SubjectsSubjects(version: 835)
Course, academic year 2014/2015
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Otorhinolaryngology - CVSE5P0061
Title in English: Otorinolaryngologie
Guaranteed by: Department of Otorhinolaryngology (12-ORL)
Faculty: Third Faculty of Medicine
Actual: from 2014 to 2014
Semester: both
Points: 3
E-Credits: 3
Examination process:
Hours per week, examination: 0/60 C+Ex [hours/semester]
Capacity: winter:unknown / unknown (unknown)
summer:unknown / unknown (unknown)
Min. number of students: unlimited
State of the course: taught
Language: Czech, English
Teaching methods: full-time
Note: you can enroll for the course in winter and in summer semester
Guarantor: doc. MUDr. Aleš Hahn, CSc.
Classification: Medicine > Clinical Disciplines
Annotation -
Last update: doc. MUDr. Martin Chovanec, Ph.D. (30.09.2017)

Teaching follows the educational program in previous years, especially the issues of senses in the block of neurosciences. The seminars, problematic oriented differential diagnostics practical exercises and practice at the ward and in the outpatient segment give the students opportunity to get the experience with diseases of the ear, nose and paranasal sinuses, pharynx, larynx, neck and adjacent structures. Particular emphasis is placed on the issue of inflammatory diseases and their complications, abnormalities and tumors in ENT areas.
Aim of the course -
Last update: doc. MUDr. Martin Chovanec, Ph.D. (30.09.2017)

Main aim of the subject is to acquire adequate knowledge of otorhinolaryngology and head and neck surgery. The crucial issues represent diagnosis and therapy of the most important diseases of the ear, nose and paranasal cavities, pharynx, larynx, neck and adjacent structures. Among the aims of the subject is also understanding the position of the discipline and its role with other specialities in the differential diagnostics and complex care for the patients.

Literature -
Last update: doc. MUDr. Martin Chovanec, Ph.D. (30.09.2017)


Goldenberg D, Goldstein BJ. Handbook of Otolaryngology: Head and Neck Surgery. Thieme 2010. ISBN 978-1604060287

Lalwani A, et al., Current diagnosis & Treatment Otolaryngology – Head and Neck Surgery. 3rd Edition, McGraw Hill, 2012. ISBN 9780071624398

Pasha R, Golub JS. Otolaryngology-Head and Neck Surgery: Clinical Reference Guide. 4th Edition, Plural Publishing, 2014. ISBN 9781597563871

Stewart MG, Selesnick SH. Differential diagnosis in Otolaryngology Head and Neck Surgery. Thieme, 2010. ISBN 9781604060515


QUESTIONS fro exam


  • Inflammatory diseases and foreign bodies in the external ear

  • ENT aspects of oesophageal diseases and injuries

  • Differential diagnosis of nasal obstruction

  • Congenital malformations of the ear

  • Acute laryngitis, laryngeal oedema and suffocation

  • Differential diagnosis of and smell disorders

  • Injuries of the ear and temporal bone fractures

  • Complications of tonsillitis

  • Differential diagnosis of voice and speech disorders

  • Chronic secretoric otitis media

  • Surgery of thyroid gland and its complications

  • Differential diagnosis of rhinorrhea

  • Acute otitis media

  • Rehabilitation of voice after total laryngectomy

  • Differential diagnosis of headache and facial pain

  • Chronic otitis media

  • Non-neoplastic diseases of salivary glands

  • Nasopharyngeal tumors

  • Middle ear surgery (sanation and reconstructive procedures)

  • Laryngeal tumors

  • Functional endoscopic endonasal surgery (concepts and technique)

  • Differential diagnosis of hearing loss

  • Salivary glands tumors

  • Trauma of the nose, paranasal sinuses and midface injuries

  • Tinnitus

  • Differential diagnosis of  neck mass

  • Tumors of the nose and paranasal sinuses

  • Differential diagnosis of dysphagia

  • Epistaxis

  • ENT and skull base surgery

  • Peripheral vertigo, examination of balance system

  • Hypopharyngeal tumors

  • ENT aspects of obstructive sleep apnea syndroma

  • Lymph node metastases of the head and neck cancer

  • Differential diagnosis of vertigo

  • Complications of rhinosinusitis

  • Tumors of the thyroid gland

  • Differential diagnosis of facial palsy

  • Acute and chronic tonsillitis

  • Suffocation (causes, symptoms,  management, tracheotomy, coniotomy)

  • Meniere’s Disease, BPPV

  • Head and neck cancer (epidemiology, principles of diagnosis and management)

  • Differential diagnosis of otalgia

  • Oropharyngeal and oral cavity tumors

  • Acute and chronic rhinosinusitis

  • Vestibular schwannoma and other tumors of the temporal

  • bone and cerebellopontinne angle

  • Differential diagnosis of odynophagia and pain in the neck

  • Adenoid vegetation

  • Tumors of the ear and temporal bone

  • Foreign bodies in the upper airways, hypopharynx and oesophagus

  • Acute and chronic rhinosinusitis

  • Differential diagnosis of ear discharge

  • Laryngeal injuries and of disorders of laryngeal innervation

  • Nasopharyngeal tumors

  • Otosclerosis

  • Chronic laryngitis and precancerous lesions of larynx

  • Differential diagnosis of rhinorhea

  • Complications of middle ear infection

  • Suffocation (causes, symptoms,  management, tracheotomy, coniotomy)

  • Tumors of the nose and paranasal sinuses

  • Vestibular neuritis, labyrinthitis

  • Epistaxis

  • Differential diagnosis of  neck mass

  • Hearing loss (classification, examination methods)

  • Lymph node metastases of the head and neck cancer

  • Complications of rhinosinusitis

  • Haering aids, surgical management of deafness

  • Differential diagnosis of nasal obstruction

  • Laryngeal tumors




Teaching methods -
Last update: doc. MUDr. Martin Chovanec, Ph.D. (30.09.2017)

Educational program is build up of seminars, problem-oriented differential diagnosis practical exercises and practice in the ward and outpatient unit.
The course is organized in block.  Eduactional program is organized in synergy as well as complementary in both otolaryngologicals clinics of the 3rd Faculty of Medicine.

Requirements to the exam -
Last update: doc. MUDr. Martin Chovanec, Ph.D. (30.09.2017)

Conditions for obtaining the credit: allowed absences on 1 seminar and 1 absence on practical exercises

Syllabus -
Last update: doc. MUDr. Martin Chovanec, Ph.D. (30.09.2017)


clinical anatomy, physiology and pathophysiology of hearing and balance

ear examination - otoscopy, otendoscopy and otomicroscopy

hearing examination - speech and whisper hearing tests, tunning fork tests, audiometry, tympanometry, stapedial reflex testing, speech audiometry, otoacoustic emissions, auditory brainstem and cortical evoked potentials

clinical examination in neurotology - nystagmus examination, spontaneous nystagmus, nystagmus at semispontaneous events; examination of vestibulospinal reflexes, examination of stay and walk

examination of facial nerve and topodiagnosis of facial nerve palsy, investigation of function of lower cranial nerves

developmental diseases of the outer, middle and inner ear, genetic hearing loss and deafness

traumatology of ear and temporal bone – trauma of the auricle and ear canal injury, ear loss  wounds, othaematoma; middle and inner ear trauma; fractures of the temporal bone, CSF leak

external ear disease – impacted cerumen, foreign body in the ear canal, external ear inflammations, malignant external otitis, exostosis, benign and malignant tumors of the pinna and ear canal

surgery of pinna and external auditory canal, local anesthesia  of pinna and ear canal

middle ear diseases - tubotympanal catarrh, auditory tube obstruction, chronic secretory otitis media, patulous Eustachian tube; acute middle ear infection; chronic middle ear infection, cholesteatoma, temporal and intracranial complications of middle ear inflammations; otosclerosis, tympanosclerosis; benign and malignant middle ear tumors; tympanostomy; sanative and reconstruction surgery of the middle ear, myringoplasty, tympanoplasty; stapedectomy and stapedotomy

sudden sensorineural hearing loss, socioacusis, presbyacusis, tinnitus, labyrinthitis, vestibular neuronitis, benign paroxysmal positional vertigo, Méniere's disease, vestibular paroxysmia, upper semicircular canal dehiscence, perilymphatic fistula; acutrauma and barotrauma; tinnitus; conservative and surgical treatment of vertigo; rehabilitation of hearing loss; surgical tretament of deafness - cochlear and auditory brainstem implants; bone anchored hearing devices; active middle ear implants

tumors of the innear ear and temporal bone, neurootological surgery, facial nerve palsy and its surgery



clinical anatomy of the nose, nasal cavity and paranasal cavities, topographic relationships; ostiomeal complex, mucociliary transport; physiology and pathophysiology of nasal and paranasal cavities, smell

examination methods in rhinology – examination of external nose, anterior rhinoscopy, endoscopic examination, olfactory examination and examination of nasal patency, imaging methods and functional tests in rhinology

developmental disorders of the external nose, choanal atresia, encephalocoele

traumatology of the external nose, paranasal sinuses, orbit and midface, frontobasal injury and CSF leaks

external nose and nasal septum – inflammations of external nose, rhinophyma, nasal valve collapse, septal haematoma, nasal septum deviation and perforation; benign and malignant tumors of external nose; surgery of nasal septum and external nose - septoplasty and rhinoplasty; local anesthesia of external nose

acute and chronic rhinosinusitis, cranial, orbital and intracranial complications of sinusitis; manifestations of granulomatous inflammations in ENT; mucocoeles, foreign body in the nose; epistaxis, anterior and posterior nasal tamponade; benign and malignant tumors of nasal cavity and paranasal sinuses; olfactory disorders; endoscopic (FESS, ESS) and external surgical procedures in rhinosurgery; advanced endonasal endoscopic surgery (endoscopic approaches to orbit, anterior and central skull base and craniocervical junction)



clinical anatomy of the pharynx, larynx and trachea, topographic relationships, para- and retropharyngeal space; physiology and pathophysiology of voice and swallowing, offending laryngeal reflexes; aspiration, suffocation; pathophysiology of obstructive sleep apnea syndrome

examination of the oral cavity, pharynx and larynx - examination of the pharyngeal isthmus, endoscopic examination of the pharynx, larynx and trachea, direct and indirect laryngoscopy, fibroendoscopic transnasal examination; examination of swallowing, imaging methods and functional endoscopic evaluation of swallowing (FEES); voice testing; early diagnosis of laryngeal and pharyngeal cancer (NBI, floresecence)

developmental disorders of the pharynx, larynx and trachea - cleft palate, Tornwald's cyst, laryngomalacia, congenital stenosis of larynx; congenital stenosis of the oesophagus and tracheoesophageal fistula

pharynx, larynx, trachea and esophagus - foreign bodies in the respiratory and swallowing pathways, corrosive injury, burning; laryngeal contusion and fractures, cricotracheal separation; perforations of esophagus; bleeding from respiratory and swallowing pathways

adenoid vegetation; tonsillitis and pharyngitis, medical and surgical complications of tonsillitis; laryngitis, epiglottitis, subglottic laryngitis; disorders of laryngeal innervation; voice and speech disorders; Zenker's diverticulum; manifestations of gastroesophageal reflux disease in ENT; benign and malignant tumors of pharynx, larynx, cervical oesophagus and trachea

anestehsia of pharynx and larynx; local administration of drugs into the airways; adenotomy and tonsillectomy; coniotomy and tracheotomy; endoscopic and external surgery of larynx and pharynx; surgery for obstrucive sleep apnea syndrome; phonosurgery; mangement of stenoses in the respiratory and swallowing pathways

rehabilitation of swallowing, phoniatric care for voice disorders; rehabilitation of voice after total laryngectomy



clinical anatomy of the neck and its organs; topographic relationships, neck fascias, cervical lymph nodes and their clinical classification; TNM staging of head and neck cancer

neck examination, imaging methods, neck ultrasonography and fine needle aspiartion biopsy (FNAB); neuromonitoring of the cranial nerves in ENT

developmental disorders of the neck - branchiogenic cysts and fistula, thyreoglossal duct cysts, lymphangioma, hemangioma, thymic and parathyroid cysts

injuries to the neck and its organs

diseases of cervical lymph nodes - lymphadenitis and lymphadenopathy; manifestations of tuberculosis and vasculitis in ENT; lymphomas in ENT; cervical lymph node metastases

neoplastic and non-neoplastic diseases of salivary glands - epidemic parotitis, acute and chronic sialoadenitis and their complications; sialolithiasis; cysts of salivary glands; manifestations of HIV infection in the ENT; benign and malignant salivary gland tumors

thyroid gland and parathyroid gland disorders in ENT - neoplastic and non-neoplastic diseases; goiter; benign and malignant thyroid gland tumors; indications for thyroidectomy and types of thyroid gland resections; hyperparathyroidism, localization studies; complications of surgery of thyroid and parathyroid glands

benign and malignant primary neck tumors

anesthesia of neck; surgery of congenital neck defects; surgery of the salivary glands; thyroid and parathyroid glands surgery; neck dissection, classification, complications

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