26 Surgery of the Ear, Nose, Pharynx, and Larynx
CHAPTER LESSON PLANS & OBJECTIVES
Lesson 26.1: Anatomy and Case Planning
- 1. Identify the key anatomical structures of the ear, nose, pharynx, and larynx
- 2. Discuss key aspects of case planning, including instrumentation, for ear, nose, pharynx, and larynx procedures
Lesson 26.2: Common Procedures
- 3. Describe common procedures of the ear, nose, pharynx, and larynx
Classroom Preparation
Lesson 26.1: Anatomy and Case Planning
INSTRUCTOR PREPARATION
Textbook Objectives Covered
- 1. Identify the key anatomical structures of the ear, nose, pharynx, and larynx
- 2. Discuss key aspects of case planning, including instrumentation, for ear, nose, pharynx, and larynx procedures
National Standards Covered
- • See the Fuller 8e/AST Core Curriculum Mapping Guide on Evolve instructor resources.
Classroom Preparation
Lesson 26.1: Anatomy and Case Planning
STUDENT PREPARATION (1 hr)
| 1 | READ – Chapter Heading(s) • Introduction—Ear • Surgical Anatomy—Ear External Ear Middle Ear Inner Ear • Sound Transmission in the Ear • Introduction—Nasal Cavity, Oropharynx, and Larynx • Surgical Anatomy—Nasal Cavity, Oropharynx, and Larynx External Nose Nasal Cavity and Sinuses Oral Cavity Pharynx Larynx • Introduction—Neck • Surgical Anatomy—Neck Nerves, Vascular Supply, and Muscles of the Neck Salivary Glands Thyroid Gland ANSWER – Workbook • Chapter 26 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 2 | READ – Chapter Heading(s) • Diagnostic Procedures—Ear Clinical Examination of the Ear • Case Planning—Ear Positioning Prepping and Draping Irrigation Instruments Equipment and Supplies • Diagnostic Tests—Nasal Cavity, Oropharynx, and Larynx • Case Planning—Nasal Cavity, Oropharynx, and Larynx Prepping and Draping Equipment and Supplies Nasal Instruments Tonsil and Adenoid Instruments Shaver and Drills Sinus Scope • Case Planning—Neck Positioning the Patient for Neck Surgery Draping Instruments Dressings Medications ANSWER – Textbook • Review Questions 2, 4, 5 ANSWER – Workbook • Chapter 26 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
50-Minute Lesson Plan
Lesson 26.1: Anatomy and Case Planning
LECTURE OUTLINE (50 min)
| POWERPOINT SLIDES | CHAPTER HEADING(S) | |
| 1 | ANATOMY: SLIDES 4-7 | • Introduction—Ear • Surgical Anatomy—Ear External Ear Middle Ear Inner Ear • Sound Transmission in the Ear • Introduction—Nasal Cavity, Oropharynx, and Larynx • Surgical Anatomy—Nasal Cavity, Oropharynx, and Larynx External Nose Nasal Cavity and Sinuses Oral Cavity Pharynx Larynx • Introduction—Neck • Surgical Anatomy—Neck Nerves, Vascular Supply, and Muscles of the Neck Salivary Glands Thyroid Gland |
| 2 | CASE PLANNING: SLIDES 8-10 | • Diagnostic Procedures—Ear Clinical Examination of the Ear • Case Planning—Ear Positioning Prepping and Draping Irrigation Instruments Equipment and Supplies • Diagnostic Tests—Nasal Cavity, Oropharynx, and Larynx • Case Planning—Nasal Cavity, Oropharynx, and Larynx Prepping and Draping Equipment and Supplies Nasal Instruments Tonsil and Adenoid Instruments Shaver and Drills Sinus Scope • Case Planning—Neck Positioning the Patient for Neck Surgery Draping Instruments Dressings Medications |
Learning Activities (choose one or more to equal 50 min)
| 1 | DISCUSS (30 min) • Discuss the anatomical structures of the nose with the class. • Have each student share a trick or memory aid he or she found to remember key anatomical sites in the head and neck. Share the memory aids and tricks so that all class members can benefit. Appropriate Settings: Traditional/online/flipped classroom REVIEW (30 min) • Draw on the board a semicircle representing the auricle, with two parallel lines extending from the open side representing the auditory canal. One at a time, have each member of the class come to the board and add an anatomical feature to the drawing and label it. Appropriate Settings: Traditional classroom |
| 2 | DEMONSTRATE (50 min) • Demonstrate the specific elements of case planning for ear surgery. Include setting up the room, instruments, and special equipment. If time permits, allow the students to practice these steps. • Demonstrate the specific elements of case planning for nasal surgery. Include setting up the room, instruments, and special equipment. If time permits, allow the students to practice the steps. • Demonstrate the specific elements of case planning for neck surgery. Include setting up the room, instruments, and special equipment. If time permits, allow students to practice these steps. Appropriate Settings: Traditional classroom DISCUSS (30 min) • Discuss the common diagnostic procedures of the ear with the class. Appropriate Settings: Traditional/online/flipped classroom |
Critical Thinking Question
Many patients requiring surgery of the ear have special needs. Some are children, but nearly all have alterations in their hearing. These alterations can affect their perception of the world. How might you influence the environment in the OR to make them as comfortable as possible?
Discussion Guidelines: Students should recognize the need for quiet when the patient enters the OR. Sounds tend to echo in the OR suite, and sensations of the patient are altered, even if he or she is premedicated. Scrubs can help the therapeutic milieu by being adequately prepared, minimizing instrument and supply noise, and keeping conversation minimal and at a low volume.
Classroom Preparation
Lesson 26.2: Common Procedures
INSTRUCTOR PREPARATION
Textbook Objectives Covered
- 3. Describe common procedures of the ear, nose, pharynx, and larynx
National Standards Covered
- • See the Fuller 8e/AST Core Curriculum Mapping Guide on Evolve instructor resources.
Classroom Preparation
Lesson 26.2: Common Procedures
STUDENT PREPARATION (1 hr)
| 3 | READ – Chapter Heading(s) • Endoscopic Ear Surgery Equipment Room Set up • Endoscopic Tympanotomy • Open Procedures of the Ear Myringotomy Myringoplasty Tympanoplasty Mastoidectomy Stapedectomy Cochlear Implant • Surgical Procedures—Nasal Cavity, Oropharynx, and Larynx Endoscopic Sinus Surgery Caldwell-Luc Procedure Turbinectomy/Turbinate Reduction Septoplasty Open Rhinoplasty Tonsillectomy Adenoidectomy Uvulopalatopharyngoplasty Laryngoscopy Tracheotomy/Tracheostomy • Surgical Procedures—Neck Parotidectomy Modified Radical Neck Dissection Glossectomy Laryngectomy Temporomandibular Joint Arthroplasty ANSWER – Textbook • Review Questions 1, 3 ANSWER – Workbook • Chapter 26 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
50-Minute Lesson Plan
Lesson 26.2: Common Procedures
LECTURE OUTLINE (50 min)
| POWERPOINT SLIDES | CHAPTER HEADING(S) | |
| 3 | COMMON PROCEDURES: SLIDES 12-14 | • Endoscopic Ear Surgery Equipment Room Set up • Endoscopic Tympanotomy • Open Procedures of the Ear Myringotomy Myringoplasty Tympanoplasty Mastoidectomy Stapedectomy Cochlear Implant • Surgical Procedures—Nasal Cavity, Oropharynx, and Larynx Endoscopic Sinus Surgery Caldwell-Luc Procedure Turbinectomy/Turbinate Reduction Septoplasty Open Rhinoplasty Tonsillectomy Adenoidectomy Uvulopalatopharyngoplasty Laryngoscopy Tracheotomy/Tracheostomy • Surgical Procedures—Neck Parotidectomy Modified Radical Neck Dissection Glossectomy Laryngectomy Temporomandibular Joint Arthroplasty |
Learning Activities (choose one or more to equal 50 min)
| 3 | DISCUSS (50 min) • Break into small groups. Give each group a blank transparency and a marker. Have each group populate its “Mayo tray” on the sheet for a stapedectomy. Have a spokesperson from each group take its transparency to another group for evaluation. • Break into small groups. Give each group a blank transparency and a marker. Have each group populate its “Mayo tray” on the sheet for a septoplasty. Have a spokesperson from each group take its transparency to another group for evaluation. Appropriate Settings: Traditional/online/flipped classroom |
Critical Thinking Question
All procedures covered in this chapter are performed on the head and neck area. These procedures all involve different approaches in draping and prepping. What other special considerations might apply?
Discussion Guidelines: Students should recognize that the eyes need to be protected at all times. Special effort should be made to keep track of instruments and electrosurgical unit (ESU) pencils by returning them to the Mayo tray.
A tracheostomy is, at times, performed emergently. Review the technique. How is this similar to an emergent laparotomy?
Discussion Guidelines: Students should recognize the importance of visualization and hemostasis in emergent procedures. It is also critical to have the airway on hand during a tracheostomy.
Why should a tracheotomy set be available during thyroidectomy?
Discussion Guidelines: A tracheotomy set should be available during thyroidectomy because of the possible risk of injury to the recurrent laryngeal nerve, which could cause bilateral vocal cord paralysis.
Assessments
Chapter 26: Surgery of the Ear, Nose, Pharynx, and Larynx
ASSESSMENTS BY OBJECTIVE
| 1-3 | Workbook • Chapter 26 Evolve Instructor Resources • Test Bank Create a quiz using ExamView; sort by objective. Evolve Student Resources • Mock Certification Exam • Review Questions |
| All | Elsevier Adaptive Quizzing • Chapter 26 – Graded quizzes (Mastery Levels 1, 2, and 3) |
