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" +hpp(-f8 ^M(pT,H-/0/d,3434 (-34p(- "  //X/||||((pppppp 06International Clinical Medical students Classes timetable of 2010school year(ENT)(2nd hospital:15 students, 1st hospital:15 students, SRRSH:14 students)date(wednesday)time(afternoon)contentsteacher17/11146"55~166"40Anatomy of nose and nasal sinuses:External nose1.nasal bone---nasal bone fractures2. vasculardanger triangle, nasal furuncles, thrombophlebitis of the cavernous sinusNasal cavity1.nasal vestibule---nasal vestibular cyst2. nasal septum---deviations of the nasal septum3. inferior meatus---nasolacrimal duct, maxillary sinus acupuncture4. middle meatus: ostiomeatal complex---sinusitis5.vestibularLittle area, Kiesselbach plexus, Wooodruff naso-nasopharyngeal venous plexus---epistaxis6.posterior choanae--- choanal atresiaNasal sinuses(apertura sinus and drainage)maxillary sinus, ethmoid sinus, frontal sinus, sphenoid sinus--- sinusitis, mucocele of sinus, squamous cell carcinoma of the paranasal sinusPhysiology of nose and nasal sinuses:1.breathing: nasal airflow obsruction, nasal cycle, mucous blanket, 2.olfaction: olfactory epithelium, olfactory dysfunction3. warming and humidification4. filtration and protection: mucous blanket, cilia ---Kartagener`s syndrome 5. nasal reflex6. vocal resonance24/11146"55~166"40Anatomy of external ear, middle eartemporal boneexternal ear:1.auricle--- perichondritis of auricle2.external acoustic meatus---furnucle of external acoustic meatusmiddle ear: 1.boundary of tympanic cavity ---complications of untreated otitis media2.tympanic membrane---tympanic membraneperforation, myringplasty3.ossicles---ossicular dysfunction, ossicular chain reconstruction4.tensor tympani muscle(trigeminal nerve), stapedius muscle(facial nerve)---role 5.eustachian tube--- otitis media with effusion1/12146"55~166"40Anatomy of inner ear1.cochlea: auditory end organ---sensorineural hearing loss, cochlear implants2. organ of corti, hair cells---sensorineural hearing loss3.utricle, sacccule, semicircular canals: vestibular end organ---dizzinessAnatomy of facial nerve: segments of facial nerve ---facial paralysis 8/12146"55~166"40Physiology of hearing:1. air conductionhow does the middle ear maximize the transfer of sound stimuli to the cochlea?---conductive hearing loss2. bone conductionhow are the cochlear hair cells stimulated, the function of the hair cells--- sensorineural hearing loss15/12146"55~166"40146"55~156"40hearing evaluaion: tuning fork test (Rinne Test, Weber Test, Schwabach Test), audiogram, distinguishment between air and bone conductive deficits156"50~166"40Physiology of eustachian tube--- otitis media with effusion, acute otitis mediaPhysiology of balance 1.balance: depends on vertibule, optesthesia, somesthetic sensibility2. vestibular end organs and their stimulisemicircTV: \ ^  D E K L T W f ; ǫ̛̈̒~v~v~mc[chB*phhB*o(phhCJKHo(hCJKHhCJKHOJQJo(hCJo(h5CJo(hCJQJ^JaJo(hCJOJQJ^JaJhCJQJ^JaJo(hQJ^Jo(hCJOJQJ^JaJo(hCJOJQJ^JaJh5\aJo(haJo( haJ!V: D \ f ~ $$Ifa$ ~Pvzɽɴ㦘ɴ㦘Ϗh5CJKHo(h5CJo(hCJOJQJ^JaJhCJOJQJ^JaJhQJ^Jo(hhCJKH hCJh5CJhCJQJ^JaJo(hCJOJQJ^JaJo(hCJQJ^JaJo(/f 1K$Ifdh$IfXD2$If$dh$7$8$H$IfWDXD2^`a$$dh$7$8$H$IfXD2a$ dh$If>8[RRIII dh$If $$Ifa$kd$$Ifl4\\ !0% $ t044 laf48Rvxz.kde$$Ifl4\\ !0% $ t044 laf4$Ifdh$IfXD2 dh$Ifdh$IfWD^`z$If dh$If dh$If $$Ifa$$(*.0246<Rοΐxۿoo^ h5CJOJQJ^JaJo(hCJaJo(h5CJo(hCJo(hCJQJ hCJhCJQJ^JaJo(hCJOJQJ^JaJhCJOJQJ^JaJhCJOJQJ^JaJo(hCJQJ^JaJo(hQJ^Jo(hCJOJQJ^Jo(h5CJOJQJ^Jo(!]TTKKE$If dh$If $$Ifa$kd,$$Ifl4\\ !0% $ t044 laf4 "$<x]TTKKKKK dh$If $$Ifa$kd$$Ifl4\\ !0% $ t044 laf4RXnx~j<*<,<X<\<h<l<n<p<r<t<x<z<~<<<ԸǬǘǑLj{m__R{Kh5CJhCJQJ^JaJo(hCJOJQJ^JaJhCJOJQJ^JaJhCJQJ^JaJo(hQJ^Jo(hCJo(U"hB*CJOJQJ^Jo(phhCJOJQJ^Jh5CJOJQJ^Jo(hCJOJQJ^Jo(hCJOJQJ^JaJo(h5CJOJQJ^Jh5CJOJQJ^JaJX<Z<\<h<<LCC $$Ifa$kd$$Ifl4\\ !0% $ t044 laf4$If dh$Ifular canals, utricle, sacccule--- dizziness22/12146"55~166"40Anatomy of pharynx 1. Waldeyer s ring2. nasopharynx: adenoids--adenoidal hypertrophy pharyngeal recess--cancer of nasopharynx pharyngeal opening of eustachian tube--otitis media with effusion,3. oropharynx: tonsils----tonsilliti, peritonsillar abscess4. laryngopharynx---cancer of hypopharynx5. deep neck space (retropharyngeal space, parapharyngeal space)---deep neck space infections Physiology of pharynx1.respiration---snoring and obsructive sleep apnea2.swallowing3.language4.regulation for the pressure in middle ear5. the function of the tonsils and adenoids29/12146"55~166"40Anatomy of larynx1. cartilage: thyroid cartilage, cricoid cartilage, epiglottic cartilage---acute epiglottis, arytenoid cartilage2. muscle of the larynx, superior laryngeal nerve, recurrent laryngeal nerve ---- recurrent laryngeal nerve paralysis3.vocal fold----vocal fold polyps, vocal fold nodules4. the anatomic divisions of the larynx, the patterns of endolaryngeal lymphatic drainage ---laryngeal cancer 5. characteristic of larynx in children---acute laryngitis in children6. preepiglottic space---spread of laryngeal cancer5/1/2011146"55~166"401. physiology of larynx respiration--- upper airway obstruction,available types of artificial airwayspronunciation---- hoarsenessprotection2. anatomy and function of trachea foreign bodies in the trachea and bronchi, tracheotomy3. anatomy and function of esophagusanatomic narrowing of the esophagus--- esophageal foreign bodiesPAGE PAGE 1<<<<2== >>>??(@B@X@@A A$If dh$Ifdh$IfXD2dh$IfVDr^`dh$IfVDrWD^``pdh$IfWDD^`p dh$If<<<<<<====== >X>>???X@@@AA AAAA AxobTFhCJOJQJ^JaJhCJOJQJ^JaJhCJQJ^JaJo(hQJ^Jo(hOJQJ^Jo(!hCJOJPJQJ^JaJo(hCJOJPJQJ^JaJhCJOJQJ^JaJo(hCJOJQJ^Jo(hCJKHo(hB*CJo(phhB*CJphhCJOJQJo( hCJhCJo(h5CJo( A AA0ATA6B"CClD]TTKKKKK dh$If $$Ifa$kd$$Ifl4\\ !0% $ t044 laf4 A"A$A(A*A.A0ARATA C"CBCNCTCbCdCtC~CCCCCbEdEhEzE~EEEEEEEEEEEEȹ~pȨ_!h5CJKHOJQJ^JaJhCJOJQJ^JaJhQJ^Jo(hCJKHOJQJ^JaJ!hCJKHOJQJ^JaJo( h5CJOJQJ^JaJo(h5CJOJQJ^JaJhCJQJ^JaJo(hCJQJ^JaJo(hCJOJQJ^JaJhCJOJQJ^JaJo(%lDDbEdEfEhEzEENEE $$Ifa$kd`$$Ifl4\\ !0% $ t044 laf4$If dh$IfEE`FFFFfGGG4H6H$If dh$Ifdh$IfXD2 EEEF`FzFFFFFFFFFFFGLGfGnG|GGGGHH2H4HHܽܽܽ{laXPjhUhQJ^Jo(hOJQJ^Jo(hCJKHOJQJ^Jo(hCJKHOJQJ^Jh5CJOJQJ^JaJh5CJOJQJ^Jh5CJ h5CJOJQJ^JaJo(hCJOJQJ^JaJo(hCJKHOJQJ^JaJ!hCJKHOJQJ^JaJo($h5CJKHOJQJ^JaJo(6H8H:HHBHDHHHJHNHPHTHVHbHdHfHjHlHxHzH|H~HHHHhQJ^Jo(h$0JmHnHu h0Jjh0JUjhUhRHTHfHhHjHHHHHHh]h&`#$ 0182P. 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