Download Logbook Otology group - UEMS

Otology & Neurotology Section – General Logbook
1. DISEASES / DISORDERS OF THE EAR
Auricle
Congenital malformations
Infections
Inflammatory
Benign & malignant tumours
Traumatic injuries
Ear Canal
Congenital malformations
Infections
Inflammatory
Benign & malignant tumours
Exostoses
Necrotizing otitis externa
Keratosis obturans
Traumatic injuries
Eardrum & Middle Ear
Congenital malformations
Acute & chronic otitis media
Benign & malignant tumours
Traumatic injuries
Barotrauma
Eustachian tube dysfunction
Conductive hearing loss in adults & children (congenital & acquired)
Inner Ear & Lateral Skull Base
Congenital malformations
Sensorineural hearing loss in adults & children (congenital & acquired)
Peripheral vestibular disorders
Causes of tinnitus (including pulsatile tinnitus) & hyperacusis
Benign & malignant tumours
Infective disorders
Traumatic injuries
2. HISTORY
Specific
Hearing loss
Tinnitus (including pulsatile tinnitus)
Vertigo / Imbalance / Dysequilibrium
Hyperacusis
Otalgia
Otorrhoea
Autophony
Tullio phenomenon
Facial paresis
General
Family history of hearing or balance disorders
Past history of ear infections
Past history of otological surgery
Head trauma
Noise exposure
Ototoxic usage / exposure
Migraine
Perinatal history
History of meningitis
TORCH infection
3. CLINICAL EXAMINATION
a) CLINICAL EXAMINATION
Date when
knowledge
is achieved
Signature
of Trainer
1
Otoscopy
2
Microscopy
3
Oto-endoscopy
b) HEARING FUNCTION
4
Tuning fork tests
Clinical hearing tests
5
c) VESTIBULAR FUNCTION
Nystagmus
6
Head Impulse test
7
(Halmagyi test)
Fistula test
8
Dix Hallpike test
9
Heel toe test (tandem gait test)
10
Unterbergers test
11
d) NEUROLOGICAL FUNCTION
Cranial nerve examination
12
including facial nerve
Cerebellar examination
13
Rombergs Test
14
e) OTHER
Auscultation (for bruits)
15
4. DIAGNOSTIC WORK UP
a) HEARING FUNCTION TESTS
1
2
3
4
5
Impedance audiometry
Pure tone audiometry
Speech audiometry
Objective hearing tests
Oto-acoustic emissions
4a
(OAEs)
Evoked response audiometry
4b
(BSER, CERA)
Paediatric audiology
5a
Screening methods
Date when
knowledge
is achieved
Signature
of Trainer
5b
Subjective methods
5c
Objective methods
b) VESTIBULAR FUNCTION TESTS
Caloric testing
6
Video /
7
Electronystagmography
VEMPs
8
Posturography (Balance
9
platform)
Rotating chair test
10
c) FACIAL NERVE FUNCTION TESTS
Topodiagnostic testing
11
Schirmers test
11a
Stapedial reflexes
11b
Neurophysiological testing
12
EMG
12a
ENoG
12b
MST
12c
d) IMAGING
Plain X-ray
13
Computerized tomography (to
include cone beam CT
14
scanning of the temporal
bones)
Magnetic resonance imaging
15
Angiography
CT Angiography
16
MR Angiography
Cerebral angiography
Positron Emission
17
Tomography
Radionuclide scanning eg
18
technetium, gallium scanning
e) LABORATORY TESTS
Relevant blood tests
19
Cytology
20
Histology
21
Microbiology
22
TREATMENT
5a MEDICAL
Date when
knowledge is
achieved
1
2
3
4
5
6
7
8
9
10
Signature of
Trainer
Pharmacological
treatment
Physical
rehabilitation
Ear infections
Sensorineural
hearing loss in
adults and children
Conductive hearing
loss in adults and
children
Tinnitus
Vertigo and
dysequilibrium
Facial nerve paresis
Peri-operative
management of
patients undergoing
otological surgery
SRS
5b SURGICAL
BASIC PROCEDURES
General
s
1
2
Temporal bone dissection
(laboratory)
Management of oto-haematoma
Advanced
i
X
X
3
4
5
6
7
8
9
10
11
12
13
13a
13b
13c
13d
13e
14
15
Excision of lesions of the auricle
Wax removal
Foreign body removal
Removal of external auditory
canal lesions
Meatoplasty (Soft tissue & bony)
Removal of osteomas
Myringotomy
Ventilation tube insertion
Myringoplasty (Type1
Tympanoplasty)
Tympanotomy
Mastoidectomy
Cortical
Modified radical / radical
(Back to front approach)
Atticotomy / Attico-antrostomy
(Front to back approach)
Combined approach
tympanoplasty
Mastoid obliteration
Bone anchored hearing aids
Ossiculoplasty
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
SURGICAL MANAGEMENT
ADVANCED
General
s
16
Implantation of prostheses
16a
Middle ear prosthesis
16b
Cochlear implants
17
Stapedotomy
18
Facial nerve surgery
18a
Decompression
Grafting
18b
Anastomosis surgery
Endolymphatic sac
19
decompression
20
Vestibular schwannoma surgery
20a
Translabyrinthine approach
20b
Retrosigmoid approach
20c Middle cranial fossa approach
21
Vestibular neurectomy
22
Glomus tumour surgery
23
Petrosectomy
24
Correction of malformations
24a
Auricle
24b
Peri-auricular fistulas
24c
External auditory canal
24d
Middle ear
25
Repair of injuries
25a
Auricle
Advanced
i
a
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
25b
25c
26
26a
26b
26c
27
External auditory canal
Middle and inner ear
including nerves, vessels and
MCF / PCF dura
Surgery of tumours
Auricle
External auditory canal
Middle and inner ear
including nerves, vessels and
MCF / PCF dura,
including temporal bone
resection
Revision ear surgery
X
X
X
X
X
PROGRESSION OF SURGICAL SKILLS
1st year
a s
1
2
3
4
5
6
7
8
9
10
11
12
13
a
b
c
d
e
2nd year
3rd year
4th year
i a s i a s i a s i
5thyear
a
s
i
Date when
competency is
achieved
1st year
2nd year
3rd year
4th year
5th year
a s i a s i a s i a s i a s i
14
15
16
a
b
17
18
a
b
19
20
a
b
c
22
22
23
24
a
b
c
d
25
a
b
c
26
a
b
c
Date when
competency is
achieved
27
6. POSTOPERATIVE COMPLICATIONS
Complications of general and local anaesthesia
Bleeding / haematoma
Infection
Conductive hearing loss
Sensorineural hearing loss
Vertigo / imbalance
Tinnitus
Hyperacusis
Facial nerve paresis
Taste disturbance
Numbness of the auricle
CSF leakage
Intracranial infection
Lower cranial neuropathy