laryngology subspeciality in orl-hns heikki rihkanen past president of the european laryngological...

Laryngology subspeciality in ORL-HNSLaryngology subspeciality in ORL-HNS

Heikki RihkanenHeikki RihkanenPast President of the European Laryngological SocietyPast President of the European Laryngological SocietyHelsinki University HospitalHelsinki University HospitalDept ORL-HNSDept ORL-HNS

Why do we need Laryngology subspeciality programme ?

Pediatric neurology

Why do we need Laryngology subspeciality programme ?

Head and neck surgery

Pediatric ORL

Thoracic surgery

Phoniatrics

Audiology

Pediatric neurology

Why do we need Laryngology subspeciality programme ?

Head and neck surgery

Pediatric ORL

Thoracic surgery

Phoniatrics

Audiology

Laryngology

Why do we need Laryngology subspeciality programme ?

ENT-surgeon who

appreciates voice as a unique personal characteristic and way of communication

gains technical skills in imaging and assessment of vocal fold and swallowing, and analysis of voice

gains surgical skills to apply modern methods to improve laryngeal function

gets used to team-work: HNS, Ped-ORL, Anesthesia, Phoniatrics, Oncological board etc.

Why do we need Laryngology subspeciality programme ?

• It is a small entity within the ENT: Outpatient visits

Number of outpatient visits in Helsinki University Hospital

(N= 58 000/year)

02000400060008000

10000120001400016000

Why do we need Laryngology subspeciality programme ?

• It is a small entity in the ENT: Operated patients

% of operated patients (Helsinki University Hospital N =6700/year)

0

5

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30

35

Ped-ENT Rhinology HNS Otology Emergency Laryngology

%

Why do we need Laryngology subspeciality programme ?

• Proportion of operated patients in the midway

Operated patients/outpatient visits (Helsinki University Hospital)

0

0,05

0,1

0,15

0,2

0,25

0,3

Ped-ENT Rhinology HNS Laryngology Emergency Otology

Why do we need Laryngology subspeciality programme ?

Practicing ENT doctors/1 000 000 inhabit. Source: Eurostat 2009

0

20

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120

Why do we need Laryngology subspeciality programme ?

If H&NS and Phoniatrics are well presented,I estimate that we need one laryngologist/ 700 000 inhabitants =

1,4/ 1 milj

Practicing ENT doctors/1 000 000 inhabit. Source: Eurostat 2009

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80

100

120

Why do we need Laryngology subspeciality programme ?

We need to bring in standards for proper surgical care of larynx and its education

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German

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Austria

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Estimated need

ELS members

Why do we need Laryngology subspeciality programme ?

• The European Laryngological Society will support this activity by– setting standards– education– funding scholarships– research ELS members 2012 (Source: ELS membership register)

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