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Laryngology subspeciality in Laryngology subspeciality in ORL-HNS ORL-HNS Heikki Rihkanen Heikki Rihkanen Past President of the European Laryngological Society Past President of the European Laryngological Society Helsinki University Hospital Helsinki University Hospital Dept ORL-HNS Dept ORL-HNS
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Laryngology subspeciality in ORL-HNS Heikki Rihkanen Past President of the European Laryngological Society Helsinki University Hospital Dept ORL-HNS.

Jan 06, 2018

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Brianna Dennis

Pediatric neurology Why do we need Laryngology subspeciality programme ? Head and neck surgery Pediatric ORL Thoracic surgery Phoniatrics Audiology
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Page 1: Laryngology subspeciality in ORL-HNS Heikki Rihkanen Past President of the European Laryngological Society Helsinki University Hospital Dept ORL-HNS.

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

Page 2: Laryngology subspeciality in ORL-HNS Heikki Rihkanen Past President of the European Laryngological Society Helsinki University Hospital Dept ORL-HNS.

Why do we need Laryngology subspeciality programme ?

Page 3: Laryngology subspeciality in ORL-HNS Heikki Rihkanen Past President of the European Laryngological Society Helsinki University Hospital Dept ORL-HNS.

Pediatric neurology

Why do we need Laryngology subspeciality programme ?

Head and neck surgery

Pediatric ORL

Thoracic surgery

Phoniatrics

Audiology

Page 4: Laryngology subspeciality in ORL-HNS Heikki Rihkanen Past President of the European Laryngological Society Helsinki University Hospital Dept ORL-HNS.

Pediatric neurology

Why do we need Laryngology subspeciality programme ?

Head and neck surgery

Pediatric ORL

Thoracic surgery

Phoniatrics

Audiology

Laryngology

Page 5: Laryngology subspeciality in ORL-HNS Heikki Rihkanen Past President of the European Laryngological Society Helsinki University Hospital Dept ORL-HNS.

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.

Page 6: Laryngology subspeciality in ORL-HNS Heikki Rihkanen Past President of the European Laryngological Society Helsinki University Hospital Dept ORL-HNS.

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

Page 7: Laryngology subspeciality in ORL-HNS Heikki Rihkanen Past President of the European Laryngological Society Helsinki University Hospital Dept ORL-HNS.

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

%

Page 8: Laryngology subspeciality in ORL-HNS Heikki Rihkanen Past President of the European Laryngological Society Helsinki University Hospital Dept ORL-HNS.

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

Page 9: Laryngology subspeciality in ORL-HNS Heikki Rihkanen Past President of the European Laryngological Society Helsinki University Hospital Dept ORL-HNS.

Why do we need Laryngology subspeciality programme ?

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

0

20

40

60

80

100

120

Page 10: Laryngology subspeciality in ORL-HNS Heikki Rihkanen Past President of the European Laryngological Society Helsinki University Hospital Dept ORL-HNS.

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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20

40

60

80

100

120

Page 11: Laryngology subspeciality in ORL-HNS Heikki Rihkanen Past President of the European Laryngological Society Helsinki University Hospital Dept ORL-HNS.

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

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

Page 12: Laryngology subspeciality in ORL-HNS Heikki Rihkanen Past President of the European Laryngological Society Helsinki University Hospital Dept ORL-HNS.

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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