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Panelists: Adrian James (Toronto) Susan Douglas (Rotherham) Will Hellier (Southampton) Keith Trimble (Belfast) Chair Mike Saunders (Bristol) Curriculum topics (UK Otolaryngology Higher Surgical Training 2017) 1. Paediatric Otolaryngology - Otitis media and complications 00:05 - Perforated ear drum in 5 year old, conservative management versus myringoplasty 07:00 - Treating myringitis 08:55 - Operating on a discharging ear that is not responding to treatment 14:09 - Perforated ear drum in 8 year old, discussion of management 20:48 - Small perforation with 'snail tracking', discussion of management 22:00 - Tiny perforation 1 year after myringoplasty and a history of chronic ear infections, discussion of management 25:55 - Retraction of the tympanic membrane - classification, which patients will progress, surgical options 31:05 - Which pockets need surgery with images and grading 37:15 - Grade 4 retraction management including discussion of cartilage tympanoplasty 44:56 - Retraction pocket images and discussion of investigations, management, including amputation of retraction pockets 56:36 - Case of young child with bilateral cholesteatoma, discussion of surgical options and KTP laser therapy 01:08:33 - Case of retracted drum, cholesteatoma and erosion of ossicles, discussion on preserving/restoring hearing in cholesteatoma surgery 01:21:49 - 1 year old with 2 episodes of meningitis - cochleovestibular malformation, discussion of investigations and management 01:34:44 - Using endoscopes in paediatric ear surgery - endoscope assisted versus totally endoscopic/trans canal ear surgery and one handed surgery, with videos