مجلس جراحة ألأنف وألاذن والحنجرة

مجلس جراحة ألأنف وألاذن والحنجرة

نبذة عن المجلس العلمي لجراحة الأنف و الإذن و الحنجرة

تأسس المجلس العلمي لجراحة الأنف و الإذن و الحنجرة سنة 1988 و مدة الدراسة فيه  خمس سنوات  حيث يهدف المجلس إلى تطوير المهارات العلمية والعملية والتطبيقية لطلبة مجلسنا العلمي والعمل على إجراء دورات مستمرة لتحديث المعلومات وكسب المهارات وفق التقنيات الحديثة للرقي إلى مستوى يضاهي التقدم الحاصل في الجامعات العالمية ويلبي متطلبات المجلس العراقي للاختصاصات الطبية

اللجنة المؤسسة : أعضاء المجلس العلمي هم :

1-الأستاذ الدكتور  محمد عزيز الموسوي   

2-الأستاذ الدكتور مساعد لفتة ألبدري

 

 

أعضاء المجلس العلمي

جهة العمل

اللقب العلمي

الاسم الثلاثي

ت

المجلس العراقي للاختصاصات الطبية

أستاذ

الدكتور ناصر عيدان ناصر

  1.  

 ممثل كلية الطب / بغداد

أستاذ مساعد

الدكتور عزام محسن عباس

  1.  

ممثل وزارة الصحة

استشاري

الدكتور محمد ضياء احمد

  1.  

 ممثل كلية الطب/ جامعة النهرين

أستاذ مساعد

الدكتور جعفر محمد كاظم

  1.  

ممثل كلية الطب/ الجامعة المستنصرية

أستاذ

الدكتور إيهاب طه ياسين

  1.  

 ممثل كلية الطب/ جامعة بابل

أستاذ

الدكتور صفاء صاحب ناجي

  1.  

 ممثل كلية الطب/ جامعة الكوفة

أستاذ

الدكتور احمد عذاب معيان

  1.  

 ممثل كلية الطب/ جامعة القادسية

أستاذ

الدكتور قاسم ريسان دخيل

  1.  

 ممثل كلية الطب/ جامعة البصرة

أستاذ

الدكتور احمد محمد مهودر

  1.  

 ممثل كلية الطب/ جامعة السليمانية

أستاذ مساعد

الدكتور مؤيد إسماعيل عزيز

  1.  

 ممثل كلية الطب/ جامعة أربيل

أستاذ مساعد

الدكتور ميسر عبد الرحمن ياسين

  1.  

 ممثل كلية الطب/ جامعة الموصل

أستاذ

الدكتور علي عبد المطلب محمد

  1.  

ممثل كلية الطب/ جامعة كربلاء

استشاري

الدكتور أنور صادق جعفر

  1.  

 

هيكلية المجلس العلمي لجراحة الأنف والإذن والحنجرة للعام الدراسي 2020 - 2021

ت

المركز التدريبي

عدد الطلاب

مسؤول المركز

المشرفون

المدربون

  1.  

م . الشهيد غازي الحرير

للجراحات التخصصية

14

ا. م. د عزام محسن عباس

1- ا. م. د. عزام محسن عباس

2- ا. م. د . احمد محي رشيد

3- الاستشاري د. هاني موسى بدر

4- الاستشاري د. ثامر محسن عباس

5- الاستشاري د. محمد ضياء احمد

6- الاستشاري د . رغيد تركي متعب

7- الاستشاري د. . ليث علي محمود

لا يوجد

  1.  

م.الإمامين الكاظمين (ع)

16

ا. م. د جعفر محمد كاظم

1- ا.د ناصر عيدان ناصر

2- ا. م. د جعفر محمد كاظم

3- الاستشاري د. عادل نعيم رزوقي

4- الاستشاري فردوس فاضل عبد الرضا

5- الاختصاصي د.حسام طالب داخل/ مدرب

1

  1.  

م. اليرموك التعليمي

 

 

16

ا. د إيهاب طه ياسين

1- ا. د إيهاب طه ياسين

2- ا.د عمار هادي خماس

3- ا.م.د محمد رديف داود

4 - ا.م.د. فالح مهدي كاظم العنبكي

5- الاستشاري د. بهاء محسن عباس

6- الاستشاري د. علاء مطشر طالب

7- الاستشاري د. ياسين أديب سكران

8- الاستشاري د. محمد حسن سعيد

لا يوجد

  1.  

م. بابل التعليمي

5

ا. د صفاء صاحب ناجي

1- ا. د صفاء صاحب ناجي

2- ا. م د سعد عبد الرحيم حسين

3- ا. م د ميثم لفتة كريم ‏

4- الاستشاري د. صفاء نوري محمد

لا يوجد

  1.  

م. الكوفة التعليمي

8

ا. د احمد عذاب معيان

1- ا. د احمد عذاب معيان

2-ا. د ياسر لفتة حسون حمزة

3- ا. م. د فراس موفق حسن

لا يوجد

  1.  

م. الديوانية التعليمي

5

ا. د قاسم ريسان دخيل

1- ا. د قاسم ريسان دخيل

2- ا. د.راهي كلف مهدي

3- الاستشاري د إياد احمد شهاب

4- الاستشاري د رائد يعقوب يوسف

لا يوجد

  1.  

م . البصرة التعليمي

6

ا. د احمد محمد مهودر العباسي

1- ا. د احمد محمد العباسي

2- ا. د  عصام محمد عبد المحسن

3- الاختصاصي د. علي عبد الوهاب  ادريس/ مدرب

1

  1.  

م . السليمانية التعليمي

12

ا . م. د . مؤيد إسماعيل عزيز

1- ا . م. د . مؤيد إسماعيل عزيز

2- ا . م. د.  هيوا اسعد عبد الكريم

3- الاستشاري د. عقيل عبد الرزاق خضير

 

لا يوجد

  1.  

م . أربيل التعليمي

14

ا. د .ميسر عبد الرحمن ياسين

1- ا .د.  ميسر عبد الرحمن ياسين

2- ا.د. سعيد مصطفى سعيد

3- ا.م.د. أرسلان عولا مصطفى

 

لا يوجد

  1.  

م. الموصل التعليمي

9

ا. د.علي عبد المطلب محمد

1- ا. د.علي عبد المطلب  محمد

2- ا. د.باسل محمد نذير سعيد

3- ا. م.د.هيثم عبد الملك

 

4- ألاستشاري د. رغدان محمد داود

5- ألاستشاري د. مروان فيصل برع

لا يوجد

  1.  

م. كربلاء التعليمي

 

لا يوجد

ألاستشاري د. أنور صادق جعفر

ألاستشاري ناظم عمران كاظم

ألاستشاري د. أنور صادق جعفر

لا يوجد

 

 

العدد الكلي للأساتذة + المشرفين+ المدربين للمجلس العلمي لجراحة الأنف و الإذن والحنجرة =48

العدد الكلي للطلبة للمجلس العلمي لجراحة الأنف و الإذن والحنجرة = 106

العدد الكلي للمراكز التدريبية للمجلس العلمي لجراحة الأنف و الإذن والحنجرة= 11

The curriculum of the fellowship of Iraqi board of Otolaryngology

by

Professor Naser Edan Naser

Professor Ahmed Athab Alzubaidi

 

1 Introduction

The Otolaryngology curriculum provides the approved Iraq framework for the training of doctors to the level of independent specialist practice in Otolaryngology surgery, addressing the requirements of patients, the population, and the strategic health services.

 

Mission

The Otolaryngology Council of the Iraqi Board for Medical Specializations through its (5 Years) program aiming at certifying high quality, safe specialists in (ear, nose, throat, and head and neck surgery) who can work in Iraq and competing with their counterpart outside by complying with regional and global standard.

• The program will be outcome-focused, emphasis on clinical training, acquisition of surgical skills under the supervision of experienced faculty supported by core theoretical background delivered in interactive, deep, and learner-centered approach supported by advanced IT technology which provides blended distal learning and assessment.

• The program will offer trainees the chance to develop their research capabilities, leadership, and academic development.

• The trainee after completing the program will demonstrate excellence in safe, appropriate, compassionate, and cost-effective provision of patients' health care as well as a high standard of professionalism, team working and lifelong learning.

 

2. Purpose

2.1 Purpose of the curriculum

The purpose of the curriculum is to produce, at certification, specialist Otolaryngology surgeons with the generic and specialty-specific professional capabilities needed to manage patients presenting with the full range of acute conditions and general elective conditions as well as to develop a special interest within Otolaryngology.

This section of the curriculum defines the scope of practice of Otolaryngology, what has to be learned, the levels of performance expected to complete training, how the curriculum is delivered and how it is assessed.

Patient safety and competent practice are both essential and the curriculum has been designed so that the learning experience itself should not negatively affect patient safety. Patient safety is the first priority of training demonstrated through safety-critical content, expected levels of performance, critical progression points, required breadth of experience, and levels of trainer supervision needed for safe and professional practice. Upon satisfactory completion of training programs, trainees are expected to be able to work safely and competently in the defined area of practice and to be able to manage or mitigate relevant risks effectively. A feature of the curriculum is that it promotes and encourages excellence through the setting of high-level outcomes, supervision levels for excellence, and tailored assessment and feedback, allowing trainees to progress at their own rate.

Training is divided into two phases, the first one that lasts for 1 year divided between general surgery and three other related specialties.

The second phase for the other four years of training should cover three major areas in otolaryngology

  1. Rhinology
  2. Otology
  3. Head and neck

 

2.2 Rationale and development of a new curriculum:

The Otolaryngology curriculum will produce a workforce fit for the needs of patients, producing doctors who are more patient-focused, more general and who have more flexibility in their career structure.

 

2.3 The training pathway and duration of training

Duration of training five years divided as follows;

Phase I

One year divided as follows;

  1. Six months general surgery
  2. 2 months of plastic surgery
  3. 2 months neurosurgery
  4. 2 months maxillofacial surgery

Phase II

  Four years otolaryngology

 

In phase one the trainee should follow the core surgical training curriculum, and at end of this phase should pass a primary written examination in principles and basic knowledge of general surgery and basic science in otolaryngology.

 

  During phase 2 trainees must gain the knowledge and clinical skills in general Otolaryngology to the level of independent practice expected at certification.

 

At certification, trainees must be able to manage a wide range of general Otolaryngology elective and emergency procedures in both children and adults which should be documented by logbook Yearly.

 

A thesis should be achieved in the Otolaryngology specialty and should be accepted by the committee at the end of 3rd year.

 

A mid examination should be passed at the end of the 4th  year.

 

 On successful completion of final written and clinical examination in general otolaryngology at the end of the 5th year, trainees become eligible for certification and for recommendation to enter the specialist register.

 

3. Programme of Learning

This section covers the expected learning outcomes, learning methods, breadth of experience and levels of performance at critical progression points in the training Programme and the levels of performance expected of those completing training.

 

3.1 What has to be learnt to complete the Otolaryngology curriculum

The practice of Otolaryngology requires the generic and specialty knowledge, clinical and technical skills and behaviors to manage patients presenting with a wide range of ear, nose, throat and neck disorders. It involves development of competence in diagnostic reasoning, managing uncertainty, dealing with co-morbidities, and recognizing when another specialty opinion or care is required

 

  1. Capabilities in Practice (the high-level outcomes of training)

Training is designed to produce a person capable of safely and effectively performing the role of a first day specialistsurgeon. The role of a specialistsurgeon can be thought of as a sum of all the various tasks which need to be performed through a working week. These tasks are the high-level outcomes of the curriculum and grouping these together describe the role of a specialistsurgeon. To perform a high level clinical task as a specialista surgeon requires trainees to be able to integrate areas of learning from all parts of the syllabus, including knowledge, clinical skills, professional skills and technical skills. In addition, a surgeon will need to have acquired the generic skills, behaviors and values shared by all doctors in order to perform this task safely and well. A capability is a set of skills that can be developed through training from novice to expert and, therefore, these high-level clinical outcomes are known as Capabilities in Practice.

 

There are five Capabilities in Practice which are shared between all surgical specialties:

1) Manages an out-patient clinic

2) Manages the unselected emergency take

3) Manages ward rounds and the on-going care of in-patients

4) Manages an operating list

5) Manages multi-disciplinary working

 

3.3 Breadth of experience required during training in Otolaryngology

The curriculum requires trainees to accrue a rich experience that promotes deep learning of knowledge, clinical skills, technical skills, professional behavior, leadership and all other generic professional skills that are considered necessary to ensure patient safety throughout the training process and specifically at the end of training. The scope of practice of a day-one consultant in Otolaryngology is described in the syllabus. In addition, there are certain skills and conditions within the syllabus that are of such central and fundamental importance to the safe practice of Otolaryngology that they are highlighted as critical conditions and index procedures.

 

4.The syllabus

The syllabus, provides a detailed description of the specialty-specific knowledge, clinical and technical skills required for each phase of training and for certification in Otolaryngology. Trainees are expected to have exposure to all topics in phase 2 of training.

 

  1. Basic Objectives

1 emergency medicine and resuscitation

2 infection control

3 antimicrobial therapy

4 transfusions medicine/blood grouping/cross-matching etc.

5 haemostasis

6 oncology

7 wound healing

8 general surgical techniques

9 basics in plastic and reconstructive surgery

10 transplantation medicine

11 soft tissue and bone traumatology

12 immunology

13 endocrinology

14 oral and parenteral nutrition

basic psychosomatic investigation/management

16 radiation protection

17 medical quality control

18 ethical principles/consent for operation

19 basic nutritional medicine

20 basic laboratory procedures

21 basic laboratory investigations,

a. indication, correct taking and handling of

b. samples and interpretation of the results

22 normal blood values

23 bacteriology/mycology

24 principal detection of fungi (cell culture)

25 antimicrobial medication

26 analysis of tumour-markers

27 allergology laboratory investigations

 

II. Otology

A. Diagnostic Procedures

a.) CLINICAL EXAMINATION

1 otoscopes

2 endoscopy

3 microscopy

b.) HEARING FUNCTION

1 hearing distance test

2 tuning fork tests

3 impedance audiometry

4 pure tone audiometry

5 speech audiometry

6 supraliminal audiometry

7 objective hearing test

a. evoked response audiometry (ERA,BERA)

b. oto-acoustic emissions (OAE)

8 paediatric audiology

a. screening methods

b. objective methods

c. subjective methods

c.) VESTIBULAR FUNCTION

1 spontaneous nystagmus

2 induced nystagmus

a. positional nystagmus

b. caloric testing

c. electronystagmography

d. rotating chair test

e. spinal reflexes (Unterberger, Romberg)

f. posturography

g. videonystagmography

d.) FACIAL NERVE FUNCTION

1 topo diagnostic testing

a. e.g. Schirmer´s test, gustatory tests, stapedial reflex

2 neurophysiological testing

a. nerve stimulation tests (e.g. MST, NMG (ENoG), TFR ...)

b. electromyography

e.) INTERPRETATION OF RELEVANT IMAGING

1 conventional X-Ray, CT, MRI, Angiography

B. Non-surgical Management

1 pharmacological treatment and/or physical rehabilitation:

2 ear infection

3 sensorineural deafness

4 tinnitus

5 vertigo and disequilibrium

6 facial nerve paresis / paralysis

7 post-op care

C. Surgical Management

1 temporal bone dissections (lab.)

2 local and regional anaesthesia

3 management of oto-haematoma

4 removal of osteomas

5 otoplasty

6 meatoplasty

7 foreign body removal

8 polyps of auditory meatus

9 myringotomy

10 ventilation tubes

11 myringoplasty

12 tympanotomy

13 antrostomy

14 mastoidectomy

a. simple

b. modified

c. radical

15 tympanoplasty (reconstruction of ossicles)

16 implantation of prosthesis

a. middle ear prosthesis

b. bone anchored hearing aids

c. cochlear implants

17 stapedectomy / stapedotomy

18 saccotomy

19 neurectomy (vestibular nerve section)

20 acoustic neurinoma surgery

21 facial nerve surgery

a. decompression

b. grafting

c. monitoring

22 glomus tumour surgery

23 petrosectomy

24 skull base surgery (otobasis) with reconstruction

25 correction of malformations

a. auricle

b. fistulas

c. outer ear canal

d. middle ear

26 repair of injuries

27 auricle

28 outer ear canal

29 middle and inner ear including nerves, vessels and Dura of the temporal bone compartment

30 surgery of tumours

a. auricle

b. outer ear canal

c. middle and inner ear including nerves, vessels and dura of the temporal bone compartment

 

III. Nose and paranasal sinuses

A. Diagnostic Procedures

a.) CLINICAL EXAMINATION

1 assessment and ethnic variation

2 aesthetic proportions of the face

3 effects of aging process

4 anterior and posterior rhinoscopy

5 endoscopy

6 microscopy

7 photography

b.) TESTS OF FUNCTIONS

1 rhinomanometry

2 acoustic rhinometry

3 olfactory tests (subjective, objective)

4 ciliary function tests

c.) IMAGING

1 ultrasound scan (a- and b-mode)

2 X-ray conventional

3 interpretation of

a. CT-scan

b. MR-imaging

c. Isotope scan (szinti-scan)

d. Angiography

d.) ALLERGY INVESTIGATIONS

1 epicutaneous allergen tests

2 intracutaneous allergen tests (Prick, Scratch)

3 nasal provocation tests

4 nasal cytology

5 eliminative tests

6 interpretation of serological tests (RAST, IgE)

B. Non-surgical Management

1 pharmacological therapy

2 specific immunotherapy (hyposensitization)

3 anaphylaxis reaction therapy

C. Surgical Management

a.) Nose

1 local and regional anaesthesia

2 control of nasal epistaxis

a. nasal packing

b. nasal cautery

3 foreign body removal

4 nasal polypectomy

5 turbinate surgery

6 reposition of nasal fractures

7 incising abscesses

8 septal surgery

9 revision septoplasty

10 septum perforation repair

11 closed rhinoplasty

12 open rhinoplasty

13 revision rhinoplasty

14 complicated rhinoplasty

15 augmentation rhinoplasty

16 cleft patient rhinoplasty

17 reduction rhinoplasty

18 rhinophyma operation

19 correction of malformations (e.g. choanal atresia, fistulas, dermoids, etc.)

20 management of immediate post-operative complications

b.) Paranasal Sinuses

1 sinus endoscopy

2 antral lavage

3 endoscopic antrostomy

4 radical antrostomy (Caldwell-Luc)

5 frontal sinus trephination

6 external frontal sinus surgery

7 external ethmoidectomy

8 endonasal ethmoidectomy (endoscopic, microscopic)

9 fronto-ethmoidectomy (endoscopic)

10 sphenoid sinus surgery

11 revision paranasal sinuses operation

12 closure of oro-antral fistula

13 ligation of maxillary or ethmoidal artery

14 orbital decompression procedures

15 dacryo-cysto-rhinostomy

16 management of CSF leak

17 tumour surgery

a. maxillectomy (partial, total)

b. lateral rhinotomy

c. midfacial degloving

d. combined approach to the anterior skull base

e. orbitotomy

f. exenteration of orbit

g. surgery of the anterior skull base (incl. osteoplastic flap, Dura plasty and related techniques)

18 repair of injuries (traumatology)

a. soft tissue injuries

b. nasal fractures

c. septal hematoma

d. paranasal sinus fractures

e. fractures of orbit including blow out fracture

f. fractures of zygoma

g. optic nerve decompression

h. reconstruction of the anterior skull base

 

IV. Larynx. Tracheobronchial tree

A. DIAGNOSTIC PROCEDURES

a.) CLINICAL EXAMINATION (in adults and children)

1 Indirect mirror laryngoscopy

2 Flexible endoscopic examination of larynx, trachea, bronchi, with or without washings for cytology

3 stroboscopy

4 Direct laryngoscopy with or without swabs for microbiological assessment

5 microlaryngoscopy

6 Endolaryngeal, endotracheal and endobronchial biopsy

b.) INTERPRETATION OF RELEVANT IMAGING

1 ultrasound scan, plain X-Ray, CT, MRI, PET

c.) INVESTIGATIONS

1 Techniques in voice analysis

2 electromyography

B. Non-surgical Management

1 Care of the professional voice

2 Voice restoration following laryngectomy/ total laryngectomy (care of the valve prosthesis)

3 Medical management of laryngotracheal disease

C. Surgical Management

1 Topical, local and regional anaesthesia

2 removal of foreign bodies from larynx, trachea and bronchi

3 endotracheal intubation

4 Tracheotomy - tracheostomy (including percutaneous)

5 closure of tracheostome

6 Incision of crico-thyroid membrane

7 Endolaryngeal, endotracheal and bronchial laser surgery

8 surgery for unilateral cord palsy

9 surgery for bilateral cord palsy

10 Phonosurgery ( surgery for voice and speech)

a. Frame work surgery (thyroplasty)

b. Vocal cord augmentation

c. Botulinus toxin injection

11 Management of blunt and open laryngo-tracheal injury

a.) SURGERY FOR LARYNGEAL TRACHEAL AND BRONCHIAL NEOPLASMS

1 endolaryngeal surgery for early cancer

2 endolaryngeal laser surgery for tumours in upper aerodigestive tract

3 Laryngectomy

a. total

b. partial

4 Laryngo-pharyngo-oeseophagectomy with flap reconstruction or viscus interposition

5 Techniques for insertion of valves for voice rehabilitation

6 Management of laryngo-tracheal stenosis

7 Tracheal and bronchial stenting

8 Repair of tracheo-oeseophageal fistula in adults

b.) LARYNGEAL TRACHEAL AND BRONCHIAL DISEASES IN CHILDREN

1 Assessment and management of acute airway obstruction in children

c.) SURGICAL MANAGEMENT OF CONGENITAL MALFORMATIONS

1 Supraglotic stenosis

2 Laryngeal web

3 Subglottic haemangioma

4 Vocal cord paralysis

5 Laryngeal cleft

6 Vascular compression

d.) SURGICAL MANAGEMENT OF ACQUIRED CONDITIONS IN CHILDREN

1 Laryngeal papilloma

2 Tracheal stenosis

3 Inhalational injury

 

V. Oral Cavity. Pharynx and Oesophagus

A. DIAGNOSTIC PROCEDURES

a.) CLINICAL EXAMINATION

1 inspection and palpation of oral cavity and oropharynx

2 endoscopic assessment of oral cavity, pharynx and oesophagus, with flexible and rigid endoscopes, including

biopsies, preparation of swabs, washings, and related techniques.

3 gustometry

4 functional tests of swallowing disorders

5 principles of assessment and diagnosis of sleep apnoea

6 principles of speech assessment and rehabilitation

b.) INTERPRETATION OF RELEVANT IMAGING

1 ultrasound scan, conventional X-Ray, OPG, CT, MRI, esophagogram

2 diagnosis and interpretation of swallowing disorders including reflux

B. Non-surgical Management

1 pharmacological therapy

2 swallowing and aspiration rehabilitation

3 non surgical treatment of sleep apnoea and roncopathy

C. Surgical Management

1 local and regional anaesthesia

2 adenoidectomy

3 tonsillectomy

4 abscess tonsillectomy (hot tonsillectomy)

5 arrest of tonsillar haemorrhage

6 drainage of abscess

a. peri- and retrotonsillar

b. para- and retro-pharyngeal

c. base of tongue

7 correction of malformations

a. lingual frenulum

b. ranula

c. cysts inclusion

d. macroglossia

8 sialendoscopy

9 transoral removal of salivary calculi

10 transposition of salivary duct

11 lithotripsy

12 removal of foreign bodies

13 surgery of pharyngeal pouch (open or endoscopic)

14 endoscopic biopsy and tumour staging

15 pharyngostomy

16 closure of pharyngostoma

17 cricopharyngeal myotomy

18 surgery of injuries

a. simple injuries

b. complex injuries

a.) TUMOUR SURGERY

1 laser surgery of oral cavity and pharynx

2 resection of the tongue

a. partial glossectomy

b. hemi glossectomy

c. total glossectomy

3 reconstruction of the tongue

4 microvascular anastomoses

5 resection, osteosynthesis and reconstruction of mandible

6 pharyngotomy

7 pharyngectomy

a. partial

b. total

8 surgery for tumours of the nasopharynx

9 surgery for tumours of the oropharynx and reconstruction

10 resection of the lips and plastic reconstruction

a. simple

b. complex

11 surgery of roncopathy and obstructive sleep-apnoea disorders including radiofrequency, UPPP, LAUP

 

VI. Head and Neck and aesthetics.

A. Diagnostic Procedures and multidisciplinary approach

a.) CLINICAL EXAMINATION

1 investigation of the cranial nerves

a. clinical

b. electrophysiological

2 functional tests of salivary glands

3 fine needle biopsy

b.) INTERPRETATION OF RELEVANT IMAGING

1 Conventional X-RAY. OPG

2 CT, MRI Scan

3 Ultrasound and PET

 

4 Treatment planning

B. Non-surgical Management

1 pharmacological therapy

2 conservative treatment of wounds

3 chemo-radiation-therapy

4 application of botulinum toxin

C. Surgical Management

1 Topical, local and regional anaesthesia

2 management of wounds

a. management of wounds breakdown

b. management of scar tissue

3 management of open neck wounds

4 fistula care

5 removal of

a. branchial cysts

b. surgery of benign tumours

c. fistulae

6 incision and drainage of abscess

7 surgery of skin tumours

a. Benign skin tumours

b. Malignant skin tumours

c. Treatment of melanoma

8 correction of malformations

a.) REPAIR OF INJURIES

1 management of soft tissue injuries of the lateral and middle part of the face

2 combined fractures of the lateral and middle part of the face

3 osteosynthesis

b.) SURGERY OF CRANIAL NERVES (N.V, Nn.VII-XII)

1 exploration, decompression or neurolysis

2 plastic reconstruction

c.) DISSECTION OF TUMOURS

1 removal of cervical lymph-nodes

2 neck dissection

a. selective neck dissection level I to III

b. selective neck dissection level I to V

c. modified radical neck dissection

d. radical neck dissection

e. extended neck dissection

3 soft tissue neoplasms

4 vascular tumors

5 neurogenic tumors

d.) SURGERY OF THE SALIVARY GLANDS

1 removal of the submandibular gland

2 removal of the sublingual gland

3 Removal of minor glands

4 Parotidectomy

a. partial parotidectomy

b. suprafacial parotidectomy

c. subtotal parotidectomy

d. total parotidectomy

e. radical parotidectomy

e.) SURGERY OF VESSELS

1 preparation and ligation of vessels

2 direct or indirect catheterization of the internal jugular vein

3 vascular grafting

4 microvascular anastomosis




التخصصات الدقيقة والزمالات

اعلانات - مجلس جراحة ألأنف وألاذن والحنجرة

اخبار - مجلس جراحة ألأنف وألاذن والحنجرة

المراكز التدريبية - مجلس جراحة ألأنف وألاذن والحنجرة

ملفات واستمارات - مجلس جراحة ألأنف وألاذن والحنجرة

# العنوان تحميل الملف
1 ENT Logbook تحميل
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