The prevalence of chronic rhinosinusal disease can range from 3.5% to 9.6% of the general population, according to epidemiological studies published in different countries (Europe, Canada or South Korea). In the United States, chronic rhinosinusitis can affect more than 10% of the population (ranking second among chronic pathologies), or can account for 2% of coded clinical episodes. Rhinosinus diseases in general (acute and chronic inflammatory, tumor and systemic diseases that affect the respiratory tract) generate a great impact on the quality of life, causing socio-economic costs, direct and indirect, of great magnitude. For example, the direct cost of chronic rhinosinusitis in the United States is estimated to be an annual cost per patient of $ 2,609. The figure calculated for an average European patient is around 1,500 euros per year. Patients with chronic rhinosinusitis with nasal polyps shoot up these figures due to the need at some point for at least one surgical procedure, with an estimated surgical cost of around 5,600 euros. Rhinosinusal pathology is also affected by different comorbidities (asthma, allergy, COPD) within the most current concept of single airway diseases. Through the study of quality of life, it has been appreciated that the impact of chronic rhinosinusitis can be similar to that of chronic obstructive pulmonary disease, and even greater than that of other pathologies such as high blood pressure, migraines, angina pectoris or head and neck cancer.
Recent studies have revealed recurrent errors and deficiencies in the treatment of some rhinosinus and skull base pathologies, due to the constant evolution and development of knowledge in this field. These deficiencies end up resulting in insufficient treatment or persistence of the pathologies addressed (persistence of sinusitis, recurrence of sinonasal polyposis, insufficient treatment of sinonasal tumors, reoperations, etc.). All of this entails not only a limited quality of care, and low quality of life standards for patients, but also an increase in healthcare costs in a context where the efficacy, effectiveness and efficiency of healthcare actions must prevail. This aspect has given rise to the need for continuous training to solve possible deficits that could appear among professionals dedicated to this area. Not only the specialists who work in centers of smaller volume of rhinosinusal and skull base pathology, but also those in leading academic centers, are subject to these needs for training updating due to the constant evolution of the specialties.
These training needs can be identified from multiple indicators such as: clinical management indicators, clinical management activities themselves, the rise of training courses (Nasosinusal Endoscopic Surgery Courses, Skull Base Surgery), attendance at congresses of scientific societies (SEORL, SEBAC, SENEC, etc), the rise of meetings of specific societies (Spring Meeting of Rhinology and anterior skull base of the SEORL, etc), monographic webinars (Barcelona Rhinology School, Richard Harvey Canal , European Rhinology Society canal), etc. These training solutions can provide, in some cases, disaggregated, uneven knowledge with few quality controls. This growing training offer shows a demand for knowledge on the subject, to which a global response has not yet been given. This demand for training, in the field of rhinology and skull base, does not emanate from the different Quality Plans or Health Plans of the health systems of the Autonomous Communities specifically. Although it is true, interesting training models are being developed in some ENT fields, such as: general degrees in otorhinolaryngology or university experts aimed at other areas of the different specialties involved, such as voice or audiology. All this makes evident the need to develop a specific program for Rhinology and Skull Base with a broad and deep character, based on current issues, and in constant revision, for the clinical application of the different specialties involved in this field (Otorhinolaryngology, Neurosurgery, Allergology, Pulmonology).
The Master of Advanced Rhinology and Anterior Skull Base aims to provide an answer in this regard, in the form of an extensive, homogeneous training program with proven quality standards. The fundamental objective is to be able to apply the incorporated knowledge of this training program, in the map of competences of the different specialties involved. This offer will also be extended to the area of clinical research, surgical research and continuous innovation. The teachers involved, of Andalusian initiative, will be part of an accredited team, with training and care experience, incorporating regional and national talent. This training program will be carried out in an environment (International University of Andalusia) that is innovative, advanced and with great added value, both on a human and technological level, of great national and international projection.Academic programThe Master's Degree in Advanced Rhinology and Anterior Skull Base has a total of 60 ECTS, distributed in the following Modules:Module 1. Generalities: anatomy of the paranasal fossa and sinuses. skull base anatomy. sinonasal physiology. semiology
Module 2. Inflammatory rhinosinusal and skull base pathology
Module 3. Rhinosinusal and skull base tumor pathology
Module 4. Nasosinusal and skull base surgery
Module 5. Practices (face-to-face)
Module 6. Master's final project