HSC Section 8_April 2017

Introduction The Home Study Course is designed to provide relevant and timely clinical information for physicians in training and current practitioners in otolaryngology - head and neck surgery. The course, spanning four sections, allows participants the opportunity to explore current and cutting edge perspectives within each of the core specialty areas of otolaryngology. The Selected Recent Material represents primary fundamentals, evidence-based research, and state of the art technologies in otology and neurotology. The scientific literature included in this activity forms the basis of the assessment examination. The number and length of articles selected are limited by editorial production schedules and copyright permission issues, and should not be considered an exhaustive compilation of knowledge on otology and neurotology. The Additional Reference Material is provided as an educational supplement to guide individual learning. This material is not included in the course examination and reprints are not provided. Needs Assessment AAO-HNSF’s education activities are designed to improve healthcare provider competence through lifelong learning. The Foundation focuses its education activities on the needs of providers within the specialized scope of practice of otolaryngologists. Emphasis is placed on practice gaps and education needs identified within eight subspecialties. The Home Study Course selects content that addresses these gaps and needs within all subspecialties. Target Audience The primary audience for this activity is physicians and physicians-in-training who specialize in otolaryngology-head and neck surgery. Outcomes Objectives The participant who has successfully completed this section should be able to: 1. Use diagnostic criteria for vestibular migraine and management options. 2. Review the diagnostic criteria and medical and surgical management options for Ménière’s disease. 3. Discuss the radiologic evaluation essential to rule out treatable pathologies causing pulsatile tinnitus. 4. Manage and treat fungal and bacterial malignant otitis externa. 5. Evaluate the recurrence rate after cholesteatoma surgery and the use of diffusion-weighted MRI in diagnosing recurrence. 6. Discuss the hearing outcome results of the U.S. Hybrid L trial and understand candidacy criteria and hearing preservation outcomes. 7. Describe the potential benefits of the Baha Attract system for patients with mixed and conductive hearing losses. 8. Articulate the hearing rehabilitative options for patients with single-sided deafness (SSD) and the superior benefits obtained with cochlear implant when compared to CROS and BAHA systems. 9. Recognize that there is no difference in hearing in noise between the CROS and BAHA systems. 10. Agree that stereotactic radiation is an effective treatment for intracranial and intratemporal facial nerve schwannomas. 11. Relate the advantages of the middle fossa approach for the management of facial nerve paralysis after trauma. 12. Explain the use of electroneuronography to determine the need for surgical intervention in acute facial palsy. 13. Review the typical clinical otologic findings in temporal bone fractures in children.