AIIMS Otorhinolaryngology Syllabus

AIIMS Otorhinolaryngology Syllabus

 

Under graduate course, the students should learn the principles of examination and management of common Ear , Nose and throat diseases and acquire adequate skills to manage common diseases like CSOM ‘tonsillitis common emergencies like upper airway obstruction and peritonsillar abscessand be able to refer the complicated cases to an appropriate specialist

OBJECTIVES

At the end of the otorhinolaryngology posting. The student shall be able to

  1. Examine and diagnosis common ear, nose, and throat problems
  2. Suggest common investigative procedures and their intepretation to diagnose and manage the patient.
    1. Treat the common ear, nose, throat and neck problem at primary care centre, while treating the patient. He should know the rational use of commonly used design with their adverse effects.
    2. Train to perform various minor surgical procedures like ear syringing nasal packing and biopsy procedure.
    3. Assist common surgical procedures such as tonsillectomy, mastoidectomy, septoplasty, tracheostomy and endoscopic removal of foreign bodies.
  3. Have awareness of Preventive otology and head & neck cancer for public guidance.

Clinical Training : The students would be posted in the ENT department ( OPD and Ward ) for a total period of 2 months on rotation basis . Here they would learn the basic ENT examination, become familirised with diagnosing the common ENT diseases and learning the elementary management, including communication skills.

The clinical training would consist of

1)    two classes on introduction to the clinical aspects of ENT including proper Ear , Nose and throat examination

2)     Bed side teaching and case discussion on common ENT conditions like CSOM, Deviated Nasal septum, Nasal polyps, Cancer larynx etc

3)     Orientation to commonly used ENT instruments and X-Rays in ENT practice

4)     Exposure to commonly done OPD procedures like nasal packing , ear packing, cautery etc

5)     Exposure to selective operative procedures like tracheostomy, tonsillectomy , septoplasty, Nasal polypectomy etc

6)     Preventive Otology and head & neck cancer.

Theory

The formal lecture scheduele for the MBBS students would be held in the 6th and 8th semesters and

would consists of 1 hour lectures.

Scheduele for 6th semester

  1. Introduction to Ear, Nose, Throat and Head & Neck Surgery.
  2. Acute and chronic Rhino sinusitis, Nasal polyp Fungal disease of Nose.
  3. Secretary Otitis Media, Acute suppurative otitis media. Acute mastoiditis and its treatment.
  4. Classification of CSOM, pathogenesis of cholesteatoma. Conservative management of CSOM, underlying principles of myringoplasty, ossiculoplasty, tympanoplasty, radical and modified mastoidectomy.
  5. Complications of CSOM and their management.
  6. Otospongiosis, tympanosclerosis, adhesive otitis media. Prevention of deafness.Voice and speech disorders including stammering.
  7. Epistaxis: causes and management. Principles of management in maxillofacial trauma. Maxillary and Nasal bone fractures. CSF Rhinorrhoea.
  8. Lesions of the nasal septum-perforation, haematoma, DNS, nasal deformitis and their management, including rhinoplasty, choanal atresia.
  9. Benign and malignant tumours of the maxilla – diagnosis and management. Differential diagnosis and management of a maxillary swelling and of a mass in the nasal cavity.

Schedule for 7th Semester students session

  1. Causes of facial paralysis and their management. Tumours of temporal bone acoustic neuroma, glomus Jugulare.

2         Clinical evaluation of vertigo

  1. Rhinitis, rhinosporidiosis rhinoscleroma, midline granuloma, Wegener’s granulomatosis, leprosy and tuberculosis of nose.
  2. Anatomy of neck spaces. Tumours and infections of retropharyngeal space and parapharyngeal spaces. Ludwig’s angina. Neurological disorders of the larynx.

COURSE CONTENT

Nose: Deviated nasal septus, nasal polypi, angiofibroma. Tumours both benign and malignant, chronic

granulomatous disease? Nose like rhinospondiosis and atrophic rhinitis.

Oral cavity and oropharynx

Tonsillitis, leukoplakia, carcinoma apthocu ulcers, pharyngitis, peritonsilla abscess, candidiasis.

Ear

Perichondritis, coax, otitis externa, secretary, otitis media, acute suppuratin otitis media, chronic supputatin otitis media (safe and unsafe), benign and malignant tumors of ear, larynx, vocal cord nodule, vocal polyp, carcinoma, vocal cord palsy.

Hypopharynx : Benign and malignant disease.

Neck : Lymphadenitis, metastatic neck benign and malignant tumors of neck, broncheal sinus, branchially pyroid tumors, salvary gland tumors.

Emergencies : Respiratory obstruction foreign bodies in nose, ear, throat, trachobroncheal tree and esophagus nasal bleeding, trauma to neck.

Instruments

  • Thudicum nasal speculum.
  • Killiani self retaining nasal speculum
  • Tielley lichwitz antrum puncture trocar and cannula
  • Higginson’s rubber syringe
  • Ballenger’s swivet knife
  • Walsham’s forceps
  • Luis forceps
  • Tilleys forceps
  • St clair thomson post nasal mirror
  • Simpson’s antral syringe
  • Jobson hornes probe and ring curette
  • Siegle pneumatic speculum
  • Tuning fork
  • Barany noise box
  • Head mirror
  • Toynbee ear speculum
  • Boyle Davis mouth gag
  • Lack’s tongue depressor
  • Draffins bipod metallic stand
  • Eve’s tonsillar snare
  • St Clare Thomson Adenoid curette with / without cage
  • Trousseau’s trocheal dilator
  • Jackson’s metallic tracheostomy tube
  • Direct laryngoscope
  • Chevalier Jackson’s oesophagoscope
  • Negus bronchoscope

Operative Procedures

  • Tonsillectomy
  • Adenoidectomy
  • Septoplasy
  • Caldwell-Luc operation
  • Myringoplasty
  • Modified radical mastoidectomy
  • Radical mastoidectomy
  • Biopsy for diagnosis of carcinoma of tongue, etc
  • Direct larygnoscopy
  • Neck node biopsy

X-ray

  • X-ray paranasal sinus Water’s view Caldwell view Lateral view
  • X-ray nasopharynx – lateral view
  • X-ray mastoid Oblique lateral view Town’s view
  • X-ray neck Lateral view Anteroposterior view

SUGGESTED BOOKS

1)      Logan Turner; Text Book of ENT

2)       Scott Brown’s Otolaryngology – 5 volumes

3)       P.L Dhingra ; Text book of ENT

ASSESMENT AND EXAMINATION

1)      Formative ; Total weightage 75%. This would be during the course of the student’s posting . This would include weekly assessment and a final assessment at the end of their posting

Summative; Total weightage 25%At the time of the final Professional exam and would be of 25 marks of which 15 marks would be for clinical test and 10 marks for theor

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