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Jordan University of Science and Technology
Faculty of Applied Medical Sciences
Department of Allied Medical Sciences
Diseases of Ear, Nose, & Throat
Course Syllabus
Course Information
Course Title
DISEASES OF EAR, NOSE & THROAT
Course code
AS300
Credit Hours
2 credit hours (theory)
Lecturer
Dr. Safa Alqudah
Office Location
Faculty of Applied Medical Science building, Second floor
E-mail
[email protected]
Course Description
This course provides a study of disorders of the ear, nose, and throat including anatomical,
physiological, perceptual, and manifestations of pathologies mainly affecting the hearing
system.
Text Book
Title
Disorders of the Auditory System
Authors
Musiek, Frank E; Baran, Jane A; Shinn, Jennifer B
Publisher
Jones and Bartlett
Year of publication
2011
Edition
10th Edition
http://site.ebrary.com/lib/scitechjo/reader.action?docID=10901604
Book Website
More Useful
Resources
Reserved in the
library
Recommended readings will be available electronically through Elearning. You will need Adobe Acrobat Reader to access these files
Assessment Policy
Assessment Type
First Exam
Weight
20%
Second Exam
20%
Final Exam
40%
Quizzes
15%
Participation
5%
Total
100%
Course Objectives
Increasing the student’s knowledge of a range of disorders affecting the
auditory system
Discussing the typical treatment options available to cure each ENT
disorders
Studying the expected outcomes on a battery of widely used audiometric
testing procedures
Giving particular attention to patient symptoms, appropriate interpretation
of symptoms, and interpretation of tests
Analyzing the appropriate criteria for medical referral
Percentage
20%
20%
25%
20%
15%
Teaching & Learning Methods
Additional Notes
Assignments The student has one week from the time any test, assignment, or lab summary is returned to the
class to appeal the grade. Quizzes might be given for each chapter.
Exams
The course will be broken into 3 exams. Exams will include short essay and multiple choice
questions
Make-up exam including quizzes will be granted for excused absence only
Extenuating circumstances (PRIOR approval should be obtained or direct contact made with the
instructor within 24 hours)
Cheating
The instructor will follow JUST’s rules and regulation
Attendance
Graded
Exams
Expected
work load
feedback
Attendance will count for points in this class. The student is responsible for any information
discussed in lecture. It is imperative to attend all classes!
Exams will include essay and multiple choice questions
The student has one week from the time any test is returned to appeal the grade.
Students are expected to work hard in order to ensure a high quality learning
Concerns or complaints should be expressed in the first instance to the course instructor.
Questions about the material covered in the lecture, notes on the content of the course, its
teaching and assessment methods can be also sent by e-mail to the following address
[email protected]
Textbook, handouts, audio-video presentation, power point presentations.
Teaching duration:
 Duration: 15 weeks
 Lectures: 30 lectures, 60 minutes each, including 1 hour 1st ,2nd exams.
Learning Outcomes: Upon successful completion of this course, students will be able to
Outcomes
Reference(s)
Handouts
Ch. 1-3
2
Give an overview of the otologic evaluation and defining some
medical term.
Describe the normal pinna and ear canal.
3
Describe the lesions and abnormal variations in the pinna.
Ch. 4
4
Explain the congenital defects of pinna & ear canal.
Ch. 4
Give the test battery and medical intervention of each pinna and
ear canal disease.
Explain the normal structure of tympanic membrane.
Ch. 4
Identify the common pathologies of tympanic membrane.
Ch. 4
Discuss the audiological evaluations, medical treatments, and
surgical approaches for tympanic membrane pathologies.
Describe the pathophysiology of otitis media.
Ch. 4
Explain how to evaluate the chronic and acute otitis media in
adult and pediatric populations.
Describe the process of abnormal growth formation in the
middle ear, such as cholesteatoma.
Determine the clinical features of many middle ear tumors and
bone disorders.
Discuss the process of conducting effective assessment and
treatment for patients with middle ear tumors and bone
disorders.
Name the approaches used to indicate the temporal bone
fractures
Explain the natural repairing process or/and surgical
procedures to heal the temporal bone fractures
Explain the process of hearing deterioration in the patients with
otosclerosis
Describe the major congenital disorders/ malformations
impacted the newborns’ cochlear structures
Teaching the audiological manifestations for the congenital
cochlear disorders
Discussing the effect of infectious agents on the anatomy and
physiology of the inner ear
Name the common medications affected harmfully the hearing
system, clarifying their side effects, and explaining how to avoid
the defective consequences from taking these medications
Describe the expected hearing issues associated with vascular
and metabolic diseases
Describe the assessment and treatment options of a patient who
is suffering from Meniere’s disease
Identifying the situations when the sudden SNHL is considered
idiopathic
State the mechanisms of developing abnormal autoimmune
responses inside the inner ear
Explain the clinical approach used to detect the presence of
perilymph fistula, and the medical management to fix the fistula
Discuss the effect of aging process on the hearing system
Ch. 4
1
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
Ch. 4
Ch. 4
Ch. 4
Ch. 4
Ch. 4
Ch. 4
Ch. 4
Ch. 4
Ch. 4
Ch. 4
Ch. 5
Ch. 5
Ch. 5
Ch. 9 Campbell
Ch. 5
Ch. 5
Ch. 5
Ch. 5
Ch. 5
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
Illustrate the hearing loss pattern associated with presbycusis
Ch. 5
Explain patient assessment procedures to differentiate between
the organic and functional hearing losses
Lonsbury-Martin &
Martin (2007)
Kujawa & Liberman
(2009
Explain the pathophysiology of the lesion resulting from
exposing to harmful noises
Lonsbury-Martin &
Martin (2007)
Kujawa & Liberman
(2009
Learning the differences between the permeant and temporary
noise damages
Lonsbury-Martin &
Martin (2007)
Kujawa & Liberman
(2009
Define the typical configuration of the audiogram of patients
with noise induced hearing loss
Lonsbury-Martin &
Martin (2007)
Kujawa & Liberman
(2009
Discuss the pathophysiology of tinnitus and the conditions
caused the tinnitus to develop
List the common abnormal auditory perceptions and the
variations between them
Describe the auditory problems identified with the facial nerve
disorders patient
Ch. 8
Understand the nature of the hearing loss formed by the
presence of tumors in the Shcwann cells composed auditory
nerve
Describe the surgical procedures are appropriate to eliminate
the acoustic tumors, and possible complications might be
followed post-surgery
Describe the pathophysiology, assessment and management of
Auditory neuropathy
Differentiate in the definition between auditory neuropathy and
Dys- Synchrony
Describe pathologic conditions of Central auditory system
Ch. 6
Explain the procedures to assess and treat the patients with
central auditory processing disorders
Ch. 17 Stach
Jerger et al (2002)
Describe the basic anatomy and physiology of vestibular system,
and common disorders associate with it
Give a brief description regarding the evaluation and therapy
techniques of vestibular disorders
Define the highly- incidence nose and throat diseases
Hardman,2013
Topic Outline and Schedule
Ch. 8
Roehm, Rubenstein, &
Gantz (2007)
Ch. 6
Ch. 15
Ch. 6
Ch. 17 Stach
Jerger et al (2002)
Hardman,2013
External handout
Date
Week 1
Topic
Introduction to
Readings & Assignments

Otologic Evaluation & Review
o Ch 1-3 Musiek Text
o Terk & Kveton 2007 Ch 13

Pinna & Ear Canal
o Ch. 16 Zender, Marzo, Leonetti
o Roeser and Roland (1992)
o Ch. 4 Musiek Text
Quiz (1)
Course
The Otologic
Evaluation
Diagnostic Audiology
Review: Medical
Terminology
Week 2
Assignment
Case Studies & Surgeries
Pinna & EarofCanal:




Week 3
Normal Pinna and Ear Canal
Variants
Abnormal Pinna Variants and
Lesions
Congenital Defects of Pinna &
Canal
Disorders of the Ear Canal
Clinical
Cases:
Tympanic
Membrane/Middle Ear:
Ceruman, Collapsed Canal, External Otitis





Normal Tympanic
Membrane/Middle Ear
Characteristics
Tympanic Membrane Disorders
Middle Ear Disorders: Otitis Media

Week 4
Week 5
Middle Ear Tumors & Bone Disorders:
 Cholesteatoma
 Glomus tumors
 Fibro-Osseous lesions
Middle Ear Bone Disorders Cont:
 Otosclerosis
 Ossicular Disorders
 Temporal Bone Fractures / ME
Tympanic Membrane/Middle Ear
o AAP Guidelines for
Acute Otitis Media
o AAP Guidelines for
Otitis Media with
Effusion
o Ch. 4 Musiek Text
Quiz (2)

Middle Ear
o Ch. 4 Musiek
o Boedeker, et al (2005)

Quiz (3)

Otosclerosis
o Somers (2007)
o Ch. 170 Donaldson & Snyder
o Chp 4 Musiek
Exam review
Week 6
Inner Ear Disorders
 Temporal Bone Fractures / IE
Inner Ear/Cochlear Disorders
 Congenital Disorders
o Congenital malformations
Week 7
Week 8
Week 9
Inner Ear/Cochlear Disorders
 Infectious agents
 Ototoxicity
 Vascular Disease and misc.
o Diabetes
o Smoking
o Cardiovascular Disease
o Hypothyroidism
Inner Ear/Cochlear Disorders
 Meniere’s Disease
 Other Miscellaneous
Inner Ear/Cochlear
Disorders
o Idiopathic Sudden SNHL
o Autoimmune Inner
Ear Disease
o Perilymph Fistula
Presbycusis
Exam Review
Clinical Cases:
Presbycusis,
Functional


Temporal-bone fractures:
o Ch. 5 Musiek
Cochlear Malformations
o Elmali (2013)
o Ch. 9 Musiek

Quiz (4)

Infectious Agents -Assuiti et. al (2013)

Ototoxicity
o Ch. 9 Campbell
o ASHA (2009) Guidelines
 Vascular
o Ch. 5 Musiek
o Hong et. al (2013)
o Gates (2003)
o Klein (1998).
 Quiz (5)
 Meniere’s Disease
o Gates (2006)
o Ch.5 Musiek
o Merchant et al (2005)

Idiopathic Sudden SNHL:
o Ch. 5 Musiek
 Autoimmune Inner Ear Disease:
o Ch. 5 Musiek
 Quiz (6)

Presbycusis:
o Lin et al. (2011)
o Ch. 5 Musiek Text
Exam Review
Page 7 of 7
Week 10

Inner Ear & Beyond

Noise Induced Hearing Loss

Tinnitus & Abnormal
Auditory Perception
 Tinnitus
 Hyperacusis
 Misophonia
 Auditory
Hallucination




Week 11
Retrocochlear & Central Disorders
 Facial Nerve Disorders
 Acoustic Tumors

CVA
Clinical Cases: Acoustic Neuroma,
CVA, Brainstem Tumor
Week 12
Retrocochlear & Central
Disorders (cont.)
Auditory Neuropathy/Auditory
Dys- Synchrony
Central Auditory Disorders
Vestibular disorders 
Week 13
Nose and throat diseases
Week 14
Final Review
Tinnitus
o Ch. 8 Musiek
o Henry et al (2014)
Misophonia & Hyperacusis
o Ch. 8 Musiek
o Edelstein (2013)
Auditory Hallucination
o Diederen (2012)
Noise Induced Hearing Loss
o Lonsbury-Martin & Martin (2007)
o Kujawa & Liberman (2009)
Quiz (7)

Facial Nerve Disorders:
o Roehm, Rubenstein, & Gantz
(2007)
 Acoustic Tumors
o Zapala et al. (2008)
o Muto (1994)
o Ch. 6 Musiek
 Quiz (8)

Neuropathy/Dys-Synchrony
o Rance (2005)
o Widen, Ferraro, Trouba (1995)
o Ch. 6 Musiek
 Central Auditory Disorders:
o Ch. 17 Stach
o Jerger et al (2002)
 Multiple Sclerosis
o Zibel & Smrta (2013)
 Quiz (9)

Quiz (10)
The instructor reserves the right to make changes in the above syllabus at any time.
The student has the right to be informed of any changes.
Best wishes in your semester