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Pediatric neurology Why do we need Laryngology subspeciality programme ? Head and neck surgery Pediatric ORL Thoracic surgery Phoniatrics Audiology
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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
10
15
20
25
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
40
60
80
100
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
0
20
40
60
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
0
20
40
60
80
100
120
140
German
y
Franc
e
United
King
dom Ita
ly
Spain
Netherla
nds
Greec
e
Portuga
l
Belgium
Sweden
Austria
Finlan
d
Denmark
Num
ber o
f lar
yngo
logi
sts
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)
0
5
10
15
20
25
30
35
40
45
50
