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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