Handbook> Electives > Otolaryngology > Head and Neck Surgery

Electives - Otolaryngology

rulebar

Otolaryngology - Head and Neck Surgery

Elective Number: 2201

Rotation Supervisor: Katherine Fedder, MD

Coordinator: Tina L. Cross; 434-924-5934; tlc4e@virginia.edu

Duration: 4 weeks

Available: All rotations

Time to Report: 6:45 am - Morning Rounds; contact Chief Administrative Resident

Place to Report: 6 West

Typical day: 6:30 am - days work is completed and evening rounds concluded

Attendance: Attendance at elective activities is mandatory.

  • Anyone who is ill or has a personal or family emergency must contact Student Affairs and the Attending on Service.
  • Students are allowed to take off up to 1 day per week to interview between November 1 and February 1.
    • Specific days missed must be approved by the Attending on Service.

Number of students per rotation: 2

Course Description: Otolaryngology - Head and Neck Surgery is intended to provide an introduction to the specialty of Otolaryngology - Head and Neck Surgery. The student will be exposed to all facets of this specialty offered by our Department. The student will rotate on each of the 3 teams during the 4 week elective. The student will participate fully in the clinic, including clinical outpatient evaluations and preoperative assessments and counseling. The students will be expected to observe and participate in surgical cases to include inpatient care and clinic follow-up. Attendance at all departmental conferences and journal clubs is required. Supervision and teaching will be done by the attending and resident staff of the Department of Otolaryngology Head and Neck Surgery.

This is an arranged elective. Early in the academic year, preference will be given to those students considering a career in Otolaryngology Head and Neck Surgery. This elective is open to visiting students by special arrangement with the Office for Student Affairs and the rotation supervisor. Visiting students should apply through VSAS and send a letter of support from a member of the Department of Otolaryngology Head and Neck Surgery or the Department of Surgery of their school. Visiting student applications will not be considered without this information.

Learning Objectives:

Head and Neck Surgery/Head and Neck Oncology:

  • Diagnosis and management of the neck mass
    Diagnosis and management of thyroid nodules
    Endoscopic evaluation of the larynx, recognition of pathologic and non-pathologic findings
    Evaluation and management of head and neck malignancies
    General oncologic principles in the management of head and neck malignancies.

Otology/Neurotology:

  • Understand the embryology and anatomy of the ear and temporal bone
    Understand the anatomy and physiology of hearing
    Understand the anatomy and physiology of the vestibular system
    To be able to perform a thorough examination of the human ear
    Understand the differential diagnosis of unilateral and bilateral conductive and sensorineural hearing loss, and to be conversant in the management of each of these
    Understand the indications for pressure equalization tubes, the principle of insertion and management of otorrhea
    To be familiar with surgery for chronic ear disease such as mastoidectomy and in a general sense, understand principles of ossicular reconstruction
    To be familiar with congenital hearing loss and its management, including cochlear implantation
    Understand the evaluation, differential diagnosis and management of vertigo
    Be familiar with, and capable of reading an audiogram
    Understand and be able to proceed with the diagnosis of an acoustic neuroma

Rhinology;

  • Understand the anatomy and physiology of the nose and paranasal sinuses, and be familiar with the endoscopic nasal anatomy
    Be able to read a CT scan of the nose and paranasal sinuses
    Understand the differential diagnosis of nasal obstruction, and be familiar with the diagnostic work up
    Be able to evaluate anosmia, give a differential and general management principles
    Be able to diagnose and manage epistaxis
    Understand, and be capable of management of uncomplicated acute and chronic sinusitis
    Be familiar with indications, principles and complications of endoscopic sinus surgery

Facial Plastic Surgery:

  • Understand and be able to describe the aesthetic units of the face
    Understand the management of facial soft tissue trauma
    Be able to describe the skull bones, the buttresses and the LeForte classification of facial fractures
    Recognize and be able to discuss the application of basic skin flaps in reconstruction of tissue defects in the face
    Express a working knowledge of skin malignancies and their management
    Generally understand the cosmetic procedures of the head and neck and their indications.

Pediatric Otolaryngology;

  • Understand the differences between the neonatal and adult airway and the impact on respiration
    Be able to evaluate and manage a neonate with airway obstruction
    Be familiar with the differential diagnosis and general management principles of the neonate with respiratory distress
    Know the embryology of the head and neck and be able to discuss congenital neck masses and their evaluation and management
    Understand pediatric sleep disorders and their management
    Understand the unique anatomy and issues of the child with trisomy 21
    Be able to discuss stridor, stertor and their evaluation and management
    Understand the pathophysiology, diagnosis and management of acute and chronic otitis media in the young child
    Be familiar with the structure and function of adenoidal and tonsillar tissue, their role in facial growth and infectious diseases
    Be familiar with the indications, contraindications, techniques and complications for surgical intervention of adenotonsillar tissues.