OHNS Training Syllabus

Head and Neck

• Pathology and management of the neck in head and neck cancer
• Neck dissection: techniques and complications
• Aetiology, pathology and management of carcinoma of the tongue
• Aetiology, pathology and management of floor of mouth cancer: reconstruction of jaw and soft tissues in oral cancer
• Aetiology, pathology and management of caner of the oropharynx: base of tongue vs tonsil vs palatal arch
• Muscle and musculocutaneous flaps in head and neck surgery, free flap reconstruction techniques
• Dysphagia: globus pharyngeal pouch, oesophageal disorders and management
• Aetiology, pathology and management of nasopharyngeal cancer
• Benign tumours of the head and neck: emphasis on vascular and neurogenic
• Aetiology, pathology and management of tumours of the palate
  
• Aetiology, pathology and management of thyroid cancer
• Aetiology, pathology and management of parotid tumours: parotidectomy - techniques and complications
• Aetiology, pathology and management of head and neck melanoma
• Aetiology, pathology and management of the lump in the neck in adults
• Tumours of the paranasal sinuses: craniofacial resection, med maxillectomy, maxillectomy techniques
• Granuloma of the head and neck
• Complications of major head and neck surgery: avoidance and management
• Nutritional management of the head and neck cancer patient
• Epidemiology of head and neck cancer
• Reconstruction after surgery for head and neck cancer - attention to the mandible and maxilla
• Radiotherapy, chemotherapy in head and neck oncology
• Quality of life in head and neck cancer, palliative care
• Staging systems
• Neuro-ectodermal tumours
• Salivary tumours and tumour-like conditions
• Classification of lymphomas and behaviour in the head and neck
  

Laryngology

• Trauma to the trachea, larynx, pharynx and the oesophagus (including perforations)
• Endoscopy and endoscopic surgery of the larynx for benign disease including laser
• Pathopysiology of speech and phonation, speech therapy techniques
• Aetiology and management of laryngeal nerve palsies
• Hoarseness: management of non-neoplastic disease of the larynx
• Rehabilitation of the voice after laryngeal surgery including techniques of TE puncture
• Aetiology, pathology and management of laryngeal cancer: total laryngectomy
• Conservation laryngeal surgery: endoscopic laser resection and partial laryngectomy - indications and techniques
  

Otology

• Aetiology, pathology and management of chronic suppurative otits media - mucosal disease
• Aetiology, pathology and management of CSOM cholesteatoma
• Aetiology, pathology and management of otosclerosis
• Mastoid surgery: indications, techniques and complications
• Aetiology, pathology and management of inner ear trauma - including barotraumas
• Complications of ear surgery
• Eustachian tube dysfunction and atelectasis: aetiology and management
• Aetiology, pathology and management of profound sensorineural hearing loss
• Congenital deafness: risk factors and management
• Cochlear implants - theory and application
• Tympanoplasty: indications and techniques including CAT
• Epidemiology, aetiology, pathology and management of otitis media (OME, AOM)
• Sudden deafness: aetiology, pathology and management
• Management of vertigo
• Otitis externa and meatal stenosis: causes and treatment
• Hearing aids including implantable aids
• Systemic disorders affecting the temporal bone

Neuro-Otology

• Trauma of the temporal bone - management of VII nerve palsy
• CP angle tumours: aetiology, pathology and management
• ENG - techiniques and interpretations
• Endolymphomic hydrops - diagnosis, pathology and treatment
• Pathophysiology of inner ear disorders

Audiology

• Pure tone audiometry AC/BC
• Masking
• Psychoacoustics: physiology of sound
• Speech audiometry
• Impedance audiometry
• Paediatric testing: at risk register, otoacoustic emmissions
• ABR; ECoG, Auditory envoked potential - measurements and applications
• Functional hearing loss: sensorineural testing in adults
• NIHL: epidemiology, diagnosis and management
• Rehabilitation, hearing aids, speech reading
• Tinnitus: aetiology, management and medicolegal issues

General Otolaryngology, Embryology, Anatomy and Physiology of the Head and Neck

• Embryology, anatomy and physiology of the cranial nerves
  
• Embryology, anatomy and physiology of the ear - outer ear, middle ear, inner ear, CP angle and central pathways
  
• Embryology, anatomy and physiology of the maxilla, nose and sinuses
  
• Embryology, anatomy and physiology of the oral cavity
  
• Embryology, anatomy and physiology of the nasopharynx, oropharynx, hypopharynx and oesophagus
  
• Embryology, anatomy and physiology of the larynx and trachea
  
• Embryology, anatomy and physiology of the neck, thyroid, etc.
  
• Osteology - temporal bone, skull and individual bones
  
• Autonomic nervous system in ORL
  
• Tonsil disease - pathology of infectious mononucleosis
  
• Headache and facial pain
  
• Causes and management of trismus
  
• Scuba diving and otolaryngology
  
• Salivary calculi - anatomy, physiology and management
  
• Facial palsy - anatomy, physiology and management
  
• Management of drooling
  
• Foreign bodies in otolaryngology
  
• Tracheostemy: indications, techniques and complications
  
• Infections of the deep fascial spaces of the head and neck
  
• Superficial infections of the head and neck: perichondritus
  
• Oral ulceration and inflammatory disorders of the mouth
  
• Snoring and OSA: natural history and management
  
• New developments in ORL

Paediatric Otolaryngology

• Nasal disorders in children: aetiology and management including choanal atresia
• Dysphonia in childhood
• Stridor in childhood I
• Stridor in childhood II
• Head and neck tumours and swellings in children
• Congenital disorders of the head and neck including craniofacial syndromes

Facial Plastic Surgery

• Wound healing, scar revision and local facial flaps
• Maxillofacial trauma
• Facial rejuvenation techniques
• Rhinoplasty
• Otoplasy

Endocrinology

• Thyroid and parathyroid disease

Rhinology

• Septal surgery - indications, techniques and complications
  
• Nasal polyps - anatomy, physiology and management
• Management of acute and recurrent sinusitis: FESS
• External sinus surgery: Cadwell-Luc, frontoethmoidectomy, osteoplastic flaps, etc.
• Lateral rhinotomy - indications, method and complications
• ENT allergy - anatomy, physiology and management
• Septal perforations - aetiology, pathology and management
• Tests of nasal function including tests of airflow/rhinomanometry
• Tumours of the nose and nasal vestibule
• Olfaction
• Management and aetiology of epistaxis
  

General Surgical Knowledge

• Immunology, immunodeficiency syndromes, AIDS/HIV
• Coagulation system and disorders of haemostasis
• Surgical sterilisation techniques
• Mircobiology of head-neck infections and management
• The Early Management of Severe Trauma (EMST)
• Surgical audit, maintenance of professional standards systems
• Lasers in ORL, laser saftey
• Prions and their relevance to surgery
• Resuscitation of acute hypovolaemia and fluid balance concepts