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Otolaryngology - Head & Neck Surgery
(54424) - Thanos Bibas
Περιγραφή Μαθήματος
This course introduces the principles of Otolaryngology–Head and Neck Surgery, with a focus on common disorders of the ear, nose, throat, and neck. You will review relevant anatomy, learn the basics of ENT history taking and clinical examination, and become familiar with the diagnosis and initial management of frequent ENT conditions encountered in primary care and hospital practice. The course combines theoretical background with clinical exposure, aiming to develop practical clinical reasoning and essential examination skills.
Ημερομηνία δημιουργίας
Τετάρτη 12 Νοεμβρίου 2025
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Περίγραμμα
Course Syllabus
- Infectious and Inflammatory Diseases of the Head and Neck
- Sleep-Related Breathing Disorders
- Salivary Gland Diseases
- Diagnosis and Management of Hearing Loss
- Diagnosis and Management of Vertigo and Balance Disorders
- Infectious, Inflammatory, and Other Diseases of the Ear
- Facial Nerve Disorders
- Rhinology – Facial Plastic Surgery
- Laryngology – Phoniatrics (Voice Disorders)
- Head and Neck Oncology
- Pediatric Otolaryngology
- Emergency & Trauma in Otolaryngology
Learning Objectives
1. General Otolaryngology
· Differentiate and manage common upper airway infections, including pharyngitis, tonsillitis, peritonsillar and deep neck space infections.
· Understand the indications, contraindications, and complications of tonsillectomy and adenoidectomy.
· Design a diagnostic approach to neck masses and distinguish congenital from acquired and benign from malignant lesions.
· Distinguish simple snoring from sleep-related breathing disorders and understand basic treatment options.
· Recognize salivary gland diseases and outline principles of medical and surgical management.
2. Audiology and Vestibular Disorders
· Describe the basic anatomy and physiology of hearing and balance.
· Classify hearing loss and outline the basic audiological and imaging workup.
· Correlate history, clinical examination, and audiological findings in patients with hearing loss.
· Recognize common causes of conductive and sensorineural hearing loss and understand principles of management, including hearing rehabilitation.
· Differentiate vertigo from dizziness and distinguish central from peripheral vestibular disorders.
· Recognize common peripheral vestibular disorders (e.g., BPPV, Ménière’s disease, vestibular neuritis) and outline their basic management.
3. Otology and Facial Nerve
· Develop a diagnostic approach to otalgia and otorrhea, including differentiation from CSF leak.
· Recognize external and middle ear infections and their complications.
· Identify causes of facial nerve paralysis, recognize central versus peripheral patterns, and outline appropriate diagnostic and therapeutic steps.
4. Rhinology
· Describe the basic anatomy and physiology of the nose and paranasal sinuses.
· Develop a differential diagnosis for nasal obstruction and rhinitis.
· Understand the principles of management of allergic rhinitis, nasal polyposis, and acute and chronic rhinosinusitis, including indications for imaging and surgery.
· Outline basic principles of functional and aesthetic nasal surgery.
5. Laryngology
· Differentiate dysphonia from hoarseness and recognize common functional and organic causes.
· Identify red flags for laryngeal cancer in patients with voice changes.
· Recognize common causes of dysphagia and laryngeal paralysis and outline the basic diagnostic approach.
6. Head and Neck Oncology
· Recognize benign, premalignant, and malignant lesions of the head and neck.
· Describe the principles of diagnostic workup, staging, and multidisciplinary management of head and neck cancer.
· Outline basic principles of surgical, radiotherapeutic, and chemotherapeutic treatment and rehabilitation, including voice and swallowing rehabilitation.
· Understand principles of follow-up and surveillance of oncology patients.
7. Pediatric Otolaryngology
· Develop a differential diagnosis for stridor in children and recognize common pediatric airway disorders.
· Recognize common causes of pediatric hearing loss and outline principles of investigation and management.
· Identify indications and complications of tonsillectomy and adenoidectomy in children.
· Recognize and manage common causes of epistaxis in children.
8. Emergency Otolaryngology and Core Clinical Skills
· Apply ABC principles in the initial assessment and management of ENT emergencies and trauma.
· Recognize and manage airway obstruction, facial and neck trauma, and foreign bodies of the aerodigestive tract.
· Perform a structured clinical case presentation and develop a logical diagnostic approach to common ENT symptoms.
· Perform basic ENT clinical skills, including otoscopy, tuning fork tests, basic vestibular examination, interpretation of audiograms and tympanograms, nasal packing, and tracheostomy tube care.
Instructional Methods
Lectures
Interactive clinical tutorials
Hands-on workshops
Clinical training in small groups
Recommended textbooks and recommended reading
Recommended Textbook
Logan Turner's Diseases of the Nose, Throat and Ear - Head and Neck Surgery,
12th Edition. Edited By S Musheer Hussain, Quentin Gardiner ISBN 9781138366206
Recommended reading (free resources)
Free digital book by the American Academy of Otolaryngology - Head & Neck Surgery
Ear. Nose and Throat The Official Handbook for Medical Students and Junior Doctors
Free digital book by the Students and Foundation Doctors in Otolaryngology (SFO UK) Part of ENT UKRecommended study before the start of the course
To help you prepare for your clinical rotation and to get the most out of the lectures, I recommend completing the following activities and material.
Estimated total time: ~8 hours.1. Review of Head and Neck Anatomy
Flip through any anatomy atlas and refresh your knowledge of regional anatomy. Alternatively, you can watch the following videos:
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Anatomy of the nose and paranasal sinuses
https://www.youtube.com/watch?v=iwwFPQk7SJU (8 min) -
Ear anatomy I
https://www.youtube.com/watch?v=qYv9V2qna6I (5 min) -
Ear anatomy II
https://www.youtube.com/watch?v=-OuFKmZSZoY (7 min) -
Larynx anatomy I
https://www.youtube.com/watch?v=Z3S2dD9BrSY (12 min) -
Larynx anatomy II
https://www.youtube.com/watch?v=jqTKSorDRJo (13 min) -
Neck anatomy I
https://www.youtube.com/watch?v=Mrtt9s72a7I (5 min) -
Neck anatomy II
https://www.youtube.com/watch?v=UJtUIgDlnLA (5 min)
2. ENT Clinical Examination
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Watch the following resource on the ENT clinical exam:
https://www.entnet.org/content/ent-exam (35 min)
3. Reading
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Read the book of the American Academy of Otolaryngology for Primary Care:
Primary Care Otolaryngology
Exams
The undergraduate otolaryngology examination is a computer-based assessment consisting of 40 single-best-answer multiple-choice questions, each with five options, based on short clinical scenarios. The examination assesses clinical reasoning and decision-making in otolaryngology and does not include questions on anatomy, physiology, or surgical procedures. The duration of the examination is 45 minutes. The pass mark is set at 50%. Negative marking is applied, with a penalty of −0.20 for each incorrect answer.
Attendance & Other student responsibilities
1. Attendance Policy
Attendance is mandatory for both lectures and clinical practice. Students are permitted to be absent for up to 6.5 hours of lectures, corresponding to a maximum of 30% of the total lecture hours, and up to 3.5 hours of clinical practice, corresponding to a maximum of 10% of the total clinical practice time. Absences beyond these limits may result in failure to meet the course requirements.
2. Student Responsibilities and Expectations
Students are expected to demonstrate professionalism and active engagement throughout the course.
- Students must attend and participate in lectures, laboratory sessions, clinical activities, and examination days. In the event of illness or an emergency, students must promptly notify the central administration by email at medicen@uoa.gr and the course secretariat (Rena Pavli) using the contact details provided above.
- Punctuality is required for all lectures and laboratory sessions.
- Students are encouraged to maintain intellectual curiosity and to participate actively. If something is unclear, students should seek clarification, as this often benefits the entire group and supports a collaborative learning environment.
3. Dress Code
Physicians and medical students are expected to be groomed and dressed in a manner that reflects a professional and neat appearance. Appropriate attire and personal hygiene are essential for establishing rapport with patients and for ensuring high standards of patient care. Dress code requirements are also influenced by considerations of personal and patient safety.
- Shorts are not permitted.
- During clinical rotations, students must comply with the dress code of the clinical site.
- Medical students are expected to wear professional attire and a white coat when appropriate.
- Closed-toed shoes are required in all clinical settings.
4. Professionalism and Safety
Students are expected to uphold the highest standards of professional conduct and safety in all clinical environments.
- Conduct in the operating theatre and clinic: Students must demonstrate respect, discretion, and strict adherence to the instructions of medical and nursing staff. Compliance with hygiene and safety regulations is mandatory.
- Introducing oneself to patients: Students must always introduce themselves by stating their full name and their role as medical students, clearly explaining their position within the healthcare team in order to foster trust and respect.
- Obtaining consent for examination: Students must always obtain the patient’s consent before any examination, explaining the purpose and procedure in clear and simple language.
5. Policy on photographs and mobile phones: The use of mobile phones and the taking of photographs or videos are strictly prohibited unless explicit written permission has been granted by the clinical staff for educational purposes and full protection of personal data is ensured.