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UG Seats: 150 UG /yr,
PG Seats: 2 M.S. & 1 diploma ENT students /yr.
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Syllabus
During 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 abscess and 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 interpretation to diagnose and manage the
patients.
3. Treat the common ear, nose, throat and neck problem at primary care centre. While treating
the patients, he should know the rational use of commonly used design with their adverse
effects.
4. Train to perform various minor surgical procedures like ear syringing nasal packing and
biopsy procedures.
5. Assist common surgical procedures such as tonsillectomy, mastoidectomy, septoplasty, and
tracheostomy and endoscopic removal of foreign bodies.
6. 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 familiarized with diagnosing the common ENT diseases and learning the elementary management, including communication skills.
The clinical training would consist of
1) Three 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 lectures
The formal lecture schedule for the MBBS students would consist of 1 hour lecture/week.
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
7. Epistaxis: causes and management.
8. Lesions of the nasal septum-perforation, hematoma, DNS, nasal deformities and their management, including rhinoplasty, choanal atresia.
9. Benign and malignant tumors of the maxilla – diagnosis and management. Differential diagnosis and management of a maxillary swelling and of a mass in the nasal cavity.
10. Causes of facial paralysis and their management. Tumors of temporal bone acoustic neuroma, glomus Jugulare.
11. Clinical evaluation of vertigo
12. Rhinitis, rhinosporidiosis rhinoscleroma, midline granuloma, Wegener’s granulomatosis, leprosy and tuberculosis of nose.
13. Anatomy of neck spaces. Tumors and infections of retropharyngeal space and parapharyngealspaces. Ludwig’s angina. Neurological disorders of the larynx.
14. Ca larynx and Hypopharynx
COURSE CONTENT
Nose: Deviated nasal septum, nasal polypi, angiofibroma. Tumors benign and malignant, chronic
granulomatous disease? Nose like rhinosporoidiosis and atrophic rhinitis.
Oral cavity and oropharynx
Tonsillitis, leukoplakia, carcinoma apthous ulcers, pharyngitis, peritonsillar abscess, candidiasis.
Ear
Perichondritis, coax, otitis externa, secretary, otitis media, acute suppurative otitis media, chronic suppurativeotitis 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, branchial sinus, salivary gland tumors.
Emergencies: Respiratory obstruction foreign bodies in nose, ear, throat, tracheobroncheal tree and esophagus nasal bleeding, trauma to neck.
Instruments
· Thudicum nasal speculum.
· Killian self retaining nasal speculum
· Tielley litchwitz antrum puncture trocar and cannula
· Higginson’s rubber syringe
· Ballenger’s swivel knife
· Walsham’s forceps
· Luc’s forceps
· Tilleys forceps
· St clair thompson post nasal mirror
· Jobson hornes probe and ring curette
· Siegle pneumatic speculum
· Tuning fork
· 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
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