The integrated course aims to prepare the student to face the clinical problems related to the entire cervico-cephalic district with which he could come into contact during his professional activity.
In concrete terms, the student's preparation for a global and correlated knowledge of head and neck district diseases can be ensured by achieving the following objectives:
a) Knowledge and understanding: to provide the basics of semiotics and therefore of diagnosis for malformative, traumatic, degenerative and tumoral pathologies of the cervicocephalic district including possible nose-sinus, oral and oropharyngeal, laryngeal, cervical, acoustic and vestibular apparatus of possible reflected in the practice of the medical profession,
b) Applied knowledge and understanding: providing knowledge on the medical and surgical treatments of the most common inflammatory, traumatic, degenerative and tumor diseases of the head and neck district, of neoplastic diseases (latero-cervical emptying, pull-through, hollow tumor exeresis) oral transmandibular pathways, paralatero-nasal and endoscopic ethmoidectomies, maxillary resections, radio-chemo-surgical protocols), cutaneous and mucosal pathologies and reconstructive procedures (myocutaneous, myofascial and cutaneous flaps; vascularized grafts; rhinoplasty).c) Making judgments: it is essential to provide the future doctor-surgeon with informative elements to be able to suspect and confirm the diagnosis of pathology in the head-neck region and therefore to orientate his knowledge towards basic elements of prognosis and therapy. The precise semeiological knowledge of neoplastic lesions in the initial phase will allow the patient to be directed towards rapid and targeted diagnostic procedures in order to reach an early diagnosis and therefore a significant improvement of the prognosis. The notions will be strengthened through presentation of videos and participation of students both in the department activity and in the operating room of the individual specialist branches of the integrated course.
d) Communication skills: through the ability to communicate with other specialists for neoplastic and non-neoplastic diseases, the patient must receive from the specialist appropriate advice able to address clinically and operationally the patient.
e) Ability to learn: To have developed the learning skills that allow them to undertake subsequent studies with a high degree of autonomy.

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• Diseases of nose ad paranasal sinuses
• Inflammatory and neoplastic diseases of the oral cavity
• Inflammatory and neoplastic diseases of the pharynx and larynx
• Inflammatory and neoplastic diseases of the salivary glands
• The neck. Inflammatory diseases, Neck masses, deep neck infections
• Inflammatory diseases of external and middle ear. Chronic otitis and complications.
• Diseases of the inner ear: deafness and vertigo

1) Albera Rossi Otorinolaringoiatria
2) Pignataro Trattato di otorinolaringoiatria

1-2 Anatomy and physiology of the nasal cavities and paranasal sinuses. Trauma of the nasal pyramid. Acute and chronic rhinosinusitis, polypoid, infectious and allergic. Vasomotor rhinitis. Tumors of the facial massif. Nasopharyngeal tumors. Elements of nasoscopic endoscopic surgery.
3-4-Anatomy of the oral cavity and the oropharynx. Precancerous. Carcinoma of the oral cavity and oropharynx. Acute viral and bacterial pharyngitis. Peritonsillar abscess. The snoring and the obstructive sleep apnea. Elements of oral cavity and oropharynx surgery.
9-10-11 Anatomy and physiology of the hearing system. Otitis externa. Acute otitis media. Effective otitis media. Chronic simple otitis media and cholesteatomatous. Complications of otitis media. Otosclerosis and tympanosclerosis. Sudden idiopathic deafness. Ménière's disease. Deafness due to noise, ototoxicity, presbycusis. Congenital deafness and deaf-mutism. Acoustic neurinoma. Audiometric investigations (tonal and vocal audiometric examination; impedenzometry; auditory electrical potentials). Benign paroxysmal vertigo of position. Acute and chronic vertigo, clinical orientation and instrumental investigations. Central vertigo: differential diagnosis. Elements of otosurgery. Clinical-diagnostic paths.
-Anosmia.
-Epistaxis.
-Nasal respiratory obstruction.

- Inflammatory and non-inflammatory neck swellings.
-Dysphagia.
- Inspiratory dyspnea.
-Disfonia

-Otalgia and otorrhea.
- Unilateral deafness recently arisen.
- Acute vertigo syndrome.5-6-Phlogistic diseases of the larynx; nodules of the vocal cords. Malignant tumors of the larynx. The tracheotomy. Elements of laryngeal surgery.
7-Anatomy of the major salivary glands and facial nerve: scialoadenitis, scialolithiasis, tumors. Facial nerve paralysis in ENT.
8-Anatomy of the neck. The laterocervical metastases. Lymphadenitis, dysembriogenetic cysts, fasciitis and phlegmon. Faringophageal foreign bodies. Elements of surgery: lymph node laterocervical emptying.

frontal lessons; seminar activities; operating room

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The achievement of the expected learning outcomes indicated in the educational objectives will be obtained through a written exam that covers the teaching module. The exam consists of 6 open-ended questions; the questions are developed based on the educational program. There are no intermediate tests, labs, or project presentations; however, theoretical exercises are included during the frontal lessons.

The final evaluation is expressed in thirtieths, and the score is assigned as follows:

- Excellent (30-30 cum laude): excellent knowledge of the subjects, excellent language proficiency, excellent analytical skills; the student is capable of applying theoretical knowledge brilliantly to real-life cases.
- Very Good (27-29): good knowledge of the subjects, remarkable language proficiency, good analytical skills; the student is capable of correctly applying theoretical knowledge to real-life cases.
- Good (24-26): good knowledge of the main topics, reasonable language proficiency; the student demonstrates an adequate ability to apply theoretical knowledge to real-life cases.
- Satisfactory (21-23): the student does not show full mastery of the main teaching topics but possesses fundamental knowledge; nonetheless, they demonstrate satisfactory language proficiency and sufficient ability to apply theoretical knowledge to real-life cases.
- Pass (18-20): minimal knowledge of the main teaching topics and technical language, limited ability to adequately apply theoretical knowledge to real-life cases.
- Fail (<18): the student does not possess an acceptable knowledge of the various program contents.

The grade on a thirtieth scale for this module will be used to calculate the overall grade for the integrated exam based on the weighted average of individual modules.

This course explores topics closely related to one or more goals of the United Nations 2030 Agenda for Sustainable Development (SDGs)