Otolaryngology/Facial Plastic Surgery Medical Student Rotation Syllabus and Resources

  1. Learn how to perform a Head & Neck Exam
  2. Learn Otoscopy
  3. Be proficient with the examination using an otoscope
  4. Know how to identify the landmarks and tympanic membrane
  5. Pars tensa
  6. Pars flaccid
  7. Malleus
  8. Short and long process of the incus
  9. Oropharynx
  10. Examination of the tongue
  11. Examination of the floor of the mouth
  12. Examination of the teeth and gingiva
  13. Examination of the buccal mucosa
  14. Examination of the palate
  15. Examination of the uvula
  16. Examination of the tonsils - know the grades of tonsillar hypertrophy
  17. Examination of posterior pharyngeal wall
  18. Nasal
  19. Be proficient with the use of the nasal speculum
  20. Examination should include: the vestibule, mucosa, lateral nasal wall, andnasopharynx
  21. Be able to diagnose the presence of nasal masses, polyps, or any rhinorrhea
  22. Be able to assess any septal deviation
  23. Be Proficient with Head & Neck Exam
  24. Diagnose head and neck masses and the differentialdiagnoses between them
  25. Be able to palpate any thyroid mass
  26. Detect submandibular/parotid masses
  1. Tonsillectomy and Adenoidectomy
  2. Be proficient with the anatomy of the tonsillar region, including the muscles that make up the tonsillar fossa and anterior and posterior pillars, as well as the blood supply and nerve supply to the tonsils
  3. Be proficient with the indications for tonsillectomy andadenoidectomy (relative versus absolute)
  4. Know the most common organism causing tonsillitis
  1. Otology
  2. Be able to diagnose otitis media, otitis media with effusion, and chronic otitis media
  3. Know the organisms causing otitis media
  4. Know the indication for tympanostomy tube insertion
  5. Know the effects of middle ear effusions and the relationship to speech and language development
  6. Be able to evaluate audiogram. Know the difference between a conductive hearing loss and a sensorineural hearing loss
  7. Know the role of the eustachian tube in middle ear disease
  8. Define cholesteatoma
  9. Know the difference betweenacquired and congenital
  10. Be able to evaluate tympanograms and know the differencebetween types A, B, and C, and what type of middle ear dysfunction causes each
  11. Know the complications of otitis media
  12. Otologic complications
  13. Intracranial complications
  14. Treatment
  15. Know the work-up of a dizzy patient and different causesof dizziness related to the inner ear
  16. Meniere's disease
  17. Benign positional vertigo
  18. Vestibular neuronitis
  19. Acoustic neuromas (Vestibular Schwannoma)
  1. Nose
  2. Know the anatomy of the nose, the blood supply, andthe bones that make up the nose.
  3. Nasal fractures.
  4. Know how to diagnose a nasal bone fracture based on its gross appearance and how we treat nasal fractures—closed versus open
  5. Nasal septum.
  6. Significance of a deviated nasal septum, bothanatomically and physiologically
  7. Significance of septal perforations and the causes
  8. Septal hematoma and its potential long-term effects
  9. Diseases of the nasal cavity
  10. Acute rhinitis—Know the most common cause
  11. Allergic rhinitis—Know the causes
  12. Hypertrophy of the turbinates
  13. Nasal polyps
  14. Vasomotor Rhinitis
  15. Atrophic rhinitis
  16. Unilateral Nasal Discharge
  17. Nasal Foreign Bodies
  18. Choanal Atresia
  19. Malignancies - know the different types
  20. CSF Rhinorrhea
  1. Acute and Chronic Sinusitis
  2. Acute sinusitis - know the signs and symptoms
  3. Treat most common organisms causing acute sinusitis
  4. Treatment for acute sinusitis
  5. Chronic Sinusitis
  6. Most common organisms causing chronic sinusitis
  7. Antibiotics used to treat chronic sinusitis
  8. Diagnosis of chronic sinusitis and effectiveness ofplain radiographs versus CT scan.
  9. Be proficient reading CT scan of the sinuses. Knowthe anatomical landmarks of the sinuses on CT scan as well as landmarks seen during surgery. These include: the middle turbinate, uncinate process, and bulla ethmoidalis
  10. Complications of Chronic Sinusitis
  11. Signs and Symptoms
  12. Complications of chronic sinusitis, including orbital cellulitis, periorbital abscess, cavernous sinus thrombosis, meningitis, epidural abscess, subdural abscess, brain abscess, and osteomyelitis of the skull
  1. Salivary Glands
  2. Parotid Gland
  3. Anatomy
  4. Blood supply and innervation
  5. Submandibular Gland
  6. Anatomy
  7. Blood supply and innervation
  8. Sublingual Glands
  9. Know work-up for a salivary gland mass and the treatment for salivary gland masses
  10. Know the causes of benign salivary gland tumors, including themost common benign salivary gland tumors
  11. Know the most common malignant salivary gland tumors
  1. Head and Neck
  2. Physical examination (see above section 1)
  3. Know the location of neck masses in relationship to the SCM and the triangles of the neck
  4. Know diagnostic studies.
  5. CT scan versus MRI
  6. Ultrasound and its potential benefit
  7. Plain films, soft tissue films, and what role they may have, if any
  8. Branchial Cleft Cyst
  9. Know the different types of branchial cleft cysts
  10. Thyroglossal Duct Cyst
  11. Know the signs and symptoms
  12. Differential diagnosis and treatment
  13. Dermoids
  14. Know the signs and symptoms and physical presentation
  15. Know the treatment of dermoids
  16. Inflammatory
  17. Know the signs and symptoms of inflammatory adenopathy
  18. Know the studies to obtain, including cultures and aspiration in the treatment
  19. Chronic Inflammatory Adenopathy
  20. Neoplasms
  21. Benign neck neoplasms including:
  22. Cystic hygromas
  23. Hemangiomas
  24. Carotid body tumors
  25. Lymphangiomas
  26. Malignant neck masses
  27. Diagnostic approach
  28. History and Social Factors
  29. Previous radiation
  30. Treatment of and the role of radiation and chemotherapy

Useful Websites and Resources

  1. Iowa Head and Neck Protocols
  2. UTMB ENT Grand Rounds
  3. CT of the Temporal Bone Anatomy

Useful ENT Videos Online ***(videos: search Fauquier ENT on youtube.com)***

  1. Anatomy of the Neck
  2. Part 1(
  3. Part 2(
  1. Examination Series by Dr A Albeyatti, England
  2. Ear: video link (
  3. Nose: video link (
  4. Throat/Neck: video link(
  5. ENT Basics
  6. Quinsy & Tonsillitis, by Short sharp scratch:Video Link(
  7. Epistaxis:Video Link (
  8. Foreign Bodies in the nose:Video Link (
  9. Foreign Bodies in the throat:Video Link (
  10. Foreign Bodies in the ear:Video Link

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  1. EarInfections:Video Link (
  1. Head and Neck Skills
  2. Ear
  3. Eustachian Tube Dysfunction: video link(
  4. Video link(
  5. Myringotomy tube insertion: video link(
  6. Tympanoplasty: video link(
  7. BBPV and Exercises: video link(
  8. Video link(
  9. Video link(
  10. Meniere’s Disease:video link(
  11. Intratympanic Steroid Injections for Sudden Sensorineural Hearing Loss (SSnHL): video link(
  12. Nose
  13. Epistaxis Cauterization: video link (
  14. Septoplasty: video link (
  15. Balloon Sinuplasty: video link(
  16. Oral cavity/Oropharynx
  17. Frenulectomy: video link(
  18. Video link(
  19. Adenoidectomy:video link(
  20. Video link (
  21. Tonsillectomy: video link(
  22. Coblator technique:video link(
  23. Throat/Larynx
  24. Laryngospasm and Vocal Cord Dysfunction: video link(
  25. Neck
  26. Tracheostomy placement: video link(
  27. Changing a Tracheostomy Tube: video link (
  28. Thyroidectomy: video link(

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