COURSE CONTENT
1. INTRODUCTION TO COMMUNICATION DISORDERS – NON-VERBAL COMMUNICATION
a. Definition of communication b. Need to communicate c. Forms of communication
i. Verbal
ii. Non-verbal
d. What is non-verbal communication?
e. Importance of non-verbal communication f. Types of non-verbal communication
i. Voluntarily
ii. Unintentionally
g. Forms of non-verbal communication
i. Eye contact
ii. Appearance iii. Facial expressions iv. Body posture
v. Physical / tactile contact
vi. Characteristics
vii. Personal space – Distance
h. Non-verbal communication in the world
i. Non-verbal communication disorders
j. Treatment of non-verbal communication disorders
2. CHILDREN'S WEIGHT LOSS
• Anatomy (ear, central auditory canal)
• Physiology of hearing
• Role of hearing in the development of speech and speech
• The importance of early diagnosis i. Neuroplasticity of the brain ii. Universal Newborn Screening
• High-risk newborns
• Causes of childhood hearing loss
i. Hereditary
1. GJB2 (connexin 26) gene
ii. Relative
1. TORCH infections
2. Prematurity
3. Ototoxic drugs - substances 4. Diabetes
iii. Acquired
1. Secretory otitis
2. Infections (meningitis, mumps) 3. Temporal bone fractures
4. Ototoxic drugs
5. Perforations of the tympanic membrane
g. Diagnostic methods – Objective audiometry i. Aural broadcasts
ii. Acoustically evoked potentials
h. Treatment of childhood hearing loss i. Cochlear implant
ii. Brain stem implant
3. COCHELICAL IMPLANT
What is a cochlear implant? How is it different from a regular hearing aid?
• What the cochlear implant consists of and how it works
• Patient selection criteria for cochlear implant placement in children
• Criteria for selecting adult patients for cochlear implant placement
i. Unilateral or bilateral placement
• Factors influencing the success of the intervention
• Classification of patients
i. Congenital or prelingually deaf ii. Postlingually deaf
• Cochlear implant placement surgery
• Complications of surgery
• After surgery
i. Cochlear implant fitting and adjustment
ii. Speech therapy intervention
• Benefit of patients on a psychological and social level
• Cost-Benefit
4. BARICOIA IN ADULTS
a. Forms of hearing loss
i. Conductive hearing loss ii. Sensorineural hearing loss iii. Mixed type hearing loss
b. Diagnostic methods
i. Tone audiometry
ii. Speech audiometry
c. Classification of hearing loss according to severity d. Causes of hearing loss in adults
e. Treatment of hearing loss
i. Conservative treatment ii. Surgical treatment
1. Placement of ventilation tubes 2. Tympanoplasty
3. Anabolotomy
4. Removal of cholesteatoma
iii. Hearing aids 1. Behind the ear
2. Intraocular
3. Intracanals
4. Fully in-channel
5. Bone-implanted hearing aids 6. CROS type hearing aids
5. VOICE DISORDERS
a. Anatomy-Physiology of phonation b. Causes of interdisciplinarity of phonation
i. Organic causes
1. Congenital disorders
2. Inflammations
3. Damages
4. Tumors
5. Endocrine disorders 6. Neurological causes
ii. Functional disorders
1. Hyperfunctional dysphonia 2. Hypofunctional dysphonia 3. Spastic dysphonia
iii.Psychogenic disorders
c. Examination-investigation of voice disorders
i. Subjective assessment of dysphonia
ii. Indirect laryngoscopy iii. Video-strobeoscopy iv. Microlaryngoscopy under general anesthesia v. Acoustic analysis of the voice vi. Electrophysiological methods
d. Principles of treating voice disorders i. Conservative treatment
ii. Speech therapy
iii. Surgical treatment
e. Methods of communication for laryngectomists i. Laryngophone
ii.Esophageal speech iii.Voiceal intentions
6. OLFACTORY DISORDERS
a. Anatomy – Physiology
b. Importance of olfaction in communication
i. Olfactory communication of mother and newborn ii. Olfactory memories
iii. Pheromones and sexual attraction
iv. Effect on mood and stress levels c. Olfactory disorders
d. Diagnostic test
e. Treatment of olfactory disorders
i. Conservative treatment ii. Surgical treatment
7. PARALYSIS OF PERSONAL NERVE
• The importance of facial movements in our daily life
i. Normal facial expressions in the context of non-verbal communication
ii. Appearance
iii. Chewing
iv. Speech
v. Eye protection
• Anatomy of the facial nerve i. Facial nerve fibers ii.Parts of facial nerve iii.Branches of facial nerve
c. Classification of facial nerve injuries i. Neuropraxia
ii. Axonotomy iii.Neurotomy iv.Full transection
d. House-Brackmann classification e. Causes of staff paralysis
i. Congenital causes
ii. Infections
iii. Damages
iv. Neoplasms
v. Neurological diseases
f. Diagnostic test
g. Prognosis depending on the cause of paralysis h. Dealing with staff paralysis
i. Conservative methods 1. Cortisone
2. Acyclovir ii. Surgical methods iii. Eye care
8. MEDICAL COMMUNICATION DISORDERS
a. Aphasia after laryngectomy
i. Alternative methods of communication
1. Laryngophone
2. Esophageal speech
3. Voice prepositions
b. Hard of hearing – Deafness
i. Surgical procedures that may cause hearing loss or deafness
1. Tympanoplasty
2. Removal of cholesteatoma
3. Anabolectomy
4. Deafness after removal of an acoustic neurinoma
ii. Treatment options for unilateral deafness 1. BAHA
2. CROS type hearing aid
iii. Treatment options for bilateral deafness
1. Auditory brainstem implant
c. Transection of facial nerve
i. Surgical options to restore facial nerve function
ii. Eye care
• Transection of laryngeal nerves
i. Treatment of unilateral palindromic laryngeal paralysis
ii.Treatment of bilateral paralysis
• Transection of sublingual nerve
• Chord section of the drum
• Olfactory disorders after endoscopic surgery of the nose and paranasal sinuses
9. EYE DISEASES
a. What parameters of daily life does low vision affect?
i. Independence-Self-Care ii. Education
iii. Family life
iv. Social life
v. Career
vi. Recreational Activities-Sports
• Causes of low vision in children
• Family-Parental reactions-Raising an infant with low vision
• Communication problems of children with low vision
• Education of the visually impaired child i. Writing and reading
1. Braille writing
2. Speech synthesizers
• Causes of low vision in adults
• Low vision aids
10. NEUROLOGICAL DISEASES
11. PRESENTATION OF INCIDENT
Inviting patients (deaf or laryngectomized) in order to discuss and analyze the problems they face in their daily life.
At the same time, reference will be made to the methods that ensure the patient a better quality of life.
Alternatively
Challenge a member of the deaf patient's environment in order to analyze all of the above.
Alternatively
Invitation of a special education teacher in order to discuss the difficulties related to the education of children with communication disorders and the ways in which they are dealt with.
12. REPETITION
In the context of this course, a summary of all the above topics will be made.
EVALUATION OF STUDENTS
The evaluation of the students and their final grade will take place through exams or through the presentation of a work. The exams will include multiple choice questions (20-30).
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