UČNI NAČRT PREDMETA / SUBJECT SPECIFICATION ORL z osnovami maksilofacialne kirurgije Otorhinolaryngology with the basics of maxillofacial surgery

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1 Predmet: Subject Title: UČNI NAČRT PREDMETA / SUBJECT SPECIFICATION ORL z osnovami maksilofacialne kirurgije Otorhinolaryngology with the basics of maxillofacial surgery Študijski progra Study programme Sploš a edi i a General medicine - EMŠP Študijska s er Study field Letnik Year Semester Semester 4 7 Univerzitetna koda predmeta / University subject code: Predavanja Lectures Seminar Seminar Sem. vaje Tutorial klin. vaje clin work Teren. vaje Field work Samost. delo Individ. work ECTS Nosilec predmeta / Lecturer: Do. d. Bogda Čiz a evič Doc. dr. Janez Rebol (sonosilec) Jeziki / Predavanja / Lecture: Slovenski/slovene Languages: Vaje / Tutorial: Slovenski/slovene Pogoji za vključitev v delo oz. za opravlja je študijskih Prerequisits: obveznosti: Vsebina: Uho (razvoj in kratek pregled anatomije, temelji fiziologije, sluš ega i av otež ega apa ata, olez i uhlja azvoj e ep avil osti, eha ič e i te ič e poškod e, v etja, e ig i i alig i tu o ji, zu a jega sluhovoda (razvojne nepravilnosti, tujki, vnetja, benigni i alig i tu o ji, s ed jega ušesa azvoj e ep avil osti, poškod e, v etja i jihovi zapleti, otoskle oza, pa eza i pala iza o az ega živ a, e ig i i alig i tu o ji, ot a jega ušesa azvoj e ep avil osti, poškod e, v etja, Me ierova bolezen in si d o i, sta ost a agluš ost, tu o ji, gluhost, eha ilita ija agluš ih. Nos in obnosne votline: pregled razvoja in anatomije, temelji fiziologije, bolezni nosu in obnosnih votlin p i oje e ep avil osti, poškod e, tujki, k vavitve osu, vnetja in njihovi zapleti, motnje voha, benigni in maligni tumorji). Žrelo i požiral ik: pregled razvoja in anatomije, temelji fiziologije, olez i ž ela i poži al ika p i oje e ep avil osti, poškod e, tujki, v etja i jihovi zapleti, pa estezije žrela, divertikli, benigni in menigni tumorji). Grlo in sapnik: pregled razvoja in anatomije, temelji fiziologije, bolezni grla in sapnika (prirojene ep avil osti, poškod e i jihove posledi e, tujki, v etja, otekli e g la, za eje e hipe plastič e spremembe na laringalni sluznici, prekanceroze grla, Content (Syllabus outline): Ear: (development and anatomy, principles of physiology of hearing and equilibrium), diseases of the auricle (congenitall abnormalities, mechanical and thermal injuries, inflammation, benign and malignant tumours), external ear canal (congenital abnormalities, foreign bodies, injuries, inflammation, benign and malignant tumours), middle ear (congenital abnormalities, injuries, inflammation and complications, otosclerosis, paresis and paralysis of the facial nerve benign and malignant tumours), inner ear (congenital abnormalities, injuries, inflammation, Meniere's disease and syndromes, presbyacusis, tumours, deafness, rehabilitation of deaf patients). Nose and paranasal sinuses: development and anatomy, principles of physiology, diseases of the nose and paranasal sinuses (congenital abnormalities, injuries, foreign bodies, epistaxis, inflammation and complications, smell disorders, benign and malignant tumours). Pharynx and oesophagus: development and anatomy, principles of physiology, diseases of the pharynx and oesophagus (congenital abnormalities, injuries, foreign bodies, inflammation and complications,paresthesies, diverticles, benign and malignant tumours). Larynx and trachea: development and anatomy, principles of physiology, diseases of the larynx and

2 tumorji grla in sapnika, pareze in paralize laringalnih živ ev. Vrat: anatomija, bolezni bezgavk (vnetja, maligni tumorji), prirojene ciste in fistule na vratu. Slinavke: anatomija in fiziologija, bolezni slinavk (vnetja, sialolitiaza, sialoadenoze, beningni in maligni tumorji). Motnje glasu in govora: fonacijske motnje, artikulacijske motnje, motnje govornega ritma, su si olič e ot je, si olič e ot je, govo dušev o zaostalih, ezofagal i glas i govo. Otori olari gološke preiskave i posegi: otoskopija, sprednja rinoskopija, orofaringoskopija, indirektna in di ekt a la i goskopija, ik ola i goskopija, zadajš ja i oskopija, sluš e p eiskave, p eiskave av otež ega aparata, renthenske preiskave; posegi: izpiranje zu a jega sluhovoda, p epihova je ušes e t o lje, paracenteza, odstarnjevanje tujka iz zunanjega sluhovoda in iz nosu, ustavitev krvavitev iz nosu, izpi a je osu, pu k ija čeljust e votli e, i izija peritonzilarnega abcesa, treheotomija in konikotomija, orotrahealna intubacija, nega traheostome. Maksilofacialna kirurgija z osnovami stomatologije: 1. Odontogena vnetja 2. Poškod e aksilofa ial ega pod očja 3.Tumorji 4. Prirojene anomalije 5. Disgnatije 6. Bolez i čeljust. sklepa i o az a oleči a 7. Netu o ske olez i žlez sli avk 8. Ot oško i p eve tiv o zo ozd avstvo 9. Čeljust a i zo a o topedija sploš i p egled 10. Zo e olez i sploš i p egled 11. Ustne bolezni in parodontologija 12. Fiksna protetika in snemna protetika sploš i p egled 13. Implantologija trachea (congenital abnormalities, injuries, foreign bodies, inflammation and complications,hyperplastic changes of laryngeal mucosa, precanceroses, benign and malignant tumours paresis and paralysis of the vocal cords). Neck: anatomy, lymph node diseases ( inflammation, malignant tumours), congenital cysts and neck fistulas. Salivary glands: anatomy and physiology, salivary gland diseases (inflammation, sialolithiasis, sialoadenosis, benign and malignant tumours). Speech and voice disorders: fonation disorders, articulation disorders, speech rythm disorders, subsymbolic disorders, symbolic disorders, speech of mentaly impaired, oesophageal voice and speech. Investigations and procedures in otorhinolaryngology: otoscopy, anterior rhinoscopy, oropharyngoscopy, indirect and direct laryngoscopy, microlaryngoscopy, posterior rhinoscopy, audiologic investigations, vestibular investigations, roentgen investigations; procedures: cerumen removal, eustachian tube ventilation, myringotomy, foreign body removal from the ear canal and nose, treatment of epistaxis, maxillary sinus punction, quinsy incision, tracheotomy, conicotomy, orotracheal intubation, tracheostomy care. Maxillofacial surgery with basic cinical stomatology 1. Odontogenic inflammations 2. Maxillofacial region injuries 3. Tumors 4. Congenital anomalies 5. Disgnatia 6. Temporomandibular joint diseases and facial pain 7. Non-tumor diseases of the saliva glands 8. Pedontology and preventive dental care 9. Orthodontics - general examination 10. Dental diseases 11. Oral diseases and periodontology 12. Prostodontics - general examination 13. Implanthology Temeljni literatura in viri / Textbooks: Lee KJ. Essential Otolaryngology ( 8e).Mc Graw Hill Probst, Grevers,Iro. Basic othorinolaryngology:a step-by step learning guide.thime Bagati Ma ijo, Mišo Vi ag i su ad i i: Maksilofa ijal a ki u gija - Zag e : školska k jiga, str. - Udž e i i Sveučilišta u Zag ebu) COBISS.SI-ID P ipo oče i uč e iki: Vinko Kambic, Otorinolaringologija, Ljubljana, Mladinska knjiga, Becker and al. Ear, Nose and Throat Diseases, Thieme Stuttgart Peterson L et al. Contemporary Oral and Maxillofacial Surgery (4th edition),st. Louis, Mosby, cop XVIII, 776 str. COBISS.SI-ID

3 Cilji: Oto i ola i gologija sez a ja odočega zd av ika s patofiziologijo, kli ič i i z a e ji, diag ostiko, zd avlje je i p ep ečeva je olez i ušes, osu, ž ela i g la. Štude ta usposo i za o e o olez i i določitev, kdaj o kot zd av ik sploš e edi i e zd avil bolnika sam in kdaj ga bo poslal k specialistu. V sklopu teo etič ega, p edvse pa p aktič ega dela, se štude t auči te elj ih oto i ola i goloških p eiskav i e ostav ejših ozi o a uj ih posegov. Štude t se sez a ja s tu o ji, p i oje i i a o aliji, čeljust o i zo o o topedijo, etu o ski olez i i žlez sli ovk, disg atija i Štude ta usposo i za o e o olez i i določitev, kdaj o kot zd av ik sploš e medicine zdravil bolnika sam in kdaj ga bo poslal k spe ialistu. V sklopu teo etič ega i p aktič ega dela, se štude t auči te elj ih sto atoloških i o al oki u ških p eiskav i e ostav ejših ozi o a uj ih posegov. Predvide i študijski rezultati: Znanje in razumevanje: - Poz ava je i zd avlje je po e ejših oto i ola i goloških olez i. - p epoz ava je kli ič e slike - uvajanje diag ostič ih p eiskav - dife e ial a diag ostič a p esoja - p avil o us e ja je ust ez i sto atološki vejam za nadaljnjo terapijo P e esljive/ključ e sp et osti i d ugi at i uti: Oto i ola i gološka p eiskava, os ov i posegi v ORL. Metode poučeva ja i uče ja: Vaje se izvajajo z uče je p eiskave a štude tih i preiskovanjem bolnikov. Seminarji- pod vodstvom mentorjev se predstavijo izbrane teme. Predavanja s strani predavateljev. Objectives: Students get acquainted with patophysiology, clinical signs, investigations, treatment and prevention of ENT diseases. They should be able to asses the disease and decide when to treat the patient by themselves or send him to specialist. During theoretical and especially practical work student learns about fundamental ENT investigations and simple respectively urgent procedures. The student of medicine is introduced to tumors, congenital anomalies, orthodontics, non-tumor diseases of the saliva glands, disgnatia, Student is trained to estimate the disease and to decide whether he/she (as a general practitioner) will treat the patient by himself or direct him to the specialist. Within the theoretical and practical work the student is trained the basic dental and oral surgery examining and emergency interventions Intended learning outcomes: Knowledge and understanding - Knowledge and treatment of important ENT diseases. - establishing the clinical status - introducing diagnostic examinations - differential diagnostic analysis - right referral to adequate dentistry branches for further treatment Transferable/Key Skills and other attributes: ENT investigation, basic procedures in ENT Learning and teaching methods: ENT investigation is learnt on student colleagues and later practiced on patients. Seminar- special themes are presented under mentorship. Lectures by lecturers. Nači i oce jeva ja: Delež v % / Weight (in %) Nači pis i izpit, ust o izp aševa je, aloge, projekt) Pisni izpit 50 % opravljen ustni izpit iz ORL in osnov maksilofacialne kirurgije 50 % ŠTUDIJSKE OBVEZNOSTI ŠTUDENTOV: Obvezna 50 % prisotnost na predavanjih je pogoj za pristop k izpitnemu roku. POGOJI ZA PRISTOP K POSAMEZNEMU Assessment: Type (examination, oral, coursework, project): written exam oral examination in otorhinolaryngology and in the basics of maxillofacial surgery ACADEMIC OBLIGATIONS OF STUDENTS: Obligatory 50% attendance at lectures is a requirement for access to an examination date. REQUIREMENTS FOR ACCESS TO INDIVIDUAL KNOWLEDGE CHECKING:

4 PREVERJANJU ZNANJA: Opravljene vaje, 3 kolokviji in opravljen PREIZKUS OTORINOLARINGOLOŠKE PREISKAVE PRI IZVAJALCU VAJ IN 1 seminar so pogoj za pristop k pisnemu delu. Pozitiven pisni izpit je pogoj za pristop k ustnemu izpitu. Kriteriji za pisni izpit: 56% - 65% 6 66% - 75% 7 76% - 85% 8 86% - 95% % 10 Completed practice, 3 partial exams and completed testing of otorhinolaryngological examination by the performer of practice and one seminar assignment are requirements for access to the written part. A positive written exam is a requirement for access to an oral exam. Criteria for the written exam: 56% - 65% 6 66% - 75% 7 76% - 85% 8 86% - 95% 9 96% - 100% 10 Reference nosilca / Lecturer's references: BOGDAN ČIZMAREVIĆ ČIZMAREVIČ, Bogda, LANIŠNIK, Boštja, DINEVSKI, Deja. Ce vi al ly ph ode etastasis of s ua ous ell carcinoma from unknown primary tumor. Collegium antropologicum, ISSN , 2012, vol. 36, suppl. 2, str , ilustr. [COBISS.SI-ID ], [JCR, SNIP, WoS do.. : št. itatov TC :, čistih itatov CI :, o i a o št. čistih itatov NC : ] LANIŠNIK, Boštja, ČIZMAREVIČ, Bogda. Ne otizi g fas iitis of the head and neck: 34 cases of a single institution experience. European archives of oto-rhino-laryngology, ISSN , Mar. 2010, vol. 267, no. 3, str , doi: /s [COBISS.SI-ID ], [JCR, SNIP, WoS do : št. itatov TC :, čistih itatov CI :, o i a o št. čistih itatov NC :, S opus do.. : št. itatov TC :, čistih itatov CI :, o i a o št. čistih itatov NC : ] KRAVOS, Ale ka, ŽUPEVC, Avgust, ČIZMAREVIČ, Bogda, HOČEVAR-BOLTEŽAR, I e a. The ole of alle gy i the etiology of Reinke's edema on vocal folds. Wiener klinische Wochenschrift. Supplementum, ISSN , 2010, vol. 122, suppl. 2, str , doi: /s [COBISS.SI-ID ], [JCR, WoS do.. : št. itatov TC :, čistih itatov CI :, o i a o št. čistih itatov NC :, S opus do.. : št. itatov TC :, čistih itatov CI :, o i a o št. čistih itatov NC : ] ČIZMAREVIČ, Bogda, LANIŠNIK, Boštja, DEBEVC, David, LEVART, P i ož. A u ate histopathologi al dete i atio of the status of the neck with the serial cuts and immunohistochemical staining of the sentinel node. V: 5th International symposium on sentinel node biopsy in head and neck cancer, Amsterdam, 2012 : [24 & 25 May 2012]. [Amsterdam: s. n., 2012], str. 34. [COBISS.SI-ID ] ČIZMAREVIČ, Bogda, PUKLAVEC, Ludvik, LANIŠNIK, Boštja, KAVALAR, Rajko, LEVART, P i ož. Se ti el ly ph ode detection in the surgical treatment of oral cavity and oropharyngeal carcinomas. V: PRGOMET, Drago (ur.), et al. Minimally invasive and endoscopic head and neck surgery : manual, (University textbook, Manualia Universitatis studiorum Zagrabiensis), (Medicinska biblioteka). Zagreb: Naklada Ljevak, cop. 2010, str [COBISS.SI-ID ] JANEZ REBOL: REBOL, Janez, NAHTIGAL, Maja. Argon laser stapedotomy = Stapedotomija z argonskim laserjem. Acta medicobiotechnica, ISSN , 2011, vol. 4, [no.] 2, str , ilustr. [COBISS.SI-ID ] REBOL, Ja ez, MILOJKOVIČ, Voji. Oz ačitev p oksi al ega k a o az ega živ a za odlože o eko st uk ijo živ a po odst a itvi vesti ula egašva o a = Markingoftheproximalfacialnervestumpfordelayedrepairaftervestibularschwannomaremoval. Acta medicobiotechnica, ISSN , 2010, vol. 3, no. 1, str [COBISS.SI-ID ] REBOL, Janez, NAHTIGAL, Maja. Conductivehearingloss - otosclerosis, genetics. V: KOUNTAKIS, Stilianos E. (ur.). Encyclopediaofotolaryngology, headandnecksurgery. Berlin; Heidelberg: Springer, cop [COBISS.SI-ID ]

5 REBOL, Janez. Otosclerosis. V: KOUNTAKIS, Stilianos E. (ur.). Encyclopediaofotolaryngology, headandnecksurgery. Berlin; Heidelberg: Springer, cop. 2013, ilustr. 6_702.pdf. [COBISS.SI-ID ] REBOL, Janez. Atlas otoskopije. Maribor: Fakulteta za zdravstvene vede, str., ilustr. ISBN [COBISS.SI-ID ]