Download NTRUHS (DR. N.T.R UNIVERSITY OF HEALTH SCIENCES) MBBS (Bachelor of Medicine and Bachelor of Surgery) 3rd Year Part-1 Ent Oto Rhino Laryngology Syllabus
(1)
OTO ? RHINO ? LARYNGOLOGY (ENT) :
Goal :
The broad goal of the teaching of under graduate students in Otorhinolaryngology is that the
under graduate students have acquired adequate knowledge and skil s for optimally dealing
with common disorders and emergencies and principles of rehabilitation of the impaired
hearing.
Objectives:
(a)KNOWLEDGE:
At the end of the course, the student shal be able to:
(1) Describe the basic pathophysiology of common Ear Nose and Throat (ENT) diseases
and emergencies:
(2) Adopt the rational use of commonly used drugs, keeping in mind their adverse
reactions;
(3) Suggest common investigative procedures and their interpretation.
(b) SKILLS:
At the end of the course, the student shal be able to :
(1) examine and diagnose common Ear, Nose and Throat (ENT) problems including the
pre-malignant and malignant disorders of the head and neck;
(2) Manage Ear, Nose and Throat (ENT) problems at the first level of care and be able to
refer whenever necessary;
(3) Assist / Carry out minor surgical procedures like ear syringing, ear dressings; nasal
packing etc;
(4) Assist in certain procedures such as tracheostomy, endoscopies and removal of
foreign bodies.
(c) INTEGRATION:
The undergraduate training in Ear, Nose and Throat (ENT) wil provide and integrated
approach towards other disciplines especially Neuro sciences ophthalmology and general
surgery.
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Syllabus of Oto Rhino Laryngology (ENT):
Theory ? 70 hours
Sl.
Name of the Unit.
No.of
No.
Hours
NOSE, PARANSASAL SINUSES AND NASOPHARYNX
1)
Surgical Anatomy and Physiology of the Nose, paranasal Sirnuses and 1
Naspharynx
2)
Examination of Nasal Passages, Nasopharynx and Paranasal sinuses.
1
3)
Disease of the Nose: Congenital Malformations, Stenosis of Anterior nares, 2
Posterior Chaonal atresia, Dermoid Cyst, injuries, C.S.F. Rhinorrhoea, Oro-
antral fistula, Nasal Furunculosis, Vestibulitis.
4)
Diseases of Nasal Septum: Haematoma, Abscess, Ulceration, Perforation, 1
Deviation and Spurs.
5)
Diseases of the Nasal Cavity:
2
Foreign bodies, Rhinoliths
Acute Rhinitis:
Nonspecific : common cold
Specific: Diphtheria, Lupus, TB, Syphilitic, Leprosy, Rhinosporidiosis,
Other diseases: Rhinoscleroma, Milignant Gramuloma, Nasal Al ergy, Nasal
Polyposis
6)
Epistaxis.
1
7)
Sinusitis: General Consideration of Acute and Chronic Sinusitis, Diagnosis: & 2
Treatment. Frontal Sinusitis, Ethmoiditis, Sphenoiditis. Acute and Chronic
Maxiliary Sinusitis.
8)
Complications of Suppurative Sinusitis-Frontal Osteomyelitis, Osteomyelitis 2
of Maxil a, Orbital complication, Intracranial Complications, Secondary effects
of Sinusitis.
9)
New Growths and Cysts of the Nose and Sinuses: Papilloma, Angioma, 1
Carcinoma, Sarcoma and simple cysts.
10)
Diseases of the Nasopharynx:- congenital Dermoid, Nasopharyngitis-Acute 1
and Chronic, Adenoids, New growths: Benign Juvenile Angiofbromas,
Malignant-Carcinoma.
PHARYNX
1)
Surgical Anatomy and Applied Physiology, (Pharynx- Oropharynx,
1
Laryngopharynx, Parapharyngeal space).
2)
Examination of the Pharynx.
1
3)
Diseases of the Pharynx; Foreign bodies, Trauma, Inflammations, - Acute-
1
Non-specific and specific. Vincent's angina. Acute Diphtheritic Pharygitis.
Moniliasis. Chronic non specific Pharyngitis. Specific ? Tuberculosis,
Syphilis, Leprosy, Rhinoscleroma.
4)
Acute Tonsil itis ? Chronic Tonsil itis
1
5)
Abscesses of the Pharynx. Peritonsil ar Abscess, Para Pharyngeal abscess,
1
Acute and Chronic Retropharyngeal abscess, Ludwig's angina.
6)
New growths- Beneign and Malignant.
1
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Sl.
Name of the Unit.
No.of
No.
Hours
EAR SURGICAL ANATOMY AND APPLIED PHYSIOLOGY
1)
Examination of the Ear: Clinical Examination of the Ear. Functional
1
Examinations ? Tests for hearing. Tests for Verigo and Eustachian tube.
2)
Disease of External Ear: Congenital malformations, Affections of the 2
auricles: Perichondritis, Haematoma auris, affections of the External
auditory canal ? Furuncle, Otitis Externa, Herpes, Myringitis Bullosa,
Otomycosis, Wax, Foreign bodies, New growths, Injuries of External Ear
and Tympanic Membrane.
3)
Acute Inflammations of Middle Ear Cleft. Eustachian Salpingitis-Acute and 2
chronic Acute Catarrhal Otitis media, Acute Suppurative otitis media, Acute
Mastoiditis.
4)
Chronic Suppurative Otitis media-safe and unsafe.
1
5)
Other types (Non suppurative)Chronic Catarrhal Otitis media, Secretory 1
Otitis media, Otitis Barotrauma, Tuberculous Otisis media, Syphilitic Otitis
media.
6)
Complications of Suppurative Otitis media; extracranial: Mastoiditis, 1
Mastoid abscess, Petrositis, facial nerve paralysis, Labyrinthitis.
Intracranial.
7)
Otosclerosis: Etiology, Pathology, Clinical features,management.
1
8)
Prevention of Otitis media and Prevention of complications of Otitis media.
1
9)
Diseases of Inner Ear : Congenital inner ear disorders, Traumatic disorders
2
of the inner ear, ear, Otogenic labyrinthitis, Mumps, Herpes, zooster
Oticus, Rubella, Meningitis, deafness.
10)
Noise trauma, Drug toxicity, Presbyacusis, Meniere's disease, Auditory
2
Nerve tumour.
11)
Newgrowths: Middle ear and mastoid: Carcinoma, Glomus Jugulare tumour. 1
12)
Rehabilitation of Deaf and Dumb.
1
LARYNX, TRACHEA AND BRONCHI :
1)
Surgical Anatomy and applied physiology of Larynx, Trachea and bronchi.
1
2)
Examination of the Larynx and lower respiratory tract
3)
Diseases of the Larynx-Congential malformations of Larynx. Foreign bodies 1
in the air passages.
4)
Inflammations:- Acute-Non specific simple Laryngitis. Laryngo-Taracheo-
1
Bronchitis.Specific-Diphtheria. Chronic(Non- specific):- Simple Laryngitis,
Leukoplakia, Pachydermia and vocal nodules. Specific:-Tuberculosis,
Lupus, Syphilis, Scleroma, Leprosy.
5)
Functional aphonia.
6)
STRIDOR
1
7)
New ?growths of the Larynx: Beneign, Malignant
1
8)
Tracheostomy : Indications, Technique, after treatment, complications.
1
9)
Endoscopy in ENT ? Method, indications of Laryngoscopy and
Bronchoscopy.
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OESOPHAGUS :
1)
Anatomy and Physiology of deglutition, Diseases of Oesophagus, P.V
1
.Syndrome, Cardiospasm. Stricturs of Oesophogus- Beneign & Malignant,
corrosive burns and carcinoma of Oesophagus.
2)
F.B. in food and air Passages Indications and contraindications of
1
Oesophagoscopy. Technique & complications.
3)
Neck swellings ? Differential diagnosis & Management.
TEACHING PROGRAMME DURING CLINICAL POSTINGS OF ENT:
Total Time: 30 hours
Sl.
Name of the Unit.
hours
No
a)
S urgical anatomy of the Ear, Lecture and Demonstration of dissected
1
temporal bone.
b)
A pplied physiology of Hearing.
2
Audiotory function tests. Demonstration of audiometry test.
c)
A pplied physiology of Equilibrium Vestibular function tests. Lecture /
2
Demonstration in Otoneurology Dept. using E.N.G.Machine.
d)
History taking in ear diseases and clinical examination of the ear.
1
Demonstration.
e)
A udiometry ? various types of hearing aids.Cochlear Implants. Lecture /
2
Demonstration in speech & hearing Department.
f)
Congential deafness. Causes, prevention and management.
1
g)
Common surgical procedures on the ear Lecture / Video demonstration.
2
Instruments X-Ray.
h)
A natomy and Physiology of Nose & PNS.
1
i)
History taking in the diseases of the Nose and PNS and Clinical Examination 1
of Nose & PNS.
j)
Respiratory allergy. Pathology, clinical presentation. Diagnostic tests and
1
specific desensitization. Lecture / Demo. Allergy Clinic, ENT.
k)
D.D. of nasal obstruction & Discharge. Disorders of olfaction.
1
l)
Head ache and Facial Pain. D.D.Clinical case demonstration.
1
m)
F .E.S.S. basic principles. Lecture Demo / Video presentation
1
n)
Common surgical procedures on Nose and P.N.S. Lecture / Video / Live
2
operation. Surgical instruments and X-Rays and C.Ts. pertaining to Nose
and P.N.S.
o)
A natomy of Pharynx. Physiology of Deglutition.
1
p)
History taking and clinical exam of Pharyngeal diseases.
1
q)
Ulcero membraneous lesions of Pharynx.
1
r)
Cancer of oro and Hypopharynx. Recent trends in management.
1
s)
A natomy of larynx. Physiology of Phonation.
1
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Sl.
Name of the Unit.
hours
No
t)
History taking and clinical exam. of laryngeal diseases.
1
u)
Hoarseness of Voiee. Disorders of voice & speech.
1
v)
Stridor in infancy and childhood
1
w)
Cancer larynx. Aetiology and diagnosis. Recent trends in management /
1
prevention.
x)
Per oral endoscopy
1
y)
Tracheostomy. Lecture / Video
1
z)
Common surgical procedures in the throat. Lecture / Video.
2
Surgical instruments and X-Rays pertaining to throat.
Books recommended
1.Text book of ENT by Logan &Turner
2. Diseases of ENT by Dr.Ramanjaneyulu
3. Diseases of ENT by Dr. K.K. Ramalingam
4. Diseases of ENT by Maqbool
5. Diseases of ENT by Scoft & Brown
Reference books
1. Shambaugh Ear Surgery
2. North American Clinics of ENT
3. Journal of Otology & Laryngology
4. Indian Journal of Otolaryngology.
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This post was last modified on 28 June 2021