SYLLABUS 1SYLLABUS

CURRICULUM FOR LARYNGOLOGY

CURRICULUM FOR LARYNGOLOGY

SYLLABUS 4

SYLLABUS 5

LARYNX

■ SkeletalFramework■ Cartilages • Thyroid • Cricoid • Epiglottis • Arytenoids • Cuneiform • Corniculate • Ossification of laryngeal cartilages■ Cricothyroid&Cricoarytenoidjoints■ Ligaments–IntrinsicandExtrinsic■ Muscles • Posterior crico arytenoid • Lateral crico arytenoid • Thyro arytenoid • Vocalis • Inter arytenoid■ BloodSupply■ Lymphatics■ NerveSupply • Recurrent Laryngeal Nerve • Superior Laryngeal Nerve • Pre Epiglottic space • Paraglottic space • Epithelial Lining■ MicroAnatomyofVocalFolds • Reinke’s space • Vocal Ligament■ DevelopmentofLarynx■ ComparativeAnatomyofLarynx

TRACHEA&BRONCHI

■ Cartilagenousrings■ Dimensions■ Trachealismuscle

■ Epitheliallining■ Bloodsupply■ Lymphaticdrainage■ Nervesupply■ Bronchi■ Bronchopulmonarysegments■ Mediastinum • Divisions of mediastinum • Superior mediasinum■ Pharynx • Divisions ■ Nasopharynx • Adenoids • Superior constrictor■ Oropharynx • Palatine tonsils • Lingual tonsils • Soft Palate • Muscles of Soft Palate • Blood supply & Lymphatics • Nerve supply • Middle constrictor■ Laryngopharynx • Pyriform fossae • Post cricoid region • Cricopharynx • Inferior constrictor – Thyropharyngeus & Cricopharyngeus■ Oesophagus • Structure • Dimensions • Epithelium • Muscles • Blood suppply & Lymphatic drainage • Nerve supply■ OralCavity • Subsites

Anatomy

SYLLABUS 6

■ Tongue • Muscles • Blood supply • Lymphatics • Nerve supply■ MusclesofMastication • Temporalis • Masseter • Lateral Pterygoid • Medial Pterygoid • Nerve supply • Orbicularis oris • Buccinator

■ Salivaryglands • Parotid • Submandibular salivary gland • Sublingual Salivary gland • Minor Salivary Glands■ Neck • Thyroid & Parathyroid glands • Triangles of Neck • Mandible • Hyoid • Cervical spine

■ PhysiologyofVoiceProduction InhalationandExhalation • Different Types of Breathing■ Phonation • Mucosal waves • Fundamental and overtones • Control of pitch • Pitch range • Vocal registers • Control of loudness■ Resonance • Vocal tract

• Formants■ Articulation • Vowels • Consonants■ PhysiolgyofDeglutition • Oral Preparatory Phase • Oral Phase • Pharyngeal Phase • Oesophageal phase■ Physiology of Breathing • Air flow through respiratory tract

■ AcidBaseBalance■ RespiratoryAcidosis&Alkalosis■ HyperandHypocalcemia

Physiology

Biochemistry

SYLLABUS 7

■ ProtonPumpInhibitors■ Prokinetics■ Antacids■ H2ReceptorAntagonists

■ BotulinumToxin■ Interferons■ Cidofovir■ MuscleRelaxants

■ Streptococci■ Staphylococci■ Diphtheriabacillus■ Gramnegativebacilli■ HepatitisB

■ HepatitisC■ HIV■ SterilisationofEndoscopes

■ Inflammation&Repair■ Dysplasia■ Leukoplakia/Erythroplakia

Pharmacology

Microbiology

Pathology

■ FlexibleLaryngoscopy■ RigidLaryngoscopy■ Stroboscopy■ Videokymography■ HighSpeedPhotography■ ElectroGlottoGraphy(EGG)■ OpticalCoherenceTomography(OCG)■ TransNasalEsophagoscopy(TNE)■ FlexibleEndoscopicEvaluation ofSwallowing(FEES)■ LaryngealSensoryTesting(LST)■ OesophagealManometry■ OesophagealpHmetry■ VideoFluoroScopy(VFS)

■ CT/MRI/PETscan■ VoiceAnalysis

■ VoiceDisorders–Aetiolgy,Symptoms& SignsandManagement • Vocal Nodules , Polyp, Cyst • Vocal process Granuloma • Sulcus, Web • Recurrent Respiratory Papillomatosis • Microlaryngeal Surgery

• Chemotherapy • Endoscopic Laser Cordectomy • Total Laryngectomy • Near Total Laryngectomy

SYLLABUS 8

• Supra glottic Partial Laryngectomy • Vertical Partial Laryngectomy • Supra Cricoid Partial Laryngectomy■ Neurolaryngology • RLN Palsy – Unilateral/Bilateral • SLN Palsy – Unilateral/Bilateral • Spasmodic Dysphonia - Adductor & Abductor • Laryngeal Tremor • Laryngeal EMG • Botulinum Toxin Injection to Laryngeal Muscles■ MuscleTensionDysphonia • Classification • Diagnosis

• Management■ LaryngealFrameworkSurgery • Classification • Indications • Technique • Complications■ ProfessionalVoiceCare • Vocology • Voice Training■ ResonanceDisorders • Cleft Palate Voice • Diagnosis • Management

SwallowingDisorders

AirwayTractDisorders

■ Aetiopathology■ Symptomsandsigns■ ClinicalEvaluation■ Investigations■ SwallowingTherapy■ BotulunumToxinInjectionfor CricopharyngealDysfunction■ SurgicalCorrectionofSwallowing Disorders

■ EnteralandParenteralFeeding■ PEG(PercutaneousEndoscopic Gastrostomy)■ Nutrition■ Dietetics■ Laryngotrachealcleft■ Tracheooesophagealfistula

■ CongenitalLaryngealStridor■ LaryngealCysts■ Laryngocele■ Laryngealstenosis■ Supraglottic■ Glottic■ Subglottic■ Transglottic■ TrachealStenosis

■ Tracheomalacia■ Tracheostomy■ Conventional■ Percutaneous■ Laryngotomy

SYLLABUS 9

TechnologyinLaryngology

Training

OutpatientProcedures

SurgicalProcedures

■ Laser • Carbon Dioxide • KTP • ND YAG • Diode

■Coblator■MicroDebrider■ RadioFrequency■ RoboticsurgeryinLaryngology■ Laryngotrachealtransplantation

■ FlexibleLaryngoscopy&tracheoscopy*■ Stroboscopy*■ EndoscopicassessmentofvelopharyngealSphincter■ FlexibleEndoscopicEvaluationofSwallowing(FEES)* Laryngeal sensory Testing■ TransNasalEsophagoscopy(TNE)*■ LaryngealEMG&BotulinumToxinInjection* Percutaneous Injection Laryngoplasty■ VideoFluoroscopicAssessmentofSwallowing*

■ Duration1year

■ MicrolaryngealSurgery* • Polyps • Cysts • Papilloma • Carcinoma■ LaryngealFrameworkSurgery*■ InjectionLaryngoplasty*■ EndoscopicLaserSurgery* • Glottic web surgery • Total Laryngectomy • Partial Laryngectomy • Laryngo Pharyngo Esophagectomy /Gastric pull up

SYLLABUS 10

• TEP • Laryngeal Cleft Repair • TOF Repair • Cricopharyngeal Myotomy/Myectomy • Laryngeal Closure • Epiglottic Oversew • Epiglottopexy■ Tracheostomy* • Percutaneous Tracheostomy • Cricothyrotomy (Laryngotomy) • Excision Laryngocele • Cleft palate repair • Pharyngeal Flap repair • Sphincter Pharyngoplasty • Posterior Pharyngeal Wall Augmentation • Hyoidopexy • Hypopharyngoplasty • Ary Epiglottoplasty■ SutureCordopexy*■ Kashima’soperation* • Endoscopic Arytenoidectomy • Woodmans operation • Anterior Cricoid Split • Posterior Cricoid Split • Partial Crico Tracheal Resection & Thyrotracheal Anastamosis • Extended PCTR • Tracheal Resection & Anastamosis • Laryngeal Reinnervation – Selective (bilateral) & Non Selective (Unilateral)■ Thyroidectomy* • Endoscopic Thyroidectomy • Partidectomy • Submandibular Sialadenectomy • Submandibular Duct Relocation • Sialendoscopy • UVPP • Midline Tongue Base Resection • Zeta palatopharyngoplasty■ BasicsofVoiceTherapy*■ BasicsofSwallowingTherapy* • Basics of Professional Voice Care

*Procedures Fellow will be trained to do independently Rest Fellow will assist/observe

SYLLABUS 11

Fellow can use the Laryngeal Dissection Lab to do all external & endoscopic laryngotracheal surgical procedures on Goat Larynx

LaryngealDissectionLab

TextBooksSuggested(ListIncomplete)

Journals

Thesis

Examination

Larynx Marvin P FriedLarynx Robert OssoffCareofProfessionalVoice Robert SataloffClinicalevaluationofSwallowingDisorders Thomas MurryTransNasalEsophagoscopy Gregory PostmaSurgeryoftheTrachea Hermis GrilloPhonosurgery Ford & BlessStroboscopy Hirano & BlessPhonosurgery IshhikkiVocalCordParalysis Lucian SulicaFellow can use the one of the best laryngology library (with over 100 books in laryngology and allied specialties) in the country round the clock

■ InternationalJournalofLaryngology&Phonosurgery■ JournalofVoice&Laryngology■ Laryngoscope■ LournalofOtologyandLaryngology■ EuropeanJournalofPhoniatrics&Logopedics

Fellow needs to do a thesis on the given topic during the course. Based on the thesis, one pa-per has to be published in the International Journal ofPhonosurgery & Laryngology

There will be a sessional examination at the end of the first semester and a final examination at the end of the course. The final examination will have both theory and practical examina-tions, conducted by two internal and two external examiners. Certificate of Fellowship will be issued only after passing the examination.

SYLLABUS 12

KIMS TRIVANDRUM

© KIMS AUDIO VISUAL 05/2017