Universitat Internacional de Catalunya
Otolaryngology for Dentists
Other languages of instruction: Catalan, English,
Teaching staff
Appointment:
Dr.Eduard Esteller
ab017426@uic.es
Introduction
Otolaryngology studies the ear, nose, larynx and pharynx and cervical soft tissue structures. It is closely involved with and responsible for the body’s systems for communicating with the exterior and with the beginning of the respiratory and digestive systems. As a result of geographic and functional proximity, it is closely connected to stomatology and dentistry in particular.
Many of the structures involved in ENT have a significant pathological relationship with dental and facial development (nasal breathing difficulty, tonsillar hypertrophy). There is a close relationship between night-time breathing difficulties and ENT and dentofacial structural anomalies, and finally the language and articulating words, so important to the ENT specialist, have shared features with stomatologists and dentists.
Pre-course requirements
There are no prerequisites, but it is recommended that the student pass first to third year subjects prior to taking this course.
Objectives
To introduce to future specialists in stomatology and dentistry the importance of functional interrelationships, and the anatomical and pathological aspects of both specialties. To promote interdisciplinary work in order to improve the health care of our patients.
Competences/Learning outcomes of the degree programme
- 09 - Understanding the importance of keeping and using patient files in order to subsequently analyse them, while ensuring patient confidentiality is maintained.
- 13 - Understanding and recognising the science behind the essential bio-materials involved in dental practice as well as immediately managing potential allergies to these.
- 14 - Being aware of the general processes of the illness, including infection, inflammation, alterations in the immune system, degeneration, neoplasm, metabolic alterations and genetic disorders.
- 15 - Being familiar with the general pathological characteristics of the illnesses and disorders that affect organic systems, specifically those which have dental repercussions.
- 17 - Understanding and recognising the principles of ergonomics and safety at work (including the control of cross infection, radiation protection and occupational and biological diseases).
- 18 - Being aware of, critically evaluating and knowing how to use sources of clinical and biomedical infomation in order to obtain, organise, interpret and communicate scientific and healthcare-related information.
- 19 - Being aware of scientific methods and having the critical ability to evaluate established knowledge and innovative information. Being able to formulate hypotheses, collect and critically evaluate information in order to resolve problems, in accordance with scientific methods.
- 21 - Knowing how to undertake a full dental exam, including the necessary X-ray and complementary exploratory tests, as well as obtaining suitable clinical references.
- 22 - Having the ability to make an initial diagnostic judgement and establish a reasonable diagnostic strategy, as well as being competent in recognising situations that require urgent dental treatment.
- 23 - Establishing a diagnosis, prognosis and suitable treatment planning for all the different clinical areas of Dentistry, being competent in terms of the diagnosis, prognosis and writing up the dental care plan for patients who require special care, including medically compromised patients (such as diabetics, those with hypertension, a depressed immune system or are anticoagulated, etc) and patients with disabilities.
- 24 - Recognising situations in which lives are at risk and knowing how to provide basic life-support.
- 26 - Knowing how to plan and undertake multidisciplinary, sequential and comprehensive dental treatment of limited complexity for patients of all ages and conditions and for patients who require special care.
Learning outcomes of the subject
Master ENT terminology and specific language.
Develop a professional approach, respecting patients’ opinions, beliefs and culture.
Develop a professional approach, respecting other health professionals and enhancing teamwork skills.
Ability to carry out a proper physical ear, nose, throat and neck examination.
Be able to incorporate data from physical examination and history into a syndrome that corresponds to a specific ENT pathology.
Be able to interpret clusters of symptoms and signs in order to make a differentiating diagnosis, always referring to the most basic ENT pathologies and with special emphasis on those closest to stomatology.
Be familiar with the different ENT basic diagnostic techniques, both anatomical and physiological. Understand their utility, how to perform them and request them, still considering their possible complications and contraindications, and being able to justify the request.
Be acquainted with the basic ENT medical and surgical treatments, with special reference to the topics closest to stomatology.
Know, assess critically and be able to use clinical and biomedical information sources, in order to obtain, organise, interpret and communicate scientific and healthcare information.
be familiar with the basis of the interaction between patient and health professional, transmission of clinical information, obtaining informed consent and resolving related conflicts.
Syllabus
Topic 1
Anatomy, physiology and exploration of external and middle ear. Pathophysiology of the Eustachian tube
PRACTICAL CLASS: PLASTIC MODELS AND ANATOMICAL SCHEMES AND OTOSCOPY IMAGES
Topic 2
External Otitis. Reflex earache.
PRACTICAL CLASS: CASE METHOD: OTALGIA
Topic 3
Anatomy and physiology of the auditory system.
Transmission and perception hearing loss
PRACTICAL CLASS: HEARING LOSS ASSESSMENT AND EXPLORATION
Topic 4
Balance anatomy and physiology.
Pathology and assessment of balance disturbances.
Temporomandibular joint and ear.
PRACTICAL CLASS: CASE METHOD: DIZZINESS
Topic 5
Sinonasal anatomy and physiology
PRACTICAL CLASS: ANATOMY WITH VIDEO DISSECTION. CADAVER AND PLASTIC MODELS
Topic 6
Nasal obstruction: Causes and approach
Dentofacial development and upper respiratory obstruction
Nasal and Facial Traumatisms
PRACTICAL CLASS: SINONASAL EXPLORATION: RHINOSCOPY AND ENDOSCOPY
Topic 7
Rhinitis. Sinusitis. Polyposis. Medical and surgical treatment.
Dental sinusitis.
PRACTICAL CLASS: CASE METHOD INFLAMMATORY PATHOLOGY AND OBSTRUCTIVE SINUS
Topic 8
Pharynx and laryngeal anatomy and physiology.
Waldeyer ring anatomy and functioning.
PRACTICAL CLASS: PHARYNGEAL AND LARYNGEAL IMAGES. PLASTICS MODELS AND CADAVER PARTS
Topic 9
Sleep apnoea Syndrome in adults and children.
Diagnosis, treatment, negative consequences and treatments.
PRACTICAL CLASS: SLEEP APNOEA CASE METHOD
Topic 10
Tonsil and adenoid infections. Medical treatment and indications for tonsillectomy and adenoidectomy.
PRACTICAL CLASS: CASE METHOD: CASES OF PHARYNGITIS AND TONSILLITIS. SURGERY VIDEOS
Topic 11
Anatomy, Phisiology and Pathology of Oropharyngeal Dysphagia
PRACTICAL CLASS: DYSPHAGIA VIDEOS
Topic 12
Obstructive pathology of the larynx.
Dyspnoea of upper respiratory tract, stridor. Management of acute obstruction of the upper airways.
Treatment of airway obstruction. Tracheotomy.
PRACTICAL CLASS: CASE METHOD ON UPPER AIRWAY OBSTRUCTION. Video tracheotomy
Topic 13
Voice troubles. Language development and disorders
PRACTICAL CLASS: CASE METHOD ON VOICE TROUBLES. VIDEOS OF LARYNGEAL ENDOSCOPY AND STROBOSCOPE
Topic 14
Oncology of the upper aerodigestive tract.
Cancer of the larynx and hypopharynx
PRACTICAL CLASS: CASE METHOD ONCOLOGY OF UPPER AIRWAY
Topic 15
Cervical anatomy. Cervical nodes. Salivary disorders
Examination systems. Cervical lymph pathology and treatment
Salivary anatomy and physiology. Pathology of salivary glands
PRACTICAL CLASS: CASE METHOD CERVICAL PATHOLOGY AND CERVICAL EXAMINATION PRACTICES
Teaching and learning activities
In person
The lecture is where teacher transmits knowledge in a classroom to the whole group of students. The format, however, allows the inclusion of small group activities within the classroom and the use of strategies that encourage active student participation.
The case method is the process of solving clinical or other cases within the speciality. It involves group activities with the active participation of the teacher following student discussion.
Practical classes in the classroom. In this course they are based on understanding basic examination methods in the different ENT areas. Students’ participate actively in carrying out basic examinations, interpreting photographs or videos or carrying out x-rays.
Some practical work will be carried out in the laboratory, including dissection of cadavers or plastic models.
Evaluation systems and criteria
In person
Theoretical evaluation
Consists of three short questions that will have a weighting of one point for each correct answer
Practical evaluation
Consists of five images taken from the practical classes, and a questions asked about them. They have a weighting of one point each
Evaluation of attendance
If you attend more than 12 classes you will get 2 points, if more than 6 or less than 12: 1 point. Otherwise you have a zero score.
EXAMINATION RESIT
Those students who fail the examinations the first time will have a second opportunity a few months later.
The resit will consist of a written test of five short questions, each of which will be worth two points
FINAL SCORE: To pass the final examination, a score of 5 or more will be required.
The final grade will be a score out of ten. Qualitative Score: fail (suspenso), passed (aprobado), good (notable), excellent (excelente) and distinction (matricula de honor)
EXAMINATION REVIEW SYSTEM
Examination reviews: will be conducted face to face following a written request before a preestablished closing date.
Bibliography and resources
1. Otorrinolaringología. Manual Clínico
José Luis LlorentePendás, César Álvarez Marcos y Faustino Núñez Batalla
Editorial Médica Panamericana 2012. ISBN 978-84-9835-371-6
2. Manual de Otorrinolaringología
SegundaEdición. Rafael Ramírez Camacho McGraw-Hill. Interamericana 2007.
ISBN 978-84-481-4677-1
3. Otorrinolaringología y PatologíaCervicofacial
Jorge BasterraAlegría. Masson S.A. 2005. ISBN 84-458-1328-5
4. Lecciones de Otorrinolaringología Aplicada Tomo I y II.
Constantino Morera Pérez y Jaime Marco Algarra. Editorial Glosa 2004
Evaluation period
- E1 24/05/2022 A12 08:00h
- R1 07/06/2022 A19 08:00h
- E2 28/06/2022 A24 08:00h
- R2 05/07/2022 A09 08:00h