MedInTO Medicine and Surgery

Head and Neck Diseases - Module of Otorhinolaryngology

Otorhinolaryngology

Academic year 2024/2025

Sommario del corso

• Course objectives
• Results of learning outcomes
• Program
• Course delivery
• Learning assessment methods
• Notes
• Teaching tools
• Course card

Course objectives

The student must acquire adequate theoretical and practical knowledge in Otorhinolaringology fields, for adult and pediatric age. The competencies must concern the anatomy, physiology, pathophysiology and clinic

The course aims to provide elements of a decision-making process that leads to the diagnosis of the main Otorhinolaringology diseases, as well as to the rational setting of both medical and surgical therapy.

The means proposed for this purpose include:

• The Review of the anatomy and phisiology of the head and neck sites
• The collection of anamnestic data structured by problems;
• The patient's physical signs;
• The knowledge of the biotechnological and instrumental resources that can be used, and of their predictive value according to the different contexts of use;
• The knowledge of the pathophysiological mechanisms involved in the individual diseases;
• The critical evaluation and the ability to correlate clinical symptoms, physical signs and functional alterations with pathological lesions, interpreting their production mechanisms and understanding their clinical significance;
• The concept of etiopathogenetic therapy.

Results of learning outcomes

At the end of the course the students have the fundamentals of the topographical anatomy of the head-neck district, except for the brain; of infectious, inflammatory, oncological, traumatological and malformative diseases of the above district. In more detail, the students must have specific knowledge on clinical case, semeiological data, diagnostic imaging and principles of medical and/or surgical therapy

After attending the course students will be expected to:

• Knowledge of the anatomical and physiological basis of the ear;
• Suspect the presence of major hearing and vestibular disorders;
• Activate decision-making processes based on patient conditions, altered parameter values, laboratory reports and examinations;
• Manage diagnostic pathways ensuring adequate patient preparation for diagnostic procedure and post-procedure surveillance;
• Manage the care of patients (pediatric, adult and elderly age) with head and neck  diseases of Otorhinolaryngology interest;
• Managing care in patients with Otorhinolaryngology problems
• Discuss clinical cases focusing on clinical suspicion, diagnostic approach and therapeutic options;
• Identify educational interventions aimed at people who must continue treatment at home or continue self-management of the disease;
• Discuss clinical cases focusing on clinical suspicion, diagnostic approach and therapeutic options.

Program

Elements of anatomy-physiology of nose and paranasal sinues, nosebleeds, deformities and deviations, inflammatory and allergic diseases, tumors, sinusitis. Salivary glands: salivary calculosis and inflammatory-oncogical diseases. Pharynx: elements of anatomo-physiology and semeiotics, acute and chronic diseases of nasopharynx, nasopharynx tumors. Acute and chronic diseases of the oropharynx: pharyngitis, tonsillitis, angina, complications of flogosis oro-pharyngeal (phlegmon and peritonsillar abscesses, retropharyngeal and lateropharyngeal abscesses), tumors of the oropharynx.                                                                       Anatomo-physiology of larynx, dyspnea, dysphonia, dysphagia. Acute and chronic laryngitis, laryngeal paralysis, benign laryngeal neoformations (nodules, polyps, Reinke edema, granulomas, amyloidosis, cysts), precancerous laryngeal lesions, laryngeal tumors. Indications to tracheotomy and surgical technique. Anatomo-physiology of phonations and laryngeal semeiotics, dyskinesia, dyslalias, dysarthria, language delays, re-educations of severe hearing loss, re-education of laryngectomies. Physiology and pathology of swallowing. Taste and olfactory function and pathologies. OSAS. Paralysis of the facial nerve.

Course delivery

The course includes 14 hours of Frontal lessons in presence, showing slides and movies, useful to understand the modality of approach to the main head and neck  diseases of Otorhinolaryngology interest and 10 additional laboratory hours (learning lab providing movies focused on the main surgical procedures) as well as additional 4 hours of dorsal where clinical cases of multidisciplinary interest will be presented.

Course will be delivered as face-to-face lecture plus exercises (either face-to-face or individual independent study of clinical cases)

Teaching materials will be uploaded to the Moodle page of the Course

Remember to register for the Course on the Moodle page in order to have access to the teaching materials uploaded on the Moodle page

Learning assessment methods

The written and oral exams aim to verify the acquisition of knowledge on the topics addressed during the course.
Written Exam -->Time for the test: 40 min/student
As permitted by the University and the MedInTO Degree Course, from March 2022 all teaching activities and exams will take place in person. On-line exams are guaranteed only in case there are health reasons directly linked to the pandemic (certified fragile subjects, subjects in home isolation). Students must sign-up for the exam on Esse3 and indicate their request for remote examination in the "Notes" field.
The self-certification of the reasons for taking online exams may be subject to verification by the University / Degree Course and the result of the exam may be cancelled in the absence of documentation proving the self-certification.

Students have to sign up for both dates of the same exam round by deadlines. No exceptions will be made if someone fails to sign up on Esse3.  As soon as the the final number of Students enrolled to the exam is defined, a detailed calendar and timetable will be provided.

It is not allowed to split the exam for the modules of Audiology and Otorhinolaryngology. 

Unless otherwise specified, timetable will be as it is on Esse3 (not on other Applications, e.g. MyUnito)

There will be a written test with 4 open questions and 6 multiple choice questions (1 correct answer out of 4 possibilities) divided by modules:

• Audiology: 2 open questions and 1 multiple choice question
• Otorhinolaryngology:2 open questions and 5 multiple choice questions

open questions: max 6 point for correct answer, no penalty for wrong answers.

multiple choice question:1 point for correct answer, no penalty for wrong answers.

Written exam score:
0-17: failed
18-19: oral mandatory examination in all subjects
20-30: oral optional examination (if taken, in all subjects)

With a score equal to 18 the test will be considered passed and the student will have access to the oral exam. The oral examination will be scheduled prior to the second date of the same exam round. 

If a student fails the written exam or does not complete the oral exam within the ongoing exam session, then the written test must be retaken during the next exam session. 

Notes

Students with DSA or disabilities are kindly requested to take note of the reception services and support services offered by the University of Turin, and in particular of the procedures required for exam support.

• Teaching material
• Exams and finals
• Class schedule
• Go to Moodle
• Register for the course
• Enrolled students
• Invia email agli studenti registrati
• Export table