Jordan University of Science and Technology Faculty of Applied Medical Sciences Department of Allied Medical Sciences Diseases of Ear, Nose, & Throat



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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

AS321

Credit Hours

2 credit hours (theory)

Lecturer

Dr. Safa Alqudah

Office Location

Faculty of Applied Medical Science building, Second floor

E-mail

Salqudah@just.edu.jo

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

Book Website

http://site.ebrary.com/lib/scitechjo/reader.action?docID=10901604

More Useful Resources Reserved in the library

Recommended readings will be available electronically through E-learning. You will need Adobe Acrobat Reader to access these files





Assessment Policy

Assessment Type

Weight

First Exam

20%

Second Exam

20%

Final Exam

40%

Quizzes

15%

Participation

5%

Total

100%



Course Objectives

Percentage

Increasing the student’s knowledge of a range of disorders affecting the auditory system

20%

Discussing the typical treatment options available to cure each ENT disorders

20%

Studying the expected outcomes on a battery of widely used audiometric testing procedures

25%

Giving particular attention to patient symptoms, appropriate interpretation of symptoms, and interpretation of tests

20%

Analyzing the appropriate criteria for medical referral

15%



Teaching & Learning Methods

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.




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

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!

Graded Exams

Exams will include essay and multiple choice questions

The student has one week from the time any test is returned to appeal the grade.



Expected work load

Students are expected to work hard in order to ensure a high quality learning

feedback

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

salqudah@just.edu.jo






Learning Outcomes: Upon successful completion of this course, students will be able to




Outcomes

Reference(s)

Handouts

1

Give an overview of the otologic evaluation and defining some medical term.

Ch. 1-3

2

Describe the normal pinna and ear canal.

Ch. 4

3

Describe the lesions and abnormal variations in the pinna.

Ch. 4

4

Explain the congenital defects of pinna & ear canal.

Ch. 4

5

Give the test battery and medical intervention of each pinna and ear canal disease.

Ch. 4

6

Explain the normal structure of tympanic membrane.


Ch. 4

7

Identify the common pathologies of tympanic membrane.

Ch. 4

8

Discuss the audiological evaluations, medical treatments, and surgical approaches for tympanic membrane pathologies.

Ch. 4

9

Describe the pathophysiology of otitis media.

Ch. 4

10

Explain how to evaluate the chronic and acute otitis media in adult and pediatric populations.

Ch. 4

11

Describe the process of abnormal growth formation in the middle ear, such as cholesteatoma.

Ch. 4

12

Determine the clinical features of many middle ear tumors and bone disorders.

Ch. 4

13

Discuss the process of conducting effective assessment and treatment for patients with middle ear tumors and bone disorders.

Ch. 4

14

Name the approaches used to indicate the temporal bone fractures

Ch. 4

15

Explain the natural repairing process or/and surgical procedures to heal the temporal bone fractures

Ch. 4

16

Explain the process of hearing deterioration in the patients with otosclerosis

Ch. 4

17

Describe the major congenital disorders/ malformations impacted the newborns’ cochlear structures

Ch. 4

18

Teaching the audiological manifestations for the congenital cochlear disorders

Ch. 5

19

Discussing the effect of infectious agents on the anatomy and physiology of the inner ear

Ch. 5

20

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

Ch. 5

21

Describe the expected hearing issues associated with vascular and metabolic diseases

Ch. 9 Campbell

22

Describe the assessment and treatment options of a patient who is suffering from Meniere’s disease

Ch. 5

23

Identifying the situations when the sudden SNHL is considered idiopathic

Ch. 5

24

State the mechanisms of developing abnormal autoimmune responses inside the inner ear

Ch. 5

25

Explain the clinical approach used to detect the presence of perilymph fistula, and the medical management to fix the fistula

Ch. 5

26

Discuss the effect of aging process on the hearing system

Ch. 5

27

Illustrate the hearing loss pattern associated with presbycusis

Ch. 5

28

Explain patient assessment procedures to differentiate between the organic and functional hearing losses

Lonsbury-Martin & Martin (2007)

Kujawa & Liberman (2009



29

Explain the pathophysiology of the lesion resulting from exposing to harmful noises

Lonsbury-Martin & Martin (2007)

Kujawa & Liberman (2009



30

Learning the differences between the permeant and temporary noise damages

Lonsbury-Martin & Martin (2007)

Kujawa & Liberman (2009



31

Define the typical configuration of the audiogram of patients with noise induced hearing loss

Lonsbury-Martin & Martin (2007)

Kujawa & Liberman (2009



32

Discuss the pathophysiology of tinnitus and the conditions caused the tinnitus to develop

Ch. 8

33

List the common abnormal auditory perceptions and the variations between them

Ch. 8

34

Describe the auditory problems identified with the facial nerve disorders patient

Roehm, Rubenstein, & Gantz (2007)

35

Understand the nature of the hearing loss formed by the presence of tumors in the Shcwann cells composed auditory nerve

Ch. 6

36

Describe the surgical procedures are appropriate to eliminate the acoustic tumors, and possible complications might be followed post-surgery

Ch. 6

37

Describe the pathophysiology, assessment and management of Auditory neuropathy

Ch. 15

38

Differentiate in the definition between auditory neuropathy and Dys- Synchrony

Ch. 6

39

Describe pathologic conditions of Central auditory system

Ch. 17 Stach

Jerger et al (2002)



40

Explain the procedures to assess and treat the patients with central auditory processing disorders

Ch. 17 Stach

Jerger et al (2002)



41

Describe the basic anatomy and physiology of vestibular system, and common disorders associate with it

Hardman,2013

42

Give a brief description regarding the evaluation and therapy techniques of vestibular disorders

Hardman,2013

43

Define the highly- incidence nose and throat diseases

External handout


Topic Outline and Schedule





Date

Topic

Readings & Assignments

Week 1

Introduction to Course

The Otologic Evaluation

Diagnostic Audiology Review: Medical Terminology
Assignment of Case Studies & Surgeries

  • Otologic Evaluation & Review

    • Ch 1-3 Musiek Text

    • Terk & Kveton 2007 Ch 13



Week 2

Pinna & Ear Canal:

  • Normal Pinna and Ear Canal Variants

  • Abnormal Pinna Variants and Lesions

  • Congenital Defects of Pinna & Canal

  • Disorders of the Ear Canal

Clinical Cases:

Ceruman, Collapsed Canal, External Otitis

  • Pinna & Ear Canal

    • Ch. 16 Zender, Marzo, Leonetti

    • Roeser and Roland (1992)

    • Ch. 4 Musiek Text

  • Quiz (1)



Week 3

Tympanic Membrane/Middle Ear:

  • Normal Tympanic Membrane/Middle Ear Characteristics

  • Tympanic Membrane Disorders

  • Middle Ear Disorders: Otitis Media


  • Tympanic Membrane/Middle Ear

    • AAP Guidelines for Acute Otitis Media

    • AAP Guidelines for Otitis Media with Effusion

    • Ch. 4 Musiek Text

  • Quiz (2)



Week 4

Middle Ear Tumors & Bone Disorders:

  • Cholesteatoma

  • Glomus tumors

  • Fibro-Osseous lesions


  • Middle Ear

    • Ch. 4 Musiek

    • Boedeker, et al (2005)



  • Quiz (3)




Week 5

Middle Ear Bone Disorders Cont:

  • Otosclerosis

  • Ossicular Disorders

  • Temporal Bone Fractures / ME



  • Otosclerosis

    • Somers (2007)

    • Ch. 170 Donaldson & Snyder

    • Chp 4 Musiek


Exam review

Week 6

Inner Ear Disorders

  • Temporal Bone Fractures / IE

Inner Ear/Cochlear Disorders

  • Congenital Disorders

    • Congenital malformations



  • Temporal-bone fractures:

    • Ch. 5 Musiek

  • Cochlear Malformations

    • Elmali (2013)

    • Ch. 9 Musiek

  • Quiz (4)




Week 7

Inner Ear/Cochlear Disorders

  • Infectious agents

  • Ototoxicity

  • Vascular Disease and misc.

    • Diabetes

    • Smoking

    • Cardiovascular Disease

    • Hypothyroidism




  • Infectious Agents -Assuiti et. al (2013)

  • Ototoxicity

    • Ch. 9 Campbell

    • ASHA (2009) Guidelines

  • Vascular

    • Ch. 5 Musiek

    • Hong et. al (2013)

    • Gates (2003)

    • Klein (1998).

  • Quiz (5)




Week 8

Inner Ear/Cochlear Disorders

  • Meniere’s Disease

  • Other Miscellaneous Inner Ear/Cochlear Disorders

    • Idiopathic Sudden SNHL

    • Autoimmune Inner Ear Disease

    • Perilymph Fistula



  • Meniere’s Disease

    • Gates (2006)

    • Ch.5 Musiek

    • Merchant et al (2005)

  • Idiopathic Sudden SNHL:

    • Ch. 5 Musiek

  • Autoimmune Inner Ear Disease:

    • Ch. 5 Musiek

  • Quiz (6)



Week 9

Presbycusis Exam Review

Clinical Cases: Presbycusis, Functional

  • Presbycusis:

    • Lin et al. (2011)

    • Ch. 5 Musiek Text


Exam Review




Week 10

Inner Ear & Beyond

  • Noise Induced Hearing Loss






  • Tinnitus

    • Ch. 8 Musiek

    • Henry et al (2014)

  • Misophonia & Hyperacusis

    • Ch. 8 Musiek

    • Edelstein (2013)

  • Auditory Hallucination

    • Diederen (2012)

  • Noise Induced Hearing Loss

    • Lonsbury-Martin & Martin (2007)

    • Kujawa & Liberman (2009)

  • Quiz (7)




Week 11

Retrocochlear & Central Disorders

  • Facial Nerve Disorders

  • Acoustic Tumors

  • CVA


Clinical Cases: Acoustic Neuroma, CVA, Brainstem Tumor

  • Facial Nerve Disorders:

    • Roehm, Rubenstein, & Gantz (2007)

  • Acoustic Tumors

    • Zapala et al. (2008)

    • Muto (1994)

    • Ch. 6 Musiek

  • Quiz (8)




Week 12

Retrocochlear & Central Disorders (cont.)

  • Auditory Neuropathy/Auditory Dys- Synchrony

  • Central Auditory Disorders

  • Vestibular disorders



  • Neuropathy/Dys-Synchrony

    • Rance (2005)

    • Widen, Ferraro, Trouba (1995)

    • Ch. 6 Musiek

  • Central Auditory Disorders:

    • Ch. 17 Stach

    • Jerger et al (2002)

  • Multiple Sclerosis

    • Zibel & Smrta (2013)

  • Quiz (9)




Week 13

Nose and throat diseases

  • Quiz (10)




Week 14

Final Review





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


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