implicit in

multidisciplinary decision making.

E2. Promote high standards of personal

and organizational integrity, compassion,

honesty and respect for seniors,

colleagues, assistants and students.

E3. Demonstrate commitment to lifelong

learning and professional service

including active participation in

professional organizations.

E4. Interact with others without

discrimination based on religious, ethnic,

sexual, or educational differences.

E5.Ethical principles that govern decision-

making in surgical and medical practice.

Program courses ILOs Matrix

A- KNOWLEDGE&UNDERSTANDING:

ILOs

Course title

A1 A2 A3 A4 A5 A6 A7 A8

Audiology for Otorhinolaryngology II X X X X

Phoniatric for Otorhinolaryngology II X X X X

Advanced imaging for Otorhinolaryngology X X X X X

Advanced applied Surgical Anatomy for Otorhinolaryngology X X

Advanced applied Pathology for Otorhinolaryngology X X

Advanced Rhinology X X X X X X

Skull base Surgery X X X X X

Neuro-Otology X X X X X

Head & Neck dissection course X X X X X X

FESS Course X X X X X X X

Advanced Head & Neck Surgery X X X X X X

Temporal bone Course X X X X X X

Advanced Otology X X X X X X

Microlaryngosurgery X X X X X X

Airway management course X X X X X X

Facial Plastic Surgery X X X X X X

Rhinoplasty course X

Laser in Otorhinolaryngology X X X X X X

Cochlear implant Course X X X X X X

Integrated Otorhinolaryngology II X X X X X X X

B- INTELLECTUAL SKILLS:

ILOs

Course title

B1 B2 B3 B4 B5 B6 B7 B8 B9 B10

Audiology for Otorhinolaryngology II X X X X X X X

Phoniatric for Otorhinolaryngology II X X X

Advanced imaging for Otorhinolaryngology X X X X X X

Advanced applied Surgical Anatomy for Otorhinolaryngology X

Advanced applied Pathology for Otorhinolaryngology

Advanced Rhinology X X X X X X X X X X

Skull base Surgery X X

Neuro-Otology X X X

Head & Neck dissection course X X X

FESS Course X X X

Advanced Head & Neck Surgery X X X X X X X

Temporal bone Course X X

Advanced Otology X X X X X X X X X X

Microlaryngosurgery X X X X

Airway management course X X X X X X

Facial Plastic Surgery X X X X

Rhinoplasty course X X X X

Laser in Otorhinolaryngology X X X X

Cochlear implant Course X

Integrated Otorhinolaryngology II X X X X X X X X X

C- Professional & Practical skills

ILOs

Course title

C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11

Audiology for Otorhinolaryngology II X X X X X

Phoniatric for Otorhinolaryngology II X X

Advanced imaging for Otorhinolaryngology X X X X


Advanced applied Pathology for Otorhinolaryngology X

Advanced Rhinology X X X X X X

Skull base Surgery X X X X X X X

Neuro-Otology X X

Head & Neck dissection course X X X

FESS Course X X X

Advanced Head & Neck Surgery X X X X X

Temporal bone Course X X X X X X

Advanced Otology X X X X X X


Airway management course X X X X X X X X X X

Facial Plastic Surgery X X X X X X X X X

Rhinoplasty course X X X X X X X

Laser in Otorhinolaryngology X X X X X

Cochlear implant Course X X X X

Integrated Otorhinolaryngology II X X X X

D- General transferable skills

ILOs

Course title

D1 D2 D3 D4 D5 D6 D7 D8 D9

Audiology for Otorhinolaryngology II X X X X X

Phoniatric for Otorhinolaryngology II X X

Advanced imaging for Otorhinolaryngology X


Advanced applied Pathology for Otorhinolaryngology X X X X

Advanced Rhinology X X X X X X X

Skull base Surgery X X X X X X

Neuro-Otology X

Head & Neck dissection course X X X X X X

FESS Course X

Advanced Head & Neck Surgery X X X X

Temporal bone Course X X X X X

Advanced Otology X X X X X X X X


Airway management course X X X X X X X X

Facial Plastic Surgery X X X X X X X X

Rhinoplasty course X X X X X X X

Laser in Otorhinolaryngology X X X X X X

Cochlear implant Course X X X X

Integrated Otorhinolaryngology II X X X

3- Curriculum Structure:

Program duration: This program is fulfilled 52 credit hours in not less than 3 years with a maximum of 5 years. (2 semesters/year & thesis).

Program structure: 1. Obligatory subjects: 32 Credit Hours. 2. Thesis: 20 Credit Hours (Divided on 4 semesters at least).

Program Contents

Code Course Credit Hours

Prerequisites

1 052719270 Audiology for Otorhinolaryngology II 1

2 052729270 Phoniatric for Otorhinolaryngology II 1

3 053109270 Advanced imaging for Otorhinolaryngology 1

4 05270901 Advanced applied Surgical Anatomy for Otorhinolaryngology 2

5 05270902 Advanced applied Pathology for Otorhinolaryngology 2

6 05270903 Advanced Rhinology 3

7 05270904 Skull base Surgery 1

8 05270905 Neuro-Otology 1

9 05270906 Head & Neck dissection course 1

10 05270907 FESS Course 2

11 05270908 Advanced Head & Neck Surgery 3

12 05270909 Temporal bone Course 1

13 05270910 Advanced Otology 3

14 05270911 Microlaryngosurgery 1

15 05270912 Airway management course 1

16 05270913 Facial Plastic Surgery 2

17 05270914 Rhinoplasty course 1

18 05270915 Laser In Otorhinolaryngology 1

19 05270916 Cochlear Implant Course 1

20 05270917 Integrated Otorhinolaryngology II 3 052719270, 052729270, 053109270, 05270901-16

4- Program Admission Requirements:

According to the regulations of the credit hour bylaws of the Faculty of Medicine

Alexandria University (annex).

5- Regulations for Progression and Program Completion:

According to the regulations of the credit hour bylaws of the Faculty of Medicine

Alexandria University (annex).

6- Methods of student assessment:

Methods Intended Learning outcomes to be

assessed

1. Written Exam A1-A8,B2-B6,B8,E1

2. Practical Exam C1-11,E1-E4

3. Assignments

4. Thesis

B1-B10, D1-D9

B1,B3,B5,B7,B9,B10,D4,E3,E4

7- Methods of program evaluation:

Evaluator Tool Sample

1. Students enrolled in the program Questionnaires.

2. Alumni --------

3. Stakeholders (Employers) Focus group

4. External Evaluator (s) -----------

5. Others:

Program Director: Prof. Dr. Mohammed Hassab (Head of the department) Program Coordinator: Prof. Dr. Alaa Gaafar,. Signature: …………………….

COURSES DESCRIPTION

1 Code Credit hours 1 Course Prerequisites

052719270

Lectures Practical Audiology for

Otorhinolaryngology

II

½ ½

This course is given in (1) credit hour dictated and practical training. The course

focuses on recognition of the requirements of the audiology unit, the variable

audiological tests provided by it, and the different testing equipments. To learn

and practice the advanced audiological testing for hearing and vestibular

functions assessments. To understand, reed, and write audiological reports. To be

acquainted with the updates audiological modalities utilized for hearing

assistance, e.g., hearing aids, anchor prostheses, cochlear implants….etc. To be

acquainted with the advanced modalities of vestibular organ and auditory

trainings. To share in the research work, follow-ups, and filing system of the

relevant patients.

2 Code Credit hours 1 Course Prerequisites

052729270

Lectures Practical Phoniatric for

Otorhinolaryngology

II

½ ½

This course is given in (1) credit hour dictated and practical training .To know the

requirements of the phoniatric unit, the abdated speech testing and the new

testing equipments. The recent advances in phoniatric evaluation & treatments.

To be acquainted with, and how to utilize different examination tools of the

larynx, e.g., the magnifying laryngoscopy, the flexible endoscopy, stroposcopic

examination, ….etc. To be acquainted how to perform video and computer data

recording. To learn and practice the basic speech testing for speech assessment.

To understand, reed, and write the relevant speech function reports. To be

acquainted with the different speech helping devices and alternative procedures,

e.g., the electrolarynx, the oesophageal speech, the provox and the alike

prostheses, …etc. To share in the research work, follow-ups, and filing system of

the relevant patients

3 Code Credit hours (1) Course Prerequisites

053109270

Lectures Practical Advanced imaging for

Otorhinolaryngology

½ ½

This course is given in (1) credit hour lectures and practical training. This course

covers the Basic principles of imaging, Imaging of Head & Neck, Imaging of

temporal bone and Imaging of Nose & Paranasal sinuses. New techniques for

intervention radiology will also be covered.


05270901

Lectures Practical Advanced applied

Surgical Anatomy for

Otorhinolaryngology

1 1

This course is given in (2) credit hour lectures. The Advanced Anatomy: General :

Surgical anatomy and approaches of Head & Neck; cranial base, skull features,

face & scalp, cranial cavities, cranial nerves, infratemporal & pterygopalatine

fossae, tongue & oral cavity, salivary glands, muscles of mastication. Triangles of

the neck, submandibular region, hyoid bone, neck deep structure, thyroid,

parathyroid & thymus glands, lymphatics, cervical oesophagus & trachea. Special:

Surgical anatomy and approaches to: Nose (nasal skeleton, nasal cavities, nasal

septum, lateral nasal wall, paranasal sinuses). Pharynx (naso, oro, and laryngo-

pharynx). Larynx (cartilages, muscles, ligaments & membranes, interior,

innervation). Ear (auricle, external ear & drum, middle ear & ossicles, temporal

bone & its surrounding cranial bones, temporal none sectional anatomy,

Eustachian tube, mastoid, middle & inner ear, auditory & vestibular end organs,

facial nerve. Relevant neuro- and vascular structures. Tracheobronchial tree,

chest, mediastinum. Anatomy of ENT flaps & grafts, microvascular flaps.


05270902 Lectures Practical Advanced applied

Pathology for

Otorhinolaryngology

1 1

This course is given in (2) credit hour lectures .An objective oriented problem

solving introduction to general disease processes including cellular alterations

and inflammation, genetic, immunological, nutritional and circulatory disorders,

effects of infection, chemical and physical agents , blood and vascular disease,

neoplasia and aging. Topics to be covered include analytic tools and techniques,

diagnostic methodology and criteria and recognition and control of

environmental diseases.


05270903 Lectures Practical Advanced Rhinology

2 1

This course is given in (3) credit hour lectures and clinical training. This includes:

Congenital anomalies. External nose inflammations, tumors, & connective tissue

disorders. Trauma, fractures, & Epistaxis. Disorders of smell & their management.

Rhinitis & Sinusitis. Manifestations of systemic diseases & intrinsic rhinitis. Nasal

septum. Polyposis. Current traditional & advanced surgical procedures. The

course also focuses on Objective evaluation of nasal breathing using recent

advanced technology. Current traditional & advanced surgical procedures.

Functional endoscopic surgery. Snoring & OSA management.


05270904 Lectures Practical Skull base Surgery

½ ½

This course is given in (1) credit hour lectures and practical subjects. The course

focuses on knowledge of detailed anatomy of the anterior, lateral, middle and

posterior skull base. Different pathologies affect the skull base. Identify different

surgical approaches to skull base like anterior, posterior and lateral approaches

either open or endoscopic minimally invasive. Identification and management of

complications associated with skull base surgery.


05270905 Lectures Practical Neuro-Otology

½ ½

This course is given in (1) credit hour lectures and clinical training. The course

focuses on Identification of different pathological lesions affecting the facial

,vestibulocochlear and the last 4 cranial nerves. Lesions affecting CPA. Different

diagnostic techniques. Master intraoperative nerve integrity monitoring.

Treatment of neuro-otologic lesions. Different approaches to the IAC and CPA.


05270906 Lectures Practical Head & Neck

dissection course

½ ½

This course is given in 1/2 credit hour lectures and ½ credit hour practical

training. The course focuses on achievement of good knowledge

about surgical anatomy of different groups of cervical lymph nodes,

lymphatic drainage of the viscera of the neck, and cancer staging &

classifications. Master different types of neck dissection: radical, modified

radical, selective, etc…. Postoperative care and management of possible

complications.


05270907 Lectures Practical FESS Course

1 1

This course is given in (2) credit hours dictated and practical training. This

includes: FESS, Endoscopic management of epistaxis. Endoscopic management of

congenital anomalies e.g. choanal atreasia. Endoscopic management of foreign

bodies in the nose. Endoscopic management of CSF rhinorrhea, Nasal and

Paranasal neoplasms, Exophthalmos, Complicated sinusitis. Approaches to

pyterigopalatine fossa , cranial base, & infratemporal fossa. Endoscopic

Hypophysectomy. Endoscopic Dacrocystorhinostomy.


05270908 Lectures Practical Advanced head &

Neck Surgery

2 1

This course is given in (3) credit hour lectures & clinical training. This

includes:

Upper aerodigestive tract: Congenital disorders, Trauma, Foreign bodies in

tracheobronchial tree & esophagus, Inflammations & Infections.

Neurological disorders of larynx & pharynx. Esophageal neuromuscular

disorders. Gastroesophageal reflux disease manifestations & management.

Oral cavity & Pharynx: Common congenital anomalies. Trauma, Soft tissue

lacerations & burns. Mucosal lesions of the oral cavity & pharynx. Benign

mucosal & cystic swellings. Adenotonsillar diseases. Suppurations around

the pharynx. Acute & chronic infections of the pharynx.

Pharyngeal manifestations of systemic diseases. Salivary glands disorders &

management. Angiofibroma diagnosis & management.Relevant & advanced

oral & pharyngeal surgical procedures. Tracheal stenosis / tumors.

Cancer larynx & Hypopharynx: Endoscopic evaluation and

classifications for cancer larynx & Hypopharynx. Surgery of

cancer larynx, hypopharynx, & upper esophagus. Special

techniques in laryngeal cancer surgery.Complications of head

& neck surgery. Voice rehabilitations following laryngeal

surgeries. Neurolaryngology & phonosurgical procedures.

Chronic aspiration. Surgery of upper mediastinum.


05270909 Lectures Practical Temporal bone

Course

½ ½

This course is given in (1) credit hour dictated and practical training. This includes:

Temporal bone dissection lab: Courses &Training on temporal bone dissection

(bony, preserved, and fresh specimens) for purpose of anatomical understanding

and orientation of the related neuroanatomy and different approaches to the

middle, inner ear, CPA, relevant cranial fossae and structures, Eustachian tube,

and subtemporal and pterygoid fossae.


05270910 Lectures Practical Advanced Otology

2 1

This course is given in (3) credit hour lectures and clinical training. This includes:

External ear diseases; developmental anomalies, trauma, reconstructive surgery

for congenital & acquired malformations, infections & sequllae, perichondritis,

non-infection otitis externa, malignant otitis externa, tumors of external ear,

manifestations of systemic diseases, otalgias, Relevant external ear surgeries.

Acute & chronic otitis media, complications & management, middle ear trauma,

Surgery of chronic ear disease, tympanic membrane & tympanostomy tubes,

relevant middle ear surgeries. Otosclerosis & management, diseases of temporal

bone with special emphasis on osteogenesis imperfecta, histocytosis X, & specific

infections, temporal bone trauma, conductive hearing loss. Vertigo, perilymph

fistula, Meniere’s disease and alikes, Central vestibular disorders. Sensorineural

hearing loss, cochlear & retrocochlear pathology, ototoxicity, effect of aging,

acoustic neronoma, glomus tumor. Immunologic disorders of inner ear. Clinical

disorders of Facial nerve, its function tests, & management. Surgery of perilymph

fistula & vestibular system. Surgery of tinnitus & deafness. Intratemporal facial

nerve surgery. Surgery of the temporal bone. Differential diagnosis of neoplasms

of the anterior, middle, & posterior cranial fossae. Surgery of anterior, middle, &

posterior cranial fossae. Surgery of cochlear implants & anchoring devices.

Interventional neuroradiography. Conventional & advanced surgeries of the ear.

Laser surgery of the ear.


05270911 Lectures Practical Microlaryngosurgery

½ ½

This course is given in half(1/2) credit hour lectures and half(1/2) practical

training. The course focuses on Different techniques of laryngoscopy in children

and adults. Indications of microlaryngosurgery of the larynx either benign or

malignant. Recent trends in endoscopic excision of early cancer larynx using cold

instruments or laser. Contraindications and complications of microlaryngosurgery.

Cadaveric hands on training on fresh cadavers.


05270912 Lectures Practical Airway management

course

½ ½

This course is given in half (1/2) credit hour lectures and half(1/2) credit hour

practical training. This includes: management of airway narrowing & obstruction.

Endoscopic management of foreign bodies in the airways & esophagus.

Endoscopy of tracheobronchial tree, esophagus, & mediastinum.


05270913 Lectures Practical Facial Plastic Surgery

1 1

This course is given in (2) credit hours lectures and clinical training. This includes:

Facial plastic surgeries. Rehabilitation of paralysed face. Management of alopecia

& reconstructive scalp surgery. Rhytidectomy, Blepharoplasty, Chemical peel,

Liposuction techniques of the face & neck. Facial implants. Auriculoplasty.

Reconstruction of facial defects. Cleft lip & cleft palate repair procedures.


05270914 Lectures Practical Rhinoplasty

½ ½

This course is given in (1) credit hour lectures. This includes: Special aesthetic

rhinoplasty & facioplasty techniques. Reconstructive rhinoplasty. Revision

rhinoplasty. Live surgery demonstration for different techniques of rhinoplasty.


05270915 Lectures Practical Laser In

Otorhinolaryngology

½ ½

This course is given in half(1/2) credit hour lectures and half(1/2) credit hour

practical training. This includes: Basic principles & Safety considerations.

Application for some accessible skin & mucosal lesions. In Tonsillectomy.

Intranasally. Microlaryngosurgery & Laser laryngeal surgeries. Tracheal lasers. Ear

laser. Courses and training on the different laser applications in the ENT area, the

prerequisites, the precautions, and the procedures. Hands on training on fresh or

well preserved cadavers.


05270916 Lectures Practical Cochlear implantant

½ ½

This course is given in one credit hour. Half an hour will be lectures on basic facts

regarding cochlear implantation including basic facts regarding auditory nerve

electrophysiology, basic anatomical knowledge regards cochlear anatomy, the

internal auditory nerve anatomy and the vestibular apparatus. The other part of

the course will focus on live and video demonstration of different techniques of

cochlear implant surgeries.


05270917 Lectures Practical Integrated

Otorhinolaryngology

II

052719270, 052729270, 053109270, 05270901-16

2 1

This course is given in (3) credit hour lectures and clinical training. The course

focuses on Clinical training in inpatient departments: Attend the regular bedside

and hospital clinical rounds done by the different special subunits and held by the

assigned authorized staff to evaluate, discuss, manage and follow-up their

relevant already admitted patients. Submit the departmental rotation in the

different subunits. Share in the decision making, operative preparing, and follow-

up. Carry on the given orders and duties regards the required investigations,

performing special procedures, other consultations, close observation, regular

reporting, discharge reports, follow-up schedule,….etc. Recording regular

observation notes on the patient's file and providing daily report to the observing

staff. Share in the department filling, recall, and archives system. Integration of

recent updates in all subspecialties is a prerequisite for passing this course with

clinical, operative and OSPE evaluation at the end of this course.

Program Coordinator Program Director

Prof. Alaa Gaafar Prof. Mohammed Hassab

Course Specifications

University: Alexandria

Faculty: Medicine

Department: ENT

Course Information

Course Code: 052719270 Course Name:

Audiology for Otorhinolaryngology II Program in which the Course is Given: Doctor Degree in Otorhinolaryngology Number of Credit Hours 1 Theoretical Clinical/Practical

Course Aims The course focuses on recognition of the requirements of the audiology unit, the variable audiological tests provided by it, and the different testing equipments. To learn and practice the advanced audiological testing for hearing and vestibular functions assessment. To understand, read, and write audiological reports. To be acquainted with the updates audiological modalities utilized for hearing assistance, e.g., hearing aids, anchor prostheses, cochlear implants….etc. To be acquainted with the advanced modalities of vestibular organ and auditory trainings. To share in the research work, follow-ups, and filing system of the relevant patients.

Intended Learning Outcomes (ILOs)

Program ILO (refer to program

matrix) Course ILOs

A. Knowledge

and

Understanding

A1. Describe advanced surgical

anatomy of significance to the

practice of Otolaryngology both in

adults and pediatric age group.


and pathology of broad spectrum

of otolaryngology diseases.

A3. Correlate clinical

manifestations, complications,

A1. Describe advanced anatomy of the

different ear compartments including the

central auditory pathway.

A2. Discuss advanced physiology of the

different ear compartments including the

physiology of the central pathway.

A3. Discuss etiology, pathogenesis &

pathology of different ear diseases affecting

hearing & balance mechanisms.

A4. Choose the appropriate audiological test

to diagnose different auditory & vestibular

disorders.

A5. Discuss the audiological profile of

different ear diseases involving the hearing

0.5 0.5

diagnostic modalities, out-come

and treatment plans for broad

spectrum of otolaryngology

problems.

A5. Discuss management of

patients in the preoperative period

with special emphasis on those

with associated medical problems.

& vestibular systems.

A6. Discuss differential diagnosis for

difficult cases based on the given

information.

A7. Decide when it is appropriate to resort

to rehabilitative disciplines such as hearing

aids & cochlear implantation.

B. Intellectual

skills

B1. Utilize sources of information

like medical records, patient’s

family/friends to augment medical

and surgical history.

B2.Select medical and

investigative parameters to be used

in assessing the patient’s response

to intervention and re-evaluate

management plan accordingly.

B3.Manipulate, interpret and

present numerical and narrative

data

B4. Assess logically,

systematically and conceptually to

draw reasoned conclusions/ reach

sustainable judgments in difficult

incomplete problems.

B5.Modify approaches to analyze

and evaluate the information

collected in different patterns of

diseases & problems

B1. Interpret audiological medical records

especially that pertained to cases of cochlear

implants.

B2. Interpret vestibular test records for cases

of dizziness.

B3. Select appropriate audiological

technique to monitor response of patients to

therapeutic modalities.

B4. Select the appropriate vestibular

evaluation test for patients of vertigo.

B5. Interpret test results of different

audiological measures.

B6. Interpret results of vestibular tests.

B7. Present audiological data pertained to

patients in meetings & conferences.

B8. Correlate between audiological and

clinical results.

B9. Use different audiological data to

modify or improve therapeutic interventions.

B10. Utilize the scientific method in

conducting research that implements

audiological techniques.

B11. Make decisions for operative cases like

otitis media and inner ear pathologies.





B10.Utilize the Scientific method

in research with emphasis on

creativity and ethical

consideration.

B13. Make decisions for cochlear implant

and hearing aid fitting.

B14. Utilize the scientific methods in

recording and presenting audiological data.

B15. Utilize the scientific methods in

recording and presenting vestibular

evaluation.

C.Professional

and Practical

Skills


detailed ENT examination and

reach appropriate

diagnosis/differential diagnosis in

wide range of ENT problems.

C3.Utilize sources of information

like medical records, patient are



.

C1. Request particular diagnostic audiologic

tests that help in the diagnosis/differential

diagnosis of all otologic disorders.

C2. Perform audiological testing.

C3. Perform vestibular evaluation as ABR

and ENG.

C4. Utilize available medical records to

supplement patients’ medical history.

C5. Discuss limitations of surgical

interventions in particular cases that need

rehabilitative measures with both peers &

patients.

.

D. General

Skills

D1.Develop skill in self-

assessment regarding work quality

D2.Design professional

development plans for self and

junior colleagues.

D3.Develop ability to work within

a health care network

D1. Develop his/her skill to self-criticize

work quality.

D2. Develop plans to improve professional

practices with junior staff.

D3. Master the ability to work with others in

a health care network.

D5.Demonstrates meticulous

record keeping, entailing legible

and accurate operative notes






D4. Helps in maintaining record keeping by

giving information about his/her work when

asked to do so.

D5. Demonstrate ability to teach, support &

guide junior staff in clinical settings as well

as in research settings.

D6. Plan & share in courses given to junior

staff in order to improve their performance

in work.

D7. Share in the undergraduate clinical

practicum courses and give instructions to

students and tutor them when necessary.

E- Attitudes and ethical behavior


difficult/ risky surgical

interventions

C6. Perform informed consent for patients

undergoing cochlear implant surgery.

C7. Perform informed consent for patients

undergoing vestibular nerve sectioning,

labrynthectomy and BSI

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Basic audiologic evaluation ✓ ✓

Advanced vestibular audiologic

evaluation

✓ ✓

Rehabilitative audiology ✓ ✓

Please check (✓) the appropriate method.

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

✓ ✓

✓

Schedule of Assessment

Mid-term %

End of term ✓ % 100

Distribution of Marks

Written Exam 70 %

Practical/Clinical Exam 30 %

Others %

List of Textbooks and References

Lecture Notes

Course Text Books

Handbook of Clinical Audiology (Jack Katz)

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor

Name: Prof. Ossama Sobhy Signature:

Program Coordinator

Name: Prof. Dr Alaa Gaafar Signature:

Program Director (Head of Department)

Name: Prof. Dr. Mohamed Hassab Signature:



Faculty: Medicine

Department: ENT

Course Information

Course Code: 05270913 Course Name: Facial Plastic Surgery

Program in which the Course is Given Doctor Degree in Otorhinolaryngology

Number of Credit Hours 2 Theoretical Clinical/Practical

Course Aims

This course is designed to provide the PhD candidate student working in the field of otolaryngology with

basic concepts regarding Facial plastic surgeries. Rehabilitation of paralysed face. Management of alopecia & reconstructive scalp surgery. Rhytidectomy, Blepharoplasty, Chemical peel, Liposuction techniques of the face & neck. Facial implants. Auriculoplasty. Reconstruction of facial defects. Cleft lip & cleft palate repair procedures.



matrix) Course ILOs

A. Knowledge

and

Understanding













A1. Describe Local Skin Flaps Anatomy A2. Describe Anatomy of the Eye, ear A3. Describe Vascular anatomy of the face A4. Discuss Facial paralysis A5. Explain etiology, pathogenesis and pathology of skin cancers A6. Discuss etiology, pathogenesis and pathology of the aging face A7. Explain etiology, pathogenesis and pathology of congenital anomalies of the ear A8. Correlate Manifestations , diagnosis and treatment of skin cancers A9. outline different guides to repair of facial defects A10. Discuss diagnosis and treatment of the ear

1 1

problems.


regarding the advanced knowledge

of pharmacotherapy, oncology,

laser physics, wound healing,

voice measurement and language

development.

A5.Discuss management of




A6.Acquire different modalities

for management of pain related to

ENT surgery.

A11. Explain Local flaps healing A12. Discuss Pharmacotherapy of chemical peeling of the aging face A13. outline Types and uses of various Lasers in aging face A14.Discuss Preoperative evaluation and preparation of skin defects, microtia repair ,blepharoplasty A15. Discuss Postoperative pain management in cases of facial rejuvenation

B. Intellectual

skills









diseases & problems





B1. Select objective & Subjective post management assessment of the degrees of improvement and satisfaction in Blepharoplasty. B2. Select objective & Subjective post management assessment of the degrees of improvement and satisfaction after Facial Rejuvenation B3. Select objective & Subjective post management assessment of the degrees of improvement and satisfaction after local flaps reconstruction. B4. choose the appropriate reconstructive option in defect reconstruction. B5. choose the fittest rejuvenation technique B6. Effectively manage various facial defects and discuss the perfect reconstructive option. B7. Effectively manage various congenital auricular malformation and



chose the best technique for repair. B8. Effectively manage cases of aging and discuss the fittest method for rejuvenation B9. Manage various problems in reconstructive facial surgery

C.Professional

and Practical

Skills



reach appropriate









C4.Perform adequately and safely

all basic and advanced major

surgical interventions.

C5.Support the conduct of

research, and integration of current

research findings and best

practices into the practice setting

C1.Perform a detailed examination of the face, External Ear and facial defect C2.Master all techniques of Life Support like epley’s maneuver, CPR and ETI. C3.Utilize sources of information in cases of skin cancer, the aging face and congenital anomalies of the ear C4. Perform various techniques of facial defect reconstruction, facial rejuvenation, facial reanimation, blepharoplasty and Otoplasty C5. Master the basis of conducting a research and integration with the current techniques in facial reconstruction C6. Master the basis of conducting a research and integration with the current techniques in facial rejuvenation C7. Master the basis of conducting a research and integration with the current techniques in facial reanimation

D. General

Skills



D4.Develop ability to work as part

of a team














regarding follow up for the integrity of skin

flaps

D2.Develop ability to work as part of a team

formed of head and neck surgeon and plastic

surgeon.


keeping, regarding type of flaps and type of

reconstruction.

D4.Demonstrate ability to teach, support &

guide junior staff by doing plastic surgery

lab.


communication technology like

teleconferences and live surgery

transmission..

D6.Plan professional development courses

to improve practice and enhance

performance of juniors like otoplasty course,

facial reanimation course and local skin

flaps course.


E1. Get an informed consent for


interventions.

E2.Adhere to codes of conduct,



E1. Perform an appropriate consent according to the various facial plastic surgery conditions. E2. Perfrom informed consent for possible postoperative complications and facial appearance.

E3.Adhere to the fulfillment of all

requirements for performing facial plastic

surgery.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Local skin flaps ✓ ✓ ✓ ✓

Facial Rejuvenation ✓

Blepharoplasty ✓ ✓ Facial reanimation ✓ ✓

Skin cancer ✓

Congenital anomalies of the ear ✓

✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others %


Lecture Notes

Course Text Books

Aesthetic Rejuvenation Challenges

and Solutions © 2010 Informa UK Ltd

Aesthetics and functionality in ear

reconstruction, © Copyright 2010 by S. Karger

✓

✓

✓

AG

ATLAS OF AESTHETIC EYELID AND

PERIOCULAR SURGERY © 2004, Elsevier Inc

Local Flaps in Facial Reconstruction © 2007,

Elsevier Inc


Cumming’s Otolaryngology

Balenger’s Otolaryngology


Plastic Reconstructive Surgery Journal

Aesthetic Plastic Surgery Journal

Archives o Facial Plastic Surgery Journal

Course Instructor

Name: Ass. Prof. Wael Khamis Abdel-Hamid Signature:

Program Coordinator

Name: Prof. Alaa Gaafar Signature:





Faculty: Medicine

Department: ENT

Course Information

Course Code: 05270907 Course Name: FESS

Program in which the Course is Given : Doctor Degree in Otorhinolaryngology


Course Aims: This course is designed to provide the PhD candidate student working in the field of

otolaryngology with basic concepts regarding endoscopic anatomy of the paranasal sinuses with full

orientation of surgical field. To learn how to select , prepare and operate on FESS candidates



matrix) Course ILOs

A. Knowledge

and

Understanding













problems.

A1. Describe surgical and endoscopic

anatomy of the nose and PNS.

A2. Explain etiology of benign

inflammatory diseases of the nose and PNS.

A3. Discuss the role of the osteomeatal

complex in the pathogenesis of chronic

rhinosinusitis.

A4. Correlate clinical manifestations of

common diseases of the nose and PNS like

chronic rhino sinusitis, sinonasal polyposis

and fungal rhinosinusitis.

A5. Outline the treatment plan for chronic

allergic and non allergic rhinosinusitis.

A6. Outline pharmacotherapy of the nose

1 1






development.







ENT surgery.

and PNS mainly antibiotics, antihistamenics

and nasal decongestant.

A7. Give examples on different tumors arise

at the region of the nose and PNS.

A8. Discuss preoperative preparation of

patients undergoing endoscopic sinus

surgery.

A9. Discuss preoperative systemic diseases

that can affect intraoperative course during

FESS.

A10. List modalities for management of pain

related to endoscpic sinus surgery.

B. Intellectual

skills












evidence and proofs

B1. Select proper preoperative investigation

(CT scan – MRI – Allergy test).

B2. Select proper medical and radiological

modalities for evaluation of course of

treatment.

B3. Manage systematically to approach a

reasonable differential diagnosis for

common nasal and PNS diseases.

B4. Select a systemic approach for diagnosis

of nasal and PNS diseases.

B5. Properly select technique of FESS.

C.Professional

and Practical

Skills




C1. Perform adequately and safely basic

FESS techniques like uncinectomy, middle

meatal antrostomy and anterior

ethmoidectomy.

C2. Perform safely advanced FESS

techniques.





C3. conduct of research on recent techniques

as regard endoscopic sinus surgery.

C4. Use of debrider during FESS.

D. General

Skills





D2.Work effectively and

cooperatively in consultation

teams.

D1. Utilizes sources of communication

technology like PC and internet to

communicate with his colleagues.

D2. Work cooperatively with other medical

teams like radiology team and neurology

team.


E1- Follow national code of ethics.

E2- Respect patient’s rights and

explain the standards of informed

consent.

E3- Council patients & parents

with appreciation and

understanding

1- Revise the national code of ethics

2- Appraise the patients’ rights in view of

national laws and international treaties

3- Demonstrate the communication skills and

the ways of explaining the situation to the

patients and the relatives

E4-Accept criticism and council from

different team members for better patient’s

care.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Endoscopic anatomy of nose and PNS ✓ ✓

Spectrum of FESS ✓ ✓

Selection of patients for FESS ✓ ✓

Preparation for FESS ✓ ✓

Basic operative technique ✓ ✓

Hemostatis in FESS ✓ ✓

Complications of FESS ✓ ✓

Postoperative care in FESS ✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others %


Lecture Notes

Course Text Books

• Lore & Medina. An Atlas of Head and

Neck Surgery, 4th edition, Elsiver Inc.

2005

• Byron Bailey. Atlas of Head and Neck

Surgery.

• Cummings Otolaryngology: Head and

Neck Surgery 4th edition.



Laryngoscope, Rhinology, AJR

Course Instructor

Name: Ayman Al Madani Signature:

Program Coordinator




✓ ✓

✓



Faculty: Medicine

Department: ENT

Course Information


Head & Neck dissection course

Program in which the Course is Given: Doctor Degree in Otorhinolaryngology

Number of Credit Hours: 1 Theoretical Clinical/Practical

Course AimsThis course is designed to provide the PhD candidate student working in the field of

otolaryngology with basic concepts regarding surgical anatomy of different groups of cervical lymph

nodes, lymphatic drainage of the viscera of the neck, and cancer staging & classifications. Master

different types of neck dissection: radical, modified radical, selective, etc…. Postoperative care and

management of possible complications.



matrix) Course ILOs

A. Knowledge

and

Understanding













problems.

A1. Describe surgical anatomy of the

anterior triangle and posterior triangle of the

neck.

A2. Describe the lymphatic drainage of the

upper aerodigestive tract.

A3. Describe the surgical anatomy of

different groups of lymph nodes in the neck.

A4. Explain the etiology of

lymphadenopathy in the neck.

A5. Describe the pathogenesis and

pathology of different malignant tumors of

the neck.

A6. Summarize clinical manifestations of

different diseases causing cervical

lymphadenopathy.

A7. Outline treatment plan and

complications for disserent types of neck

0.5 0.5






development.





A6. Outline different modalities


ENT surgery.

dissection.

A8. Outline different types of cervical

malignant tumors and the role of non

surgical treatment like radiotherapy and

chemotherapy.

A9.Discuss preoperative preparation of

patients undergoing neck dissection

operation..

A10. Discuss postoperative care after neck

dissection operations and suspected wound

complications

A11. outline different modalities for pain

control for patients with malignant cervical

tumors either preoperative, postoperative or

palliative

B. Intellectual

skills













B1. Select proper radiological investigation

for evaluation and staging lymph node

involvement in upper aerodigestive

carcinoma.

B2. Select proper medical investigation as a

preoperative evaluation or for follow up of

treatment plans.

B3. Diagnose and make operative decision

in cases of metastatic cervical

lymphadenopathy.

B4. Manage difficult cases of cervical

lymphadenopathy with unknown cause.

B5. Discuss the selected type of neck

dissection on basis of evidences and proofs.

C.Professional

and Practical

Skills




C1. Perform different types of neck

dissection (radical, modified radical and

selective)

C2. Master different types of skin incisions

for neck dissection.





C3. conduct of recent researches about the

recent trends in management of metastatic

cervical lymph adenopathy.

C4recommend a management for issues with

dilemmas like management of N0 neck.

D. General

Skills





junior colleagues.







D8.Work effectively and


teams.

D1.Develop skill in how to assess patients

preoperatively and postoperatively.

D2.Design professional plans for developing

skills of dissection of different neck organs

D3.Develop ability to work within a health

care team especially ICU personnel and

anesthesiologists.


communication technology like live surgery

and video demonstration ton to demonstrate

surgery for colleagues.

D5. Work effectively and cooperatively in

consultation teams especially oncology team

and microvascular team..





consent.



understanding









care.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Surgical anatomy of the lymphatic ✓

system of the neck.

Non neoplastic causes of cervical

lymphadenopathy

✓

Metastatic cervical lymphadenopathy ✓

Cervical lymph node staging ✓

Cadaveric neck dissection (hands-on-

training)

✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others %


Lecture Notes

Course Text Books


Neck Surgery, 4th edition, Elsiver Inc. 2005


Surgery.





Course Instructor

Name: Prof. Dr. Mohamed Hisham Signature:

✓

Hands on training

Program Coordinator






Faculty: Medicine

Department: ENT

Course Information


Integrated Otorhinolaryngology II

Program in which the Course is Given: Doctor Degree in Otorhinolaryngology.

Number of Credit Hours : 3 Theoretical Clinical/Practical

Course Aims: This course is designed to provide the PhD candidate student working in the field of otolaryngology with

Clinical training in inpatient departments: Attend the regular bedside and hospital clinical rounds done by the different special subunits and held by the assigned authorized staff to evaluate, discuss, manage and follow-up their relevant already admitted patients. Submit the departmental rotation in the different subunits. Share in the decision making, operative preparing, and follow-up. Carry on the given orders and duties regards the required investigations, performing special procedures, other consultations, close observation, regular reporting, discharge reports, follow-up schedule,….etc. Recording regular observation notes on the patient's file and providing daily report to the observing staff. Share in the department filling, recall, and archives system.



matrix) Course ILOs

A. Knowledge

and

Understanding








A1. Describe basic otorhinolaryngology anatomy and physiology A2. Correlate ENT symptoms and signs

with anatomical and physiological

abnormalities

A3. Discuss ENT symptomatology, methods

of examination and investigations applied for diagnosis in ENT

A4. Outline differential diagnosis of

2 1






problems.






development.







ENT surgery.

different ENT diseases.

A5. Describe the clinical symptoms and

signs of the most important and common ENT disorders with emphasis on emergencies and early diagnosis of serious illness A6. Determine the appropriate diagnostic

tools and therapeutic lines for the most important ENT disorders including applicable recent modalities

A7. Explain the relationship between some

general symptoms or illness and ENT diseases and the interaction between ENT and other specialties. A8. outline general rules of laser surgery and wound healing.

A9. Discuss the most common medical

conditions related to ENT practice as

rhinosinusitis, septal deviation,allergic

rhinitis,otitis externa, otitis media, glue ear,

Meniere's disease,BPPV, tonsillopharyngitis,

laryngitis, and peritonsillar abscess,.

A10. Discuss associated lower respiratory

tract conditions that affect upper airway

pathology.

A11. List the indications of pain killer for

ENT inflammatory and neoplastic

conditions.

A12. Summarize pre and post operative pain

control in ENT.

A13. Discuss and deal with possible

complications of the most common ENT

procedures.

B. Intellectual

skills





B1. Analyze problems on anatomical,

physiologic and pathologic backgrounds, develop a list of differential diagnosis with prioritization and propose a list of investigations in a cost effective way B2. Make effective management plan for ENT

related emergencies






B4.Assess logically,





B5 analyze and evaluate the

information collected in different

patterns of diseases & problems







B3. Effectively analyze the patient's

presentation to reach an accurate diagnosis and

management plan on the basis of evidence based

medicine specially in difficult incomplete

problems and controversial issues


medical records, patient’s family/friends to

augment medical and surgical history.

B5 Assess logically different clinical cases

in ENT.

B6. Assess different available investigations:

radiological and endoscopic.

B7. Analyze available radiological and

endoscopic data to reach the diagnosis.

B8. Interpret different data to reach

differential diagnosis in difficult

complicated cases.

B9. Diagnose and give appropriate medical

treatment of different cases.

B10. Manage discussions in different

scientific meetings supported by available

clinical and radiological data of the patients.

.

C.Professional

and Practical

C1.Perform a comprehensive and C1. Effectively obtain medical history

focusing on most common ENT symptoms

Skills


reach appropriate











techniques for obtaining,

performing and documenting a

complete medical history and

physical examination for


as hearing loss, otalgia, vertigo,

epistaxis,smell disorders, dysphagia,

hoarseness of voice and dysphagia

C2. Perform full otorhinolaryngologic

examination for signs of related diseases as

congenital malformations, trauma, otitis,

complications of diseases(e.g. complications

of suppurative otitis media or

sinusitis),upper aerodigestive tumours and

perform cranial nerves examination.

C3. Use basic examination instruments as

ear speculum,otoscope, tuning forks ,nasal

speculum,laryngeal mirror

C4. Competently perform diagnostic

endoscopy

C5. Competently perform common ENT

surgical procedures as septoplasty,

myringotomy, tonsillectomy,

adenoidectomy, direct laryngoscopy,

bronchoscopy

C6.Perform advanced Otolaryngologic

surgeries through observation and assistance

in the OR e.g. laryngectomy, neck

dissection, thyroidectomy, submandibular

gland excision,CSF leak repair and different

sinonasal surgical approaches and skull base

surgery and surgery for complicated cases(as

complicated otitis media or sinusitis)

C7. Correlate the clinical findings with the

results of laboratory,radiologic , audiologic

and vestibular investigations

C8. Effectively evaluateand treat common

problems like otitis externa,otitis media,

foreign body( inhalation, ingestion, nasal

and ear),rhinosinusitis, fracture

nose,tonsillopharyngitis, adenoid,

peritonsillar abscess

C9. Effectively evaluate and manage cases

with complications (postsurgical or due to

ENT disease)

C10. Manage admission of patients to the

different department units regarding required

investigations, supportive treatment and

preoperative preparation as well.

C11. Manage discharge of patients

concerning their treatment, home

management and follow up schedule.

C12. Provide intraoperative report for the

procedure as regards steps of the operation

and any complication occurred.

C13. Provides postoperative evaluation for

the patients as regards their recovery,

postoperative treatment and postoperative

course.

D. General

Skills



junior colleagues.






D1. Develop skill in self-assessment regarding work quality

D2. Demonstrate ability to assist in the learning process of students and junior staff. D3. Collaborate properly with colleagues in an effective team work D4. Demonstrate interpersonal and communication skills that result in effective information exchange and teaming with other health care providers, patients, and patient’s families.





consent.



understanding






patients and the relatives E4-Accept criticism and council from different team members for better patient’s care.

E5- Construct ethically accepted consent for

various interventions in ORL. E6- Appropriately and ethically get an

informed consent especially for difficult/

risky surgical interventions.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Clinical examination of Otolaryngology

case

(✓)

History taking in Otolaryngology ✓

Radiology in Otolaryngology ✓ ✓

Laboratory investigations in

Otolaryngology

✓ ✓

Operative decision in Otolaryngology ✓ ✓

Please check the appropriate method.

Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others %


Lecture Notes

Course Text Books

Cummings Otolaryngology: Head and Neck

Surgery 4th edition.



✓

✓ ✓

✓

Course Instructor

Name: Prof. Dr. Mohammed Hassab Signature:

Program Coordinator



Name: Prof. Dr. Mohammed Hassab Signature:



Faculty: Medicine

Department: ENT

Course Information

Course Code: 05270915 Course Name: Laser In ORL



Course Aims

• Provide the graduate with latest information regarding the laser applications in

otolaryngology.

• Allow the graduate to be trained with different laser devices and instrumentations used in

laryngeal, pharyngeal, nasal and ontological procedures



matrix) Course ILOs

A. Knowledge

and

Understanding













problems.

A1. Describe advanced surgical endoscopic anatomy of the larynx and trachea. A2. Describe advanced surgical anatomy of the oral cavity and oropharynx. A3. Describe anatomy of the external and middle ear. A4. Discuss etiology and pathogenesis of benign and early malignant lesions of the larynx. A5. Discuss pathology of snoring and OSA. A6. Discuss pathogenesis of tracheal stenosis. A7. Correlate clinical manifestations with appropriate diagnostic modalities like laryngoscopy, bronchoscopy and CT scan. A8. Correlate diagnostic tools with appropriate treatment either laser or open conventional techniques.

½ ½






development.







ENT surgery.

A9. Identify the physics of light including spontaneous and stimulated emission A10. Discuss the rational of the use of laser in Otolaryngology A11. Explain the interaction of different lasers with soft tissue. A12. Outline different modalities for management laryngeal, pharyngeal and nasal diseases using laser surgery A13. Identify the advantages of the use of laser surgery over other types of surgery using diathermy , cryosurgery or radiofrequency

B. Intellectual

skills














diseases & problems





B1. Select proper investigation either

endoscopic or radiological to reach the

diagnosis in lesions of the upper

aerodigestive tracts that need laser

intervention.

B2. Utilize sources of information like laser

properties and their uses in certain

pathologies.

B3.Select special type of laser for each

required intervention and re-evaluate


B4. Draw reasoned conclusions/ reach

sustainable judgments in difficult incomplete

problems.

B5. analyze and evaluate the information

collected in different patterns of diseases &

problems

B6.Make decisions in various professional



C.Professional

and Practical

Skills



reach appropriate






C11.Discuss professional errors in

an honest way.

C1. Perform examination of the upper

aerodigestive tract.

C2. Perform endoscopy of the upper

aerodigestive tract.

C3. Perform adequately and safely all

laser surgical interventions in

laryngology including benign and

malignant lesions, laser phonosurgery,

and laser application in obstructive

lesions of the larynx and trachea.

C4.Perform all intranasal laser surgery

procedures including laser tubinectomy,

laser assisted septoplasty and choanal atresia

C5. Appropriately do pharyngeal surgeries

using laser as laser tonsillectomy,

tonsillotomy and laser assisted

uvulopaplatoplasty

C6. conduct of research, and integration of

current research findings and best practices

into the use of laser in ORL.

C14.Discuss laser failure and limitation of

laser surgery.

C15. Discuss laser complications and how to

prevent.

D. General

Skills



D1.Develop skill in self-assessment of laser

use and its expected hazardous.




of a team





D2.Develop ability to work within a group

of health providers like ICU personnel and

anesthesiologists.

D3.Develop ability to cooperate with head

and neck surgeons and otologists to establish

the indication of laser surgery.


communication like the internet and live

surgery video transmission for

communication and teaching.





consent.



understanding

E4- Get an informed consent for


interventions.









care.

E5- Get informed consent on possible

complications and hazards of laser surgery.



Lectures

7 hours

self

learning

Practical/

Clinical

Small

group

discussion

Others

Laser Physics and concepts

Laser – soft tissue interaction

Laryngeal laser surgery

Pharyngeal laser surgery

Laser surgery in Otology

Intranasal laser surgery

Laser complications and safety

measures

✓ ✓ ✓

Hands on training on fresh and ✓

cadaveric specimens

Live surgery transmission with

interaction and demonstrations

✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others %


Lecture Notes

Provided by the course provides

Course Text Books

Scott-Brawin textbook of Otolaryngology


Cummings Otolaryngology Head & Neck

Surgery (4th ed 2005)


Laryngoscope, Journal of Laryngology and

Otology

Course Instructor

Name: Prof. Dr. Yassin Soliman Bahgat Signature:

Program Coordinator

Name: Prof. Dr. Alaa Gaafar Signature:



✓

✓

✓ X



Faculty: Medicine

Department: ENT

Course Information


Microlaryngosurgery

Program in which the Course is Given

Doctor degree otorhinolaryngology head and neck surgery


Course Aims This course is designed to provide the PhD candidate student working in the field of otolaryngology with

basic concepts regarding Different techniques of laryngoscopy in children and adults. Indications of microlaryngosurgery of the larynx either benign or malignant. Recent trends in endoscopic excision of early cancer larynx using cold instruments or laser. Contraindications and complications of microlaryngosurgery. Cadaveric hands on training on fresh cadavers.



matrix) Course ILOs

A. Knowledge

and

Understanding











A1 . Describe anatomy of endolarynx.

A2. Describe anatomy of vocal folds.

A3. Identify pathology and lesions of the

endolarynx and vocal folds

A4.Identify different pathologies in the

larynx.

A5. Discuss management of patients in the

preoperative period with special emphasis

on those with associated medical problems.

A6. Discuss management of patients in the

postoperative period with regards to voice

.5 .5



problems.






development.







ENT surgery.

.

rehabilitation and recovery laryngeal

functions

A7. Outline the different medication affect

vocal folds functions.

A8. Identify use of laser in the management

of benign and malignant vocal fold

pathologies.

A9. Discuss preoperative evaluation for

patients with VC diseases.

A10. Discuss preoperative medical problems

that can alter the management or the course

of treatment in patients with VC diseases.

A11. Outline different modalities for

management of pre or post operative pain

related to laryngeal surgery.

B. Intellectual

skills















B1. Select the appropriate preoperative

investigations as regards VC surgeries.

B2. Select the proper laboratory and

radiological investigations for follow up of

patients with VC diseases.

B3. Effectively diagnose of patients

presented by laryngeal manifestations.

B4. Select the appropriate management plan

for patients presenting by VC lesions

indicating MLS.

B5. Properly make decisions in various VC

like nodules, polyps and VC sulcus and how

to approach.

B6. Properly make decisions in dealing with

these lesions surgically or with medical

treatment.




B10.Utilize the Scientific method

in research with emphasis on


consideration.

B7. Assess the postoperative results as

regards the quality of voice, deglutition and

respiration.

B8. Utilize scientific methods as regards

surgery on the vocal cords.

C.Professional

and Practical

Skills



reach appropriate












C1.Perform a comprehensive and detailed

laryngeal examination and reach appropriate

diagnosis.

C2. Perform direct laryngoscopy and

flexible laryngoscopy under local anesthesia.

C3. Master techniques of life support like

tracheostomy, laryngeal intubation and CPR.

C4. Utilize appropriate sources of

information like history and examination to

reach the diagnosis.

C5. Utilize past medical and surgical history

as regards smoking, previous surgery and

voice abuse.

C6. Master all techniques of MLS like vocal

nodule excision, vocal cord polyp excision,

different types of cordectomy.

C7. Master all types of VC lateralization like

arytenoidectomy and cordotomy.

D. General

Skills



D1.Develop skill in self-assessment by

follow up laryngeal patients and post


of a team













operative evaluation of voice quality.

D2.Design professional development plans

for self and junior colleagues.


care network


especially phonosurgeons.


keeping, focusing on voice analysis on

regular basis.



performance of juniors.

D7. Utilize recent souces of communication

technology like internet and voice recoding

for communication with patients and

colleagues.

D8. Adhere to codes of conduct, standards

and requirements of professional and

statutory bodies.

E- Attitudes

and ethical

behavior




consent.



understanding




3- Demonstrate the communication skills

and the ways of explaining the situation to

the patients and the relatives



care.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

endolarynx anatomy ✓

Vocal cord lesions and pathology ✓

Endoscopic and microscopic

approaches

✓ ✓

Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others %


Lecture Notes

✓

Course Text Books

Cummings Otorhinolaryngology



✓ laryngoscope

Course Instructor

Name: Prof. Ahmed Tantawy Signature:

Program Coordinator Name: Prof. Alaa Gaafar Signature:


Name: Prof. Mohammed Hassab Signature:

✓

✓



Faculty: Medicine

Department: ENT

Course Information

Course Code: 05270905 Course Name: Neurootology

Program in which the Course is Given:



basic concepts regarding Identification of different pathological lesions affecting the facial ,vestibulocochlear and the last 4 cranial nerves. Lesions affecting CPA. Different diagnostic techniques. Master intraoperative nerve integrity monitoring. Treatment of neuro-otologic lesions. Different approaches to the IAC and CPA.



matrix) Course ILOs

A. Knowledge

and

Understanding











A1. Describe surgical anatomy of the facial

nerve, vestibulocochlear nerve and last 4

cranial nerves.

A2. Describe surgical anatomy of lateral

skull base

A3. Explain ear symptomatology related to

neuro-otologic and CPA diseases e.g.

acoustic neuroma,facial nerve tumours

,meningiomas and epidermoid cyst

0.5 0.5



problems.




and laser physics, wound healing,


development.







ENT surgery.

A4. Discuss the indications, risks and

contraindications, technique of common and

advanced neuro-otologic surgical

approaches&procedures as Retro-

labyrinthine, Retro-sigmoid, Middle fossa,

Trans-labyrinthine and Trans-mastoid

approaches

A5. Identify the advanced diagnostic and

therapeutic techniques in the field of

neurootology e.g. advances in relevant

radiology, laser surgery and intraoperative

nerve monitoring.

A6. Outline the possible complications of

neuro-otologic surgeries and their

management.

A7. Discuss preoperative management of

patients with neurological lesions.


management of pain related to neurootology

surgery.

B. Intellectual

skills









B1. Interpret of symptoms and signs of

neurootologic disease based on anatomical,

physiological and pathological backgrounds

B2. List differential diagnosis with

prioritization

B3. propose a list of investigations and a

management plan

B4. Integrate clinical, laboratory and

imaging data as CT scan and MRI to reach

diseases & problems





the diagnosis for neurootology cases.

B5. Make decision for advanced neuro

ontological cases especially those with

intracranial affection.

B6. Make differential diagnosis of difficult

ontological cases with neural affection

C.Professional

and Practical

Skills



reach appropriate







C1. Perform detailed examination of cranial

nerves focusing on facial nerve, vestibule-

cochlear nerve.

C2. Use outpatient diagnostic audiological

tools like tunning fork tests.

C3. Manage differential diagnosis of

difficult ontological and neuro otological

cases.

C4. conduct of research mainly on recent

approaches to the lateral skull base.

C5. conduct of researches on facial nerve

reanastomosis after ontological surgeries.

D. General

Skills





junior colleagues.



D1. Develop skills for assessment of

postoperative results after cochlear implant as

regards result of surgery and patient

satisfaction.

D2. Design a protocol for follow up of

patients

D3. Utilize all sources of recent advances in

the technology of cochlear implant

prosthesis

D4. Develop the ability to work with other

health care teams like neurosurgeons and

audiologists.





consent.








understanding




care.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Facial nerve anatomy and disorders (✓)

Acoustic neuroma (✓) (✓)

Differential diagnosis of CPA lesions (✓) (✓)

intraoperative nerve integrity monitoring (✓)

Approaches to the IAC and CPA. (✓) (✓)

diagnostic techniques in neuro-otology (✓) (✓) (✓)

Complications of neuro-otologic surgery (✓)


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others %


Lecture Notes

(✓)

(✓)

(✓)

Course Text Books

• Aziz Belal and Mario Sanna (eds.)

Surgical pathology of the ear and skull

base.1999


Neck Surgery 4th edition. 2009

• Scott Brown of Otolaryngology



Course Instructor

Name: Prof. Dr. Mohamed Badr Eldin Signature:

Program Coordinator






Faculty: Medicine

Department: ENT

Course Information


Phoniatric for Otorhinolaryngology II



Course Aims

After completing the course the candidate will be able to clinically differentiate speech and language disorders

commonly encountered in clinical practice and make competent decisions of management and/or referral of

voice disorders.



matrix)

Course ILOs

A. Knowledge and

Understanding








A7. Identify advanced Knowledge of

research science (scientific & ethical)

to be utilized and rules of publishing

in indexed journals and winning

research grants.

A8. Recognize recent trends in

A1. Differentiate between the larynges and voice

in adult and children.

A2. Describe surgical anatomy of the larynx in

adults and children.

A3. Describe the physiological consideration of

normal Voice, Speech and language.

A4. Identify the pathophysiological correlates of

communication disorders.

A5. Differentiate between surgical and non-

surgical voice disorders.

A6. Describe clinical objective and subjective

diagnostic tools for diagnosis of voice disorders.

A7. Outline lines of management of Phoniatrics

disorders.

A8. Determine the different procedures for

management of total laryngectomized patient.

A9. Enumerate etiologies and manifestation of

velopharyngeal incompetence.

A10. Discuss the various lines in management of

velopharyngeal valve incompetence.

A11. Enumerate Phoniatrics complication in

Otorhinolaryngology practice.

A11. Recognize community based services and

epidemiological distribution of communication

disorders.

1/2 1/2

epidemiological and other community

data to advance individual /family /

community and population health.

B. Intellectual

skills





B2. Select medical and investigative




accordingly.

B1. Apply guidelines of surgical management of

Phoniatrics disorders.

B2. Utilize recorded video of stroboscopic

examination to augment medical history.

B3. Integrate Phoniatrics reports for guideline to

assessment of surgical procedure outcome.

B4. Utilize available computerized digital

Phoniatrics assessment in monitoring and

determination of efficiency of a specific surgical

procedure.

B5. Collect relevant scientific updates of a

specific voice and speech disorders.

C.Professional

and Practical

Skills

C7. Teach juniors appropriate





C1. Fulfill elementary and clinical diagnostic aid

through the protocol of voice evaluation.

C2. Fulfill elementary and clinical diagnostic aid

through the protocol of velopharyngeal valve

incompetence evaluation.

C3. Interpret data obtained from protocols of

evaluation of various communication disorders

for proper management and decision making.

C4. Follow guidelines of safe surgical

procedures of voice and resonance restoration

procedures.

C5. Demonstrate cooperation within

interdisciplinary and multidisciplinary team.

D. General Skills

D6. Demonstrate ability to teach,


D7. Utilize all sources of recent




D8. Communicate with, consult and


providers.

D1. Teach and support and guide junior staff

preoperative, operative and postoperative stages

of management.

D2. Demonstrate ability to use internet networks

and advanced methods in improving research

and work between team members.

D3. Communicate effectively with the

multidimentional teams of management of

communication disorders.








consent.



understanding






Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Assessment and management of

communication disorders

✓ ✓

Pathophysiology of voice disorders. ✓ ✓ ✓

Voice disorders (Organic -Non-Organic

Minimal associated pathological lesions

Neurogenic and childhood dysphonia)

✓ ✓ ✓

Objective and subjective methods of

Assessment of voice disorders

✓ ✓

Management of voice disorders ✓ ✓

Rehabilitation of total laryngectomized

patient

✓ ✓

Phoniatric role in management of

Dysphagia

✓ ✓

Assessment and management of

Velopharyngeal valve incompetence

✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term 30 %

End of term 70 %


Written Exam 70 %


Others %


Lecture Notes

-Printouts of presentations.

Course Text Books • Aronson AE, Bless DM Clinical voice disorders

✓

✓

✓ ✓

Thieme 2009


-Ronald B. Gillam, Thomas P. Marquardt,

Frederick N. Martin Communication Sciences and

Disorders: From Science to Clinical Practice Jones

& Bartlett Learning, 2010


Folia Phoniatrica et logopedica

Journal of voice

Internet reviews

Course Instructor

Name: Prof. Dr. Yehia Aboras Signature:

Program Coordinator






Faculty: Medicine

Department: ENT

Course Information


Rhinoplasty course


Doctor degree Otorhinolaryngology Head and Neck surgery



basic concepts regarding Special aesthetic rhinoplasty & facioplasty techniques. Reconstructive rhinoplasty. Revision rhinoplasty. Live surgery demonstration for different techniques of rhinoplasty.



matrix) Course ILOs

A. Knowledge

and

Understanding





A1. Describe anatomy of bony nasal

skeleton

A2. Describe anatomy of cartilaginous

framework of the nose and nasal septum

A3. Describe deformities of the nose and

how to asses

A4. Explain different rhinoplastic

approaches

A6 Discuss management of patients in the


on psychological and satisfaction of the

patient and discussing the outcomes.

B. Intellectual

skills






B1.Assess logically and systematically to

take decision for the appropriate approach

for rhinoplasty.

B2. Make decision for cases with revision

rhinoplasty.

0.5 0.5








\

B3.Assess critically and audit the outcomes

of open versus closed rhinoplasty.

B4. Assess the outcome of revision

rhinoplasty.

C.Professional

and Practical

Skills



reach appropriate












an honest way.


nasal examination and reach appropriate

diagnosis of the deformity.

C2. Perform photo documentation of cases

candidate for rhinoplasty.

C3. Perform a comprehensive and detailed

photographing of the nose and face for

planning of the surgery needed and the

outcome to be most probably in advance.

C4. Utilize recent soft wares for imaging of

the expected postoperative results.

C5. Support the conduct of researches on

recent approaches for rhinoplasty.

C6. Support the conduct of researches

comparing open versus closed rhinoplasty.

C13. Discuss professional errors like failed

rhinoplasty in an honest way.

C14. Discuss indications of revision

rhinoplasty with the patients demonstrating

possible outcomes.

D. General

Skills

D1.Develop skill in self- D1.Develop skill in self-assessment by




junior colleagues.


of a team












professional and statutory bodies

photo documentation of postoperqative

results


for self and junior colleagues like teaching

courses and hands on training on different

techniques of rhinoplasty.


especially plastic surgery team.


guide junior staff by hands on training

courses and OR attendance.


communication technology like computer

soft wares for reconstruction of the nose.



performance of juniors by conducting

training courses

D7.Adhere to codes of conduct by

preoperative explanation for patients by the

expected results and the possible

complications.





consent.



understanding









care.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

External Nasal anatomy ✓

Different cartilaginous and bony

deformities

✓

Rhinoplastic approaches, surgical

training

✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others %


Lecture Notes

✓

Course Text Books




✓ laryngoscope, Rhinoplasty

✓

✓

Course Instructor

Name: Ass. Prof. Ahmed Soliman Signature:

Program Coordinator



Name: Prof. Mohamed Hassab Signature:



Faculty: Medicine

Department: ENT

Course Information


Skull base surgery


Doctor degree Otorhinolaryngology, Head and Neck Surgery



basic concepts regarding detailed anatomy of the anterior, lateral, middle and posterior skull base. Different pathologies affect the skull base. Identify different surgical approaches to skull base like anterior, posterior and lateral approaches either open or endoscopic minimally invasive. Identification and management of complications associated with skull base surgery.



matrix) Course ILOs

A. Knowledge

and

Understanding











A1 . Describe anatomy of anterior, middle

and posterior skull base

A2. Explain pathology and lesions of the

skull base

A3. Outline different approaches to the skull

base

A4. Identify different approaches in a

particular tumor or lesion.


different skull base lesions with the course

and planned surgical treatment.

0.5 0.5



problems.






development.





A6. Outline different techniques of skull

base surgery.

A7. Identify endoscopic approaches to the

skull base.

A8. Discuss preoperative preparation for

major skull base surgery operations.

A9. Discuss postoperative course and

management of skull base patients.

B. Intellectual

skills



data





B1. Effectively Make decisions in various

skull base lesions and how to approach.

B2. Interpret different available radiological

data to reach diagnosis for different skull

base lesions.

B3. Effectively Make decisions in dealing

with these lesions surgically or with

radiochemotherapy.

B4. guide discussion on difficult skull base

lesions with multiple differential diagnosis.

C.Professional

and Practical

Skills








C1. Perform history taking and examination

of patients with skull base lesions.

C2. Perform meticulous examination of

cranial nerves.

C3. Perform Adequately and safely under

supervision basic and advanced skull base

surgery.

C4. Perform safely under supervision

endoscopic lateral skull base surgery.

C5. Perform safely and adequately under

supervision trans nasal anterior skull base

surgery.

D. General

Skills





junior colleagues.




of a team








regarding master of different approaches to

skull base.

D2.Design hands on training courses and

repeated lectures for junior staff.


care network like neurosurgeons and ICU

personnel.


especially otology surgeons and head and

neck surgeons.



operative notes stressing on preoperative

data, preoperative cranial nerve functions

and meticulous recording of all steps of any

skull base surgery.



performance of juniors like infratemporal

approach to skull base.

E- Attitudes and ethical

E1. Get an informed consent for E1. Get an informed consent for difficult/

behavior difficult/ risky surgical

interventions.



consent.



understanding

risky surgical interventions emphasizing on

possible outcomes of skull base surgery like

cranial nerve palsies and intracranial

complications.

E2- Appraise the patients’ rights in view of


E3- Demonstrate the communication skills

and the ways of explaining the situation to the




care.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Skull base anatomy ✓

Skull base lesions and pathology ✓ ✓

Skull base approaches ✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others %


Lecture Notes

✓

✓ ✓

✓

Course Text Books




laryngoscope

Course Instructor

Name: Prof. Ahmed El Daly Signature:

Program Coordinator Name: Prof. Alaa Gaafar. Signature:





Faculty: Medicine

Department: ENT

Course Information

Course Code: 05270909 Course Name: Temporal bone Course




basic concepts regarding Temporal bone dissection lab: Courses &Training on temporal bone dissection

(bony, preserved, and fresh specimens) for purpose of anatomical understanding and orientation of the

related neuroanatomy and different approaches to the middle, inner ear, CPA, relevant cranial fossae and

structures, Eustachian tube, and subtemporal and pterygoid fossae.



matrix) Course ILOs

A. Knowledge

and

Understanding






external,middle and inner ear

A2. Describe the blood supply,lymphatic

drainage and nerve supply to the ear

A3. Discuss different types of incisions and

approaches to the middle ear, inner ear,CPA

and relevant cranial fossae

andstructures;Eustachian tube, and

subtemporal and pterygoid fossae.

A4. Describe the surgical anatomy of the

great vessels related to the ear.

A5. Describe the surgical anatomy of middle

and posterior cranial fossae.

A6.Discuss different soft tissue and

osseous approaches to the temporal bone

A7. Describe ear related neuroanatomy as

anatomy of the vestibulocochlear

nerve,facial nerve and last 4 cranial nerves.

0.5 0.5









problems.






development.







ENT surgery.

A8. Describe surgical anatomy,diagnosis

and management of otogenic causes of facial

nerve paralysis.

A9. Discuss etiology and pathogenesis of

acute, chronic and complicated otitis media.

A10. Identify cochlear implants.

A11. Correlates clinical manifestations of

CSOM with treatment plans.

A12. Correlates clinical manifestation of

otosclerosis with different types of stapes

surgery.


contraindications, technique of common

otologic surgical procedures as

myringotomy, myringoplasty,

tympanoplasty, mastoidectomy and

stapedectomy.

A14. Identify pharmacotherapy for otologic

drug preparation.

A15. Discuss techniques of advanced

surgical procedures in the field of facial

nerve and skull base e.g. surgeries for facial

nerve trauma, facial nerve reconstruction,

surgery for external and middle ear tumors.

A16. Discuss management of patients with

complicated otitis media.

A17Identifythe possible complications of

temporal bone surgeries and their

management.

B. Intellectual

skills



data

B1. Present description and analysis of

otology cases regarding good interpretation

of symptoms and signs of the patients based

on anatomical, physiological and

pathological backgrounds

B2. Integrate clinical, laboratory,

audiologic, vestibular and imaging data as

CT scan and MRI to reach the diagnosis for

otology cases.





B3. develop a list of differential diagnosis

with prioritization and propose a list of

investigations

B4.make accurate and rapid management

plan for cases with otologic complaints

B5. Make a systematic and accurate analysis

of the patient's presentation to reach an

accurate diagnosis and management plan on

the basis of evidence based medicine

especially in difficult incomplete problems

and controversial issues




C.Professional

and Practical

Skills



reach appropriate










C1. Obtains medical history focusing on

most common symptoms as hearing

loss,otalgia,otorrhea,tinnitus and vertigo

C2. Competent in using ear examination

instruments as ear speculum,otoscope,

tuning forks, siegle's speculum and

otoendoscope


results of audiologic,vestibular,radiologic

and laboratory investigations as pure tone

audiograms,impedencemetry,ABR

C4. Competent in performing soft tissue and

bony approaches to the temporal bone

C5. Competent in common surgical

procedures like myringotomy. myrinoplasty,

tympanoplasty and mastoidectomy

C6. Competent in performing advanced

otologic procedures as repair of CSF leak

and skull base surgery and facial nerve

decompression.


procedure as regards steps of the operation

and any complication occurred.



.


an honest way.

postoperative treatment and postoperative

course.

C16. Discuss errors in the diagnosis of

different ontological diseases.

C17. Discuss in honest way postoperative

complications and their possible

management.

D. General

Skills





junior colleagues.




D1. Collaborate properly with colleagues in

an effective team work

D2. Demonstrate interpersonal and

communication skills that result in effective

information exchange and teaming with

other health care providers, patients, and

patient’s families.

D3.deal with all staff and co-staff

respectively

D4. Develop skill in self-assessment


D5. Engage with technology particularly the

effective and efficient use of information

and communication technology

D6.guide and support junior staff regarding

the proper communication with

patients,proper ear examination techniques

and proper management of ear diseases




D8. Utilize sources of recent

communications like internet and live







surgery video demonstration for

communication and teaching of junior staff.

D9. Plan for courses and hands on training

for development of performance of junior

staff.

D10. Plan for development of temporal bone

lab for training of junior staff.





consent.



understanding

E1- Revise the national code of ethics








Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Temporal bone anatomy (✓) (✓)

Neuroanatomy (✓) (✓)

Approaches to the middle ear (✓) (✓)

Approaches to the inner ear&IAC (✓) (✓)

Approaches to the CPA (✓) (✓)

Approaches to the relevant cranial fossae

and structures.

(✓) (✓)

Please check (✓) the appropriate method

Student Assessment



Case OSCE/OSPE

✓

✓


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others %


Lecture Notes

Course Text Books

• Aziz Belal and Mario Sanna (eds.)

Surgical pathology of the ear and skull

base.1999


Neck Surgery, 4th edition, Elsiver Inc.

2005



Course Instructor

Name: Prof. Dr. Mokhtar Bassyoni Signature:

Program Coordinator






Faculty: Medicine

Department: ENT

Course Information

Course Code: 05270916 Course Name: Cochlear Implant

Program in which the Course is Given : Doctorate degree of otolaryngology


Course Aims:

This course is designed to provide the PhD candidate student working in the field of otolaryngology with basic

concepts regarding cochlear implantation including basic facts regarding auditory nerve electrophysiology, basic

anatomical knowledge regards cochlear anatomy, the internal auditory nerve anatomy and the vestibular apparatus.


Program ILO Course ILOs

A. Knowledge and

Understanding

A1. Discuss advanced surgical anatomy of

significance to the practice of

Otolaryngology both in adults and pediatric

age group.

A2. Discuss etiology, pathogenesis and

pathology of broad spectrum of



complications, diagnostic modalities, out-

come and treatment plans for broad

spectrum of otolaryngology problems.

A1. Identify advanced surgical anatomy of

the inner ear.

A2. Discuss advanced surgical anatomy of

the cochlear nerve and brain stem.

A3. Differentiate between normal anatomical

variations between pediatric and adult inner

ear.

A4. Explain etiology and pathogenesis of

Sensory neural hearing loss.

A5. Discuss pathology of congenital hearing

loss.


congenital hearing loss with other systemic

manifestations in case of syndromic hearing

0.5 0.5

A4. Develop thorough knowledge regarding

the advanced knowledge of

pharmacotherapy, oncology, laser physics,

wound healing, voice measurement and

language development.

A5.Discuss management of patients in the


on those with associated medical problems.



surgery.

loss.

A7. Correlate different diagnostic modalities

like ABR and EchoG in assessment of

patients candidate to cochlear implant.

A8. Identify the electrophysiology of

auditory nerve and pathology of hearing loss.

A9. Discuss different effects of ototoxic

drugs on the inner ear.

A10.Discuss preoperative preparation of

patients for cochlear implant.

A11. Discuss the associated possible

congenital anomalies and their effect on the

prognosis of the surgery.

A12.list types of pain killer not affecting

hearing integrity.

A13.Identify most appropriate types of

analgesics for postoperative pain control

after cochlear implantation.

B. Intellectual

skills

B4.Assess logically, systematically and

conceptually to draw reasoned conclusions/

reach sustainable judgments in difficult




different patterns of diseases & problems

B6.Improve the ability to take decisions in

various professional situations (including

dilemmas & controversial issues).

B1. Assess preoperative data of the patients

as regards ABR and MRI to reach

appropriate diagnosis.

B2. Select the appropriate surgical approach

for cochlear implant based on available data.

B3.Modify data sheet of patients with adding

flow chart for management of totally deaf

patients.

B4. Select the best way to present patients’

data for different specialties dealing with

cases of cochlear implant.

B5. diagnose different congenital anomalies

associated with congenital hearing loss.

B6. Manage discussion in cases with surgical

difficulties as deformed internal auditory

canal.



B8.Assess critically and audit the outcomes

of professional activities during provision

of medical care.

B7. Select appropriate references to refer to

during discussion of difficult cases.

B8. Manage discussions during scientific

meeting documented by patients’ data

referred to approved scientific references.

B9. Assess the postoperative outcome

documented by audiological and radiological

documentation.

B10. Assess linguistic outcome with audio

recording and voce assessment.

C.Professional and

Practical Skills


ENT examination and reach appropriate

diagnosis/differential diagnosis in wide

range of ENT problems.

C4.Perform adequately and safely all basic

and advanced major surgical interventions.

obtaining, performing and documenting a

complete medical history and physical

examination for otolaryngology patients.

C8.Communicate with, consult and respect

the role of other health-care providers.

C1. Perform detailed examination of the

external and middle ear.

C2. Perform examination of the functions of

the inner ear either the auditory or the

vestibular.

C3.perform different types of skin incisions

during surgery.

C4. Perform a reasonable mastoidectomy

which suits cochlear implantation.

C5. Master different surgical approaches to

the facial recess.

C6. Perform different surgical approaches to

the basal turn of the cochlea

C6. Perform Proper positioning of the

implant array and the implant body in their

normal place which secure its position for

ever.

.

C10. Perform a documented sheet for

associated possible congenital\anomalies in

cases of congenital hearing loss.

C12. Communicate with audiologist and

phoniatric therapist for preoperative

evaluation.

C13. Consult speech specialists for

postoperative rehabilitation.

C11.Discuss professional errors in an

honest way.

C14. Discuss postoperative complications

and their management.

C15. Discuss with colleges different methods

for revision surgery.

D. General Skills




for self and junior colleagues.


care network



operative notes


communication technology in facilitating

work with his team colleagues and seniors.

D9.Adhere to codes of conduct, standards


statutory bodies.

D1. Develop skills for assessment of

postoperative results after cochlear implant as

regards result of surgery and patient

satisfaction.

D2. Design courses and workshops for

teaching junior staff new techniques for

cochlear implant.


health care teams like neurosurgeons and

audiologists.

D4. Demonstrate keeping of pre operative

data like ABR and MRI results.


patients in coordination with audiologists.

D6. Utilizes recent technology of

communication like internet and tele

conferences for collaboration with other

colleges.

D7. Utilize all sources of recent advances in

the technology of cochlear implant prosthesis.



E2- Respect patient’s rights and explain the

standards of informed consent.

E3- Council patients & parents with

appreciation and understanding

E1- Revise the national code of ethics








Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Historical back ground in cochlear

implants ✓

Preoperative candidate stratification ✓

The technology and different strategies

in cochlear implant devices ✓

Surgical techniques in cochlear implant

surgery ✓ ✓

Difficulties during cochlear implants ✓

Complication of cochlear implant ✓

Post operative electrophysiology for

cochlear implant

✓ ✓

Postoperative phoniatric rehabilitation ✓ ✓

Student Assessment



Case OSCE/OSPE


Others


Mid-term 0 %

End of term 100 %


Written Exam 70 %


Others %


Lecture Notes

-----------------------------------

Course Text Books

Cumming otolaryngology


Graham Clark Cochlear implant


Cochlear implant international

✓ ✓

✓

Course Instructor

Name: Prof. Mokhtar Bassyouni Signature:

Program Coordinator

Name:

Prof. Alaa Gafar Signature:





Faculty: Medicine

Department: ENT

Course Information


Advanced applied Pathology for Otorhinolaryngology



Course Aims

This course is designed to provide the PhD candidate student working in the field of otolaryngology with

basic concepts regarding general disease processes including cellular alterations and inflammation, genetic, immunological, nutritional and circulatory disorders, effects of infection, chemical and physical agents , blood and vascular disease, neoplasia and aging. Topics to be covered include analytic tools and techniques, diagnostic methodology and criteria and recognition and control of environmental diseases



matrix) Course ILOs

A. Knowledge

and

Understanding

A1- identify advanced surgical pathology of significance to the practice of Otolaryngology both in adults and pediatric age group

A2- Discuss etiology, pathogenesis and pathology of broad spectrum of otolaryngology diseases

A1 identify the pathology of the Otolaryngology related diseases in both pediatric and adult groups A2- correlate between the pathology of the disease and its medical and surgical management. A3- Explainpathogenesis of diseases of otolaryngology A4- Discussthe etiology of diseases of otolaryngology

B. Intellectual

skills

B5- Modify approaches to analyze



diseases & problems

B1- Interpret and evaluate information about

different diseases of otolaryngology.

B2- correlate pathological findings with clinical

picture and prognosis of different diseases in

otorhinolaryngology.

B3- Interpret different pathological findings

to reach a diagnosis or differential diagnosis

1 1

C.Professional

and Practical

Skills

C1-Perform a comprehensive and detailed ENT examination and reach appropriate diagnosis/differential diagnosis in wide range of ENT problems

C1- Perform detailed examination of the head and neck. C2- Perform detailed examination of the ear and nose. C3- Develop skills in reading pathological slides for common diseases in otolaryngology. C4- Design a protocol for correlation between pathological and clinical findings. C5-Demonstrate meticulous recording of the pathological finding of the diseases C6- Design a way to record staging of tumors and keeping its records.

D. General Skills

D1-Develop skill in self-assessment


D2-Design professional development

plans for self and junior colleagues

D3-Develop ability to work within a health care network D5-Demonstrates meticulous record keeping, entailing legible and accurate operative notes

D1- Develop the ability to work within a team especially pathologists and intraoperative cooperation for frozen section. D4-.





consent.



understanding

E4-Accept criticism and council

from different team members for

better patient’s care.







4 Discuss the importance and the ways of

conducting mortality and complications

conferences



Lectures self

learning

Practical

/

Clinical

Small

group

discussio

n

Other

s

Pathology of the ear

• External(congenital,

inflammation, trauma and

neoplasm)

• Middle ear

o Congenital

o Trauma

o otitis media

o Tumors

o otosclerosis

• Inner ear

o congenital

o trauma

o inflammation

o SNHL

✓ ✓ ✓

Pathology of the nose

o Sinusitis

o Congenital

o Trauma

o neoplasm)

✓ ✓ ✓

Pathology of the head and neck(

congenital trauma ,inflammation and

neoplasm)

1. larynx

2. pharynx

3. osophagus

4. neck spaces

5. osophagus

✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term 0 %

End of term 100 %

Distribution of Marks Written Exam 70 %

✓ ✓

✓

✓


Others %


Lecture Notes

Course Text Books

1-Pathology of the Head and Neck(Antonio

Cardesa · Pieter J. Slootweg), 1st edition 2006

2-surgical pathology of head and neck. Leon

Barne .2nd edition ,

3- Pathology of the Ear: Harold F. Schuknecht.

3rd edition.



Course Instructor

Name: Prof. Dr. Hesham Abdel-Fattah Signature:

Program Coordinator

Name: Prof. Dr. Alaa Gaafar Signature



http://rds.yahoo.com/_ylt=A0oG7lgl.7pML0wAH4FXNyoA;_ylu=X3oDMTE0Z25jb2thBHNlYwNzcgRwb3MDNgRjb2xvA2FjMgR2dGlkA0FDQk0wM183Nw--/SIG=13pujcdig/EXP=1287408805/**http%3a/www.bestwebbuys.com/Pathology-of-the-Ear-ISBN-9780674657885%3fisrc=b-search%26isrc=b-search-rd



Faculty: Medicine

Department: ENT

Course Information

Course Code: 05270908 Course Name: Advanced Head and Neck Surgery



Course Aims The course focuses on how to effectively diagnose and treat non neoplastic diseases affecting larynx, pharynx, oral cavity, salivary glands, thyroid gland , trachea and esophagus.



matrix) Course ILOs

A. Knowledge

and

Understanding

A1.Discuss advanced surgical








A1. Discuss surgical anatomy and

emberyolology of the larynx, pharynx, oral

cavity, salivary glands, thyroid gland ,

trachea and esophagus


pathology of non neoplastic disorders(

congenital, inflammatory, traumatic,

degenerative) of salivary gland ,thyroid

gland, larynx, pharynx, trachea and

esophagus.

A3. Discuss etiology and pathogenesis of

dysphagia, esophageal stenosis and

congenital anomalies of the larynx.

A4. Correlate clinical manifestations ,


outcome and treatment plans for diseases

that cause; stridor, hoarseness of voice, and

1 2





problems.






development.







ENT surgery.

dysphagia.

A5. Correlate clinical manifestations ,


outcome and treatment plans for voice

disorders and phoniatric disorders related to

Otolaryngology.

A6. Explain the new surgical techniques,

new technology ( different types of laser,

microdebrider, voice measurement devices).

A7. outline new pharmacotherapy in treating

special entities in the field of head and neck

surgery.

A8. Discuss how to deal with patient in the

preoperative period regarding the medical

part ( appropriate investigations for each

case, collaboration with other specialties )

and the psychological part and legal part.

A9. Discuss preoperative critical medical

conditions that can affect preoperative and

intraoperative course of the disease.

A10. identify different modalities (medical,

surgical maneuvers) in treating postoperative

pain, headache, intractable cancer pain)

B. Intellectual

skills






B4.Assess logically,


B1. Select proper medical and radiological

investigations for diagnosis of non

neoplastic lesions of the head and neck.

B2. Select appropriate method for follow up

of treatment course of head and neck

patients.

B3. Assess logically how to reach

appropriate decision for different diseases of

the head and neck.






B4. Manage complicated cases of non

neoplastic lesions of the head and neck.

B5. Manage discussion in difficulty and

complicated cases of head and neck bases on

available laboratory and radiological data.

B6. Manage different opinions in head and

neck cases management according to

evidence based medicine principles.

C.Professional

and Practical

Skills









C10.Work effectively and


teams.

C1. Utilize available data as history and

family history to reach the diagnosis.

C2. Correlate past medical and surgical

history with presenting clinical picture to

reach diagnosis.

C3. Support the conduct in recent researches

regarding recent management for difficult

head and neck cases.

C4. Find the best practice in dealing with

head and neck patients.

C5. Work cooperatively in a consultation

team (ENT surgeons, Neurosurgerons and

radiologists)

D. General

Skills





D1. Utilizes all sources of communications

like the internet and other communications

methods to facilitate work with professors

and colleagues.





consent.



understanding

E4-Accept criticism and council

from different team members for

better patient’s care.







4 Discuss the importance and the ways of

conducting mortality and complications

conferences



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Congenital Laryngeal Anomalies ✓

✓

FB. Larynx, Trachea, Esophagus ✓

✓

Neck Trauma ✓

✓

Acute&chronic inflammations of

the upper airway

✓

✓

Gastresophageal reflux ✓

✓

Adenotonsillar diseases ✓

✓

Laryngeal manifestations of

systemic diseases

✓

✓

Branchial anomalies ✓

Salivary gland disorders ✓

Angiofibroma ✓

✓

Surgery of snoring ✓

Dysphagia ✓

Pharyngo cutaneous fistulae ✓

✓

✓

Suppuration around the pharynx ✓

Hypopharyngeal and esophageal ✓ ✓

stenosis

Benign mucosal and cystic

swelling of oral cavity and

pharynx

✓

Cystic lesions of the larynx

Minimal pathological lesions of

the larynx

✓

✓

✓

Phonosurgery ✓

✓

Cleft palate and lip ✓

Laryngeal and Hypopharyngeal

tumors

✓

✓

✓

✓

Reconstruction of Aerodigestive

tract

✓

✓

✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %

✓

✓

✓

✓


Written Exam 70 %


Others %


Lecture Notes

Course Text Books


Neck Surgery, 4th edition, Elsiver Inc. 2005


Surgery.





Course Instructor

Name: Prof. Dr. Hossam Thabet Signature:

Program Coordinator






Faculty: Medicine

Department: ENT

Course Information

Course Code: 05270910 Course Name: Advanced Otology

Program in which the Course is Given: Doctor Degree in Otorhinolaryngology.


Course Aims This course is designed to provide the PhD candidates working in the field of otolaryngology with basic

concepts regarding: External ear diseases; developmental anomalies, trauma, reconstructive surgery for congenital & acquired malformations, infections & sequllae, perichondritis, non-infection otitis externa, malignant otitis externa, tumors of external ear, manifestations of systemic diseases, otalgias, Relevant external ear surgeries. Acute & chronic otitis media, complications & management, middle ear trauma, Surgery of chronic ear disease, tympanic membrane & tympanostomy tubes, relevant middle ear surgeries. Otosclerosis & management, diseases of temporal bone with special emphasis on osteogenesis imperfecta, histocytosis X, & specific infections, temporal bone trauma, conductive hearing loss. Vertigo, perilymph fistula, Meniere’s disease and alikes, Central vestibular disorders. Sensorineural hearing loss, cochlear & retrocochlear pathology, ototoxicity, effect of aging, acoustic neronoma, glomus tumor. Immunologic disorders of inner ear. Clinical disorders of Facial nerve, its function tests, & management.



matrix) Course ILOs

A. Knowledge

and

Understanding









external, middle and inner ear

A2. outline the blood supply, lymphatic

drainage and nerve supply to the ear

A.3 illustrate the auditory and vestibular

pathways.

A4.Discuss congenital anomalies of the

external ear e.g. Mild dysmorphia(as

Outstanding ear, Lop-ear and Cupped ears) ,

1 2






problems.

A4. Develop through knowledge





development.





microtia(atypical and typical) and external

ear atresia.

A5. Discuss congenital middle ear anomalies

e.g congenital ossicular anomalies.

A6. Discuss hereditary hearing disorders and

the congenital (syndromic or non

syndromic)anomalies of the inner ear

e.g.Mondini malformatiom Scheibe's

anomaly,Michel's malformation)

A7. Summarize ear symptomatology as

hearing loss, otalgia,otorrhea,tinnitus and

vertigo.

.

A8. Give examples on the most common

causes of vertigo as BPPV, Meniere's

disease, vestibular neuritis, labyrinthitis,

perilymphatic fistula.

.

A9.Describe surgical anatomy,diagnosis and

management of otogenic causes of facial

nerve paralysis.

A10. Discuss diseases of temporal bone with special emphasis on osteogenesis imperfecta, histocytosis X, specific infections, & temporal bone trauma


contraindications, technique of common

otologic surgical procedures as

myringotomy, tympanostomy tubes

insertion, myringoplasty, tympanoplasty,

mastoidectomy

A12.Summarize the possible complications

of otologic surgeries and their management.

A13. Identify different modalities for

management of pain related to ENT surgery.

A14.Explain the manifestations of systemic

diseases that have otologic findings.

A15. Summarizethe advanced diagnostic

and therapeutic techniques in the field of

otology e.g advances in relevant radiology,

laser surgery, endoscopic assisted ear

surgery.



ENT surgery.

B. Intellectual

skills












data









diseases & problems




B1. Integrate clinical and laboratory data to

reach diagnosis in otology cases.

B2. Integrate audiologic, vestibular and

imaging data as CT scan and MRI to reach

the diagnosis for otology cases.

B3.Effectively present description and

analysis of otology cases regarding good

interpretation of symptoms and signs of the

patients based on anatomical, physiological

and pathological backgrounds.

B4. Select proper audiological and

radiological investigation for re-evaluation

of patient management.

B5.Develop a list of differential diagnosis

with prioritization and propose a list of

investigations.

B6. Develop a follow up sheet for different

ontological diseases.

B7. Develop accurate and rapid management

plan for otology related emergencies.

B8. evaluate a dizzy patient.

B9. Effectively diagnose and manage of

common medical conditions in the field of

otology as ear trauma, inflammatory disease

of the external,middle and inner

ears,otosclerosis and tumours of the ear as

glomus tumour and acoustic neurorma.B10.

Interpret reports of audiogram and CT scan

. B11.Effectively take decisions in critical

situations like complicatd otitis media and

intraoperative emergencies.










research with emphasis on


consideration.


B13. Assess the outcome of surgical

intervention like mastoidectomy and

tympanoplasty using recent techniques.

B14. Construct research project for basic

ontological surgeries like mastoidectomy

and tympanoplaasty.

B15. Construct research projects on

advanced ontological procedures like

cochlear implant.

B16. Utilizes scientific methods like

audiological and vestibular evaluation in

researches.

B 17. Utilizes sources of creativity and

ethical consideration as preoperative patient

notification for possible complications.

C.Professional

and Practical

Skills




C1. Obtains medical history focusing on

most common symptoms as hearing loss,

otalgia, otorrhea, tinnitus and vertigo

C2. perform full otologic examination for

signs of ear diseases as congenital

malformations, trauma, otitis,

complications of ear diseases(e.g.

complications of suppurative otitis

media), and cranial nerve examination.

C3. competently use of ear examination

instruments as ear speculum,otoscope,

tuning forks, siegle's speculum and

otoendoscope


results of audiologic, vestibular,

radiologic and laboratory investigations

as pure tone audiograms,

impedencemetry, ABR







interventions.







C8.Communicate with, consult

and respect the role of other

health-care providers.

C9.Lead effectively and

cooperatively in a specialty Health

C5. Competent in common surgical

procedures like myringotomy.

tympanostomy tube insertion,

myrinoplasty, tympanoplasty and

mastoidectomy

C6. Evaluates cases with vertigo with

emphasis on bedside tests e.g Dix-

Hallpike maneuver,otolith repositiong

techniques and reporting nystagmus

C7. Evaluates and treat common problems

like otitis externa, otitis media, foreign

body ear ,meniere's disease,BPPV

C8. Evaluates and manage cases with

complications (postsurgical or due to ear

disease)

C9. Manage admission of patients to the

otology unit regarding required

investigations, supportive treatment and

preoperative preparation as well.

C10. Manage discharge of patients

concerning their treatment, home

management and follow up schedule.


procedure as regards steps of the

operation and any complication

occurred.



postoperative treatment and

postoperative course.

.

C13. Design a plan for Teaching juniors

the appropriate techniques for obtaining,

performing and documenting a complete

medical history and physical

examination of patients with otologic

complaints.

C14. Get appropriately and ethically an

informed consent especially for difficult/

risky surgical interventions.

care team.

D. General

Skills





junior colleagues.




of a team













D1. Collaborate properly with colleagues in

an effective team work

D2. Demonstrate interpersonal and

communication skills that result in effective

information exchange and teaming with

other health care providers, patients, and

patient’s families.

D3.deal with all staff and co-staff

respectively



D5. demonstrate the ability to collect and

save a detailed data about patients

management (medical and/or surgical).

D6. Engage with technology particularly the

effective and efficient use of information

and communication technology

D7) Retrieve information from all sources

(printed, electronic, communications etc…).

D8) Design, undertake and interpret a

research project

D9. Present clearly and effectively a

scientific topic using computer facilities

D10.guide and support junior staff regarding

the proper communication with patients,

proper ear examination techniques and

proper management of ear diseases




E- Attitudes and ethical





behavior explain the standards of informed

consent.



understanding






Teaching/Learning Methods Lectures self

learnin

g

Practical/

Clinical

Small

group

discussion

Others

Anatomy of the ear (✓)

Ear examination (✓) ✓

Congenital ear anomalies (✓) ✓

Ear symptoms (✓) ✓

Ear trauma (✓)

External ear diseases (✓)

Acute & chronic otitis media (✓)

complications & management of suppurative otitis media

(✓)

Surgery of chronic ear disease (✓)

Middle ear tumours (✓)

Otosclerosis (✓)

middle ear surgeries (✓) ✓

temporal bone diseases (✓)

Central vestibular disorders (✓)

cochlear & retrocochlear pathology(including Meniere's disease,presbyacusis, and acoustic neuroma)

(✓)

Ototoxicity (✓)

Immunologic disorders of inner ear (✓)

Facial nerve (✓)

Otologic manifestations of systemic diseases (✓)

Please check the appropriate method.

Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others %


Lecture Notes

Course Text Books

Cummings Otolaryngology: Head and Neck

Surgery 4th edition. 2009

Scott Brown of Otolaryngology



Course Instructor

Name: Prof. Dr. Mohamed Bassyouni Signature:

(✓) ✓

✓

Program Coordinator






Faculty: Medicine

Department: ENT

Course Information

Course Code: 05270903 Course Name: Advanced Rhinology

Program in which the Course is Given: Doctor degree Otorhinolaryngology


Course Aims The aim of this course is to support the candidates for doctor degree with thorough knowledge about Congenital anomalies of the nose and paranasal sinuses, External nose inflammations, tumors, & connective tissue disorders. Trauma, fractures, & Epistaxis. Disorders of smell & management. Rhinitis & Sinusitis. Nasal septum. Polyposis. Current traditional & advanced surgical procedures.



matrix) Course ILOs

A. Knowledge

and

Understanding










out-come and treatment plans for

broad spectrum of otolaryngology

problems.


nose and paranasal sinuses.

A2. Describe endoscopic anatomy of the

paranasal sinuses.

A3. Discuss the etiology of different nasal

and paranasal sinuses diseases like

rhinosinusists, allergic and non allergic

rhinitis.

A4. Discuss the pathology and

pathogenesis of congenital anomalies of

the nose & paranasal sinuses, tumors of

the nose and PNS.

A5. Correlate clinical manifestations and

diagnostic modalities for different nasal

and paranasal sinus diseases like allergic

rhinitis, acute and chronic rhinosinusitis.

1 2

A4. Develop through knowledge

regarding the advanced knowledge of

pharmacotherapy, oncology, laser

physics, wound healing, voice

measurement and language

development.

A5.Discuss management of patients

in the preoperative period with

special emphasis on those with

associated medical problems.



surgery.

A6. Correlate the out-come of treatment

plans and complications of different

pathological conditions of the nose and

PNS like FESS procedure for chronic RS.

A7. Outline different pharmacotherapy

affecting the nose and PNS like antibiotic,

and nasal decongestive medications.

A8. Summarize different modalities in

management of complicated

rhinosinusitis.

A9. Discuss management of patients in

the preoperative period emphasizing on

certain medical conditions mainly

hypertension and IHD that can affect the

intraoperative and postoperative courses.


management of pain related to the nose

and PNS pathology.

A11. Outline different modalities to

control postoperative pain in nasal and

PNS operations.

B. Intellectual

skills





B2.Select medical and investigative




accordingly.

B3.Manipulate, interpret and present

numerical and narrative data

B4. Assess logically, systematically

and conceptually to draw reasoned


medical records and past history like

history of previous operative intervention

in the nose or PNS, certain occupations,

smoking,..etc. to achieve correct medical


B2. Select proper investigative tool either

laboratory of radiological to evaluate the

pathological condition of the nose and

PNS.

B3. Select the best tool for follow up of

the clinical condition of the nose and

PNS.

B4. Manipulate and interpret available

clinical data of the patients.

B5. Manipulate the data obtained from

radiological investigations like CT scan

and MRI of the nose and PNS.

conclusions/ reach sustainable

judgments in difficult incomplete

problems.



different patterns of diseases &

problems










B9.Construct and effectively

complete research projects.


research with emphasis on creativity

and ethical consideration.

B6. Manipulate different available data to

reach a definitive of differential diagnosis

of most of the common nasal and PNS

diseases.

B7. Modify methods of analysis and

evaluation of information collected to

reach a suitable diagnosis for rare and

uncommon nasal and PNS diseases.

B8. Make decision for treatment in

simple and advanced nasal and PNS

diseases.

B9. Make operative decisions regarding

simple and advanced surgical procedures

related to the nose and PNS.

B10. Manage discussions of nasal and

PNS disease on basis of evidence proofs.

B11. Manage discussion on operative

decision either endoscopic or open

approach.

B12. Assess critically and audit the

outcomes of functional endoscopic sinus

surgery.

B13. Assess the outcome of open nasal

and PNS surgical approach.

B14. Construct and effectively complete

research projects for FESS.

B15. Construct projects for different

approaches for nasal and PNS surgical

approaches.

B16. Utilize the Scientific method in

research concerning recent updated trends

in management of nasal and PNS

diseases.

C.Professional

and Practical

Skills

C1. Perform a comprehensive and

detailed ENT examination and reach

C1. Perform comprehensive detailed

examination of the nose and PNS.

C2. Perform endoscopic examination of

appropriate diagnosis/differential

diagnosis in wide range of ENT

problems.

C4. Perform adequately and safely all

basic and advanced major surgical

interventions.


difficult/ risky surgical interventions.








providers.

C9.Lead effectively and

cooperatively in a specialty Health

care team.

the nose and PNS.

C3. Master techniques of endoscopic

examination of the nose and PNS.

C4. Perform adequately and safely basic

nasal and PNS surgical procedures like

septoplasty, partial turbinectom, inferior

meatal antrostomy.

C5. Master different techniques of

functional endoscopic sinus surgery.

C6. Get appropriately and ethically an

informed consent for surgical

interventions like septoplasty, inferior

turbinectomy.

C7.Teach juniors appropriate techniques

for obtaining, performing and

documenting a complete medical history

for nose and PNS patients.

C8. Teach juniors appropriate techniques

of physical examination of patients with

nasal and PNS diseases.



providers like radiologists and

neurologists.

C10. Lead effectively and cooperatively

in a specialty Health care team especially

neurosurgeons.

D. General

Skills



D2. Design professional development


regarding technique of nasal and PNS

examination and patient assessment.

D2. Design professional development

plans for self and junior colleagues.

D3. Develop ability to work within a

health care network

D5. Demonstrates meticulous record

keeping, entailing legible and

accurate operative notes

D6. Demonstrate ability to teach,






D8. Plan professional development



plans for self and junior colleagues like

lectures and workshops.

D3. Develop ability to work within a

health care network especially

radiologists and neurosurgeons.

D4. Demonstrates meticulous record


operative notes like personal data,

operative data and postoperative

diagnosis.

D5. Demonstrate ability to teach, support

& guide junior staff by giving

demonstrative lectures and courses.


communication technology as

teleconferences and navigator surgery to

facilitate work with his team colleagues

and seniors.

D7. Plan professional development

courses especially for endoscopic sinus

surgery and anterior skull base

endoscopic surgery to improve practice

and enhance performance of juniors.





consent.

E3- Council patients & parents with

appreciation and understanding




3- Demonstrate the communication skills

and the ways of explaining the situation to

the patients and the relatives


different team members for better

patient’s care.


Lectures self Practical/ Small Others


learning Clinical group

discussion

Congenital anomalies of the nose &

PNS

✓

Examination of the nose and PNS /

nasal endoscopy

✓

Radiology of the nose and PNS ✓ ✓

Allergic and non allergic rhinitis ✓

Acute and chronic rhinosinusitis ✓

Tumors of the nose and paranasal

sinuses

✓

The nasal septum ✓

Trauma to the nose and anterior skull

base.

✓

Tumors of the nose and paranasal

sinuses

✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others %


Lecture Notes

Course Text Books


Neck Surgery 4th edition. 2009

• Scott Brown’s of Otolaryngology


✓

✓

✓


Course Instructor


Program Coordinator






Faculty: Medicine

Department: E N T

Course Information

Course Code: 05270912 Course Name: Airway management course

Program in which the Course is Given Doctor Degree in Otorhinolaryngology


Course Aims This course is designed to provide the PhD candidates working in the field of

otolaryngology with basic concepts regarding management (diagnosis and

Treatment) of airway narrowing & obstruction, as well as endoscopic management

of foreign bodies in the airways. Endoscopy of the upper air way , larynx ,

tracheobronchial tree will explained in depth as regard the different techniques and

their related complications



matrix) Course ILOs

A. Knowledge

and

Understanding








A1. Describe advanced anatomy of upper air

way, larynx, and trachea both in adults and

pediatric age group.

A2. Describe endoscopic anatomy of the

upper airway.


pathology of air way narrowing and

obstruction.

A4. Explain step- by step diagnosis in the

preoperative period of children or adults

with air way obstruction

0.5 0.5






problems.






development.







ENT surgery.

A5.Correlate clinical manifestations,

complications, diagnostic modalities, out-

come and treatment plans for air

way obstruction

A6. Discuss various methods for maintain

the airway.

A7. correlate the pulse oximetry and arterial

blood gases to the degree of air way

obstruction and patient status preoperatively

and peroperatively

A8. Outline the different aspect of

anesthetic considerations during air way

management.

A9. Outline different types of Fibroptic and

rigid scopes, identifying the place of each in

the armamentarium of air way management .

A10. Explain alternative air way support.

A11. Outline modalities for pre and post

endoscopic pain control.

A12. Summarize different types for local

anesthesia for the upper airway.

B. Intellectual

skills





B1.Utilize history from available data

sources like family history, occupational

history and history of previous diseases to

complete data sheet of patients of airway

lesions.

B2. Utilize certain data like habits,

occupation, family history and medical

history to reach diagnosis in upper airway

lesions.














diseases & problems








B3.Select proper radiological investigation

like CT scan, X-ray or MRI for assessment

of airway patency.

B4. Select proper endoscopic modality for

assessing patients with upper airway

pathology.

B5.Assess logically the patency of the

airway versus the risk of intervention.

B6. Improve the ability to deal with difficult

airway problems with controversy as regards

their approach.

B7. Modify different approaches in

analyzing information collected from

radiological and endoscopic data in different

airway lesions.

B8. Modify the approach of presenting data

related to airway obstruction.

B9. Decide between invasive and non –

invasive intervention as a treatment for air

way obstruction.

B10. Choose the best endoscope for

performing endoscopic surgery.

B11. Assess critically the outcomes of air

way management by different schools using

different surgical approaches.

B12. Assess the postoperative outcome for

different techniques in endoscopic laryngeal

or tracheal surgery.

C.Professional

and Practical

Skills



reach appropriate diagnosis

/differential diagnosis in wide

range of ENT problems.


ENT examination and reach a probable

diagnosis of the cause of air way obstruction

diagnosis its differential diagnosis.

C2. Perform different types of upper airway

endoscopy like direct laryngoscopy and




















bronchsocpy.

C3. Master techniques of basic life support

like cardiac massage and mouth to mouth

breathing.

C4. Master techniques of advanced life

support like CPR, tracheostomy,

cricothyrotomy and FB extraction.

C5. Utilize sources of information like

medical records stressing on habits like

smoking, profession and main complaint.

C6. Utilize family history as regarding

previous airway problems in the family.

C7.Perform adequately and safely direct

laryngoscopy and MLS.

C8. Perform adequately and safely

bronchoscopy and FB extraction.

C9. Perform adequately and safely various

types of tracheostomy.

C10. Conduct of research, and integration of

current research findings and best practices

into the domain of air way management.

C11. Conduct of research on new available

tracheal stents.

C14.Teach juniors appropriate techniques

for obtaining, performing and documenting a

complete medical history and physical

examination for patients with air obstruction.

C15. Teach junior staff how to document

accurately signs of airway obstruction and

grading them into mild, moderate and

severe.

D. General

Skills





junior colleagues.




of a team











regarding work quality as regards

postoperative complications and care for

tracheostomized patients.


for self and junior colleagues like training

courses and life surgery demonstration..


care network in combination with ICU

personnel.


with ICU and anesthesia and pulmonary

medicine team.



operative notes like indication of surgery,

operative steps and post operative course.


guide junior staff by giving lectures and

demonstration of cases.


communication technology in facilitating

work with his team colleagues and seniors

like internet and tele conferences.

.

E. Attitudes and ethical

E1.Adhere to codes of conduct, E1.Adhere to codes of conduct, standards

behavior standards and requirements of


E2 Get an informed consent for


interventions.


statutory bodies stressing on legal aspects in

dealing with patients

E2. Get appropriately and ethically an

informed consent for tracheostomy /

tracheobronchoscopy / pediatric air way

endoscopy.

E3. Get consent from patients as regards the

possible complications of risky airway

procedures.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Anatomy of the larynx & tracheobronchial tree

✓

Rigid bronchoscopy ✓ ✓

Glottic & Subglottic stenosis.

✓ ✓ ✓ ✓ ✓

Tracheal stenosis / tumors.

✓ ✓ ✓ ✓ ✓

Cancer larynx & Hypopharynx: ✓ ✓ ✓ ✓ ✓

Complications of head & neck surgery. ✓ ✓ ✓ ✓ ✓

Voice rehabilitations following laryngeal surgeries.

✓ ✓ ✓ ✓ ✓

Neurolaryngology & phonosurgical procedures.

✓ ✓ ✓ ✓ ✓

Chronic aspiration.

✓ ✓ ✓ ✓ ✓

Surgery of upper mediastinum ✓ ✓ ✓ ✓ ✓


Student Assessment



Case OSCE/OSPE


Others


Mid-term 20 %

End of term 80 %


Written Exam 70 %


Others( Presentations &Assignments) 15 %


Lecture Notes

Anesthesia and ICU related

Course Text Books

1. Cummings textbook of otolaryngology

Head & Neck Surgery

2. Head & Neck Surgery –Stell & maran


1. Surgery of the Larynx & Hypopharynx

Silverstein


Clinics North America

Laryngoscope

Otolaryngology H N Surg

Course Instructor


Program Coordinator

Name: Prof. Dr. Alaa Gafaar Signature:


Name: Prof. DrMohamed Hassab Signature:

✓ ✓

✓

_

✓ _



Faculty: Medicine

Department: ENT

Course Information


Advanced applied Surgical Anatomy for Otorhinolaryngology


Doctorate Degree in Otolaryngology



basic concepts regarding the detailed surgical anatomy of the ear, nose, pharynx, larynx, and head

and neck. Full understanding of the surgical anatomy of the anterior, posterior and lateral skull

base.



matrix) Course ILOs

A. Knowledge

and

Understanding








A1. Describe detailed surgical and applied

anatomy of the ear,

A2. Describe the surgical and endoscopic

anatomy of the nose & PNS

A3. Describe the surgical anatomy of the

nasopharynx, oropharynx & the

hypopharynx.

A4. Describe advanced surgical &

endoscopic anatomy of the larynx.

A5. Illustrate the surgical anatomy of the

facial nerve and its relations.


anterior, lateral and posterior skull base

A7. Discuss inflammatory and neoplastic

lesions of the external, middle & inner ear as

its anatomical position.

A8. Explain anatomical variation of the nose

1 1

and its impact on sinuonasal disease.

A9. Discuss the congenital anomalies,

inflammatory and neoplastic lesions of the H

& N and larynx as regards its anatomy.

A10. Summarize various types of skull base

lesion and its impact according to site of

origin.

B. Intellectual

skills






B1. Utilize clinical assessment and

radiological investigations to evaluate ear,

nose, H & N diseases.

B2. Select the appropriate preoperative

management plane according to the

mentioned above investigative parameters.

C.Professional

and Practical

Skills



reach appropriate



C1. Demonstrate otoscopic anatomy of the

ear.

C2. Demonstrate endoscopic anatomy of the

nose & PNS

C3. Perform full H &N examination with the

ability to differentiate between various neck

swellings

C4. Perform laryngoscopic examination for

different laryngeal diseases

C5. Demonstrate comprehensive

examination of various Skull base lesions to

reach the appropriate diagnosis.

D. General

Skills





junior colleagues.






D1. Design courses and workshops for

teaching junior staff new techniques


health care teams

D3. Record of pre-operative data


patients





consent.








understanding




care.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Development of the Nose and Paranasal Sinuses ✓

✓

Anatomy of Nose and Paranasal sinuses ✓

✓

Endoscopic Anatomy of the Nose & Anterior Skull

Base ✓

✓

Surgical and developmental Anatomy of the Head &

Neck ✓

✓

Surgical anatomy of Cranial Nerves and great vessels ✓ ✓ Surgical Anatomy of the Salivary glands ✓ ✓ Surgical anatomy of the pharynx & esophagus ✓ ✓ Surgical anatomy of the Nasopharynx ✓ ✓ Surgical anatomy of the Larynx ✓ ✓ Surgical anatomy of the tracheobronchial tree ✓ ✓ Surgical anatomy & Embryology of the external,

middle, & inner ear ✓

✓

Endoscopic Anatomy of the ear ✓ ✓ Anatomy and ultrastructure of the vestibular organ

& cochlea ✓

✓

Surgical anatomy and development of the facial

nerve ✓

✓

Anatomy of the skull base and infratemporal fossa ✓ ✓ Neurovascular anatomy of the skull base ✓ ✓


Student Assessment



Case OSCE/OSPE


Others

Schedule of Assessment Mid-term %

✓

✓

End of term 100%


Written Exam 70%

Practical/Clinical Exam 30%

Others %


Lecture Notes

Course Text Books

• Grey’s anatomy

• Scott Brown of Otolaryngology

• Cumming’s Of Otorhinolaryngology H &

N Surg


• Ballenger’s Of Otorhinolaryngology H &

N Surg

• Paparella Of Otorhinolaryngology H & N

Surg


• Archives of ORL H & N Surg

• American Journals Of ORL

Course Instructor

Name: Prof. Dr. Hossam Thabet Signature:

Program Coordinator:



Name: Prof. Dr Mohamed Hassab Signature:

alexandria university faculty of medicine ent department€¦ · skull base surgery x neuro-otology...

Documents