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

2. Why do we need Laryngology subspeciality programme ?

3. Pediatric neurology Why do we need Laryngology subspeciality programme ? Head and neck surgery Pediatric ORL Thoracic surgery Phoniatrics Audiology

4. Pediatric neurology Why do we need Laryngology subspeciality programme ? Head and neck surgery Pediatric ORL Thoracic surgery Phoniatrics Audiology Laryngology

5. 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.

6. Why do we need Laryngology subspeciality programme ? It is a small entity within the ENT: Outpatient visits

7. Why do we need Laryngology subspeciality programme ? It is a small entity in the ENT: Operated patients

8. Why do we need Laryngology subspeciality programme ? Proportion of operated patients in the midway

9. Why do we need Laryngology subspeciality programme ?

10. If H&NS and Phoniatrics are well presented, I estimate that we need one laryngologist/ 700 000 inhabitants = 1,4/ 1 milj

11. Why do we need Laryngology subspeciality programme ? We need to bring in standards for proper surgical care of larynx and its education

12. Why do we need Laryngology subspeciality programme ? The European Laryngological Society will support this activity by –setting standards –education –funding scholarships –research