Professor Mahmood Bhutta , Consultant & Honorary Professor in ENT, Brighton and Sussex University Hospitals

ENT Grand Rounds Online 23rd March 2021

Curriculum topics (UK Otolaryngology Higher Surgical Training 2017)
1. Paediatric otolaryngology - Otitis media (acute, chronic and with effusion) and complications and conditions of the external auditory canal; Airway obstruction in adults; Oral pathology
2. Otology - Chronic suppurative otitis media and sequelae

01:10 - Physiology of the middle ear
07:37 - Pathology of the middle ear
11:26 - Indications for mastoidectomy
13:57 - Aims for cholesteatoma surgery
15:53 - Pre-operative imaging
24:07 - Facial nerve monitor
25:19 - Permeatal, endaural and postauricular exposure
28:54 - Combined approach
31:22 - Reducing risk of residual disease
32:21 - Atticotomy or attico-antrostomy and mastoidectomy
33:11 - Complications - Dura and sigmoid sinus bleeding
34:49 - Lateral canal fistula
35:50 - Facial nerve injury
37:16 - Reconstruction - canal wall down adjunctive surgery
40:22 - Ossiculoplasty
42:30 - Surgical ventilation?
42:50 - Follow-up - wall-up residual or recurrent disease
44:25 - Follow-up - wall-down mastoid cavity
45:42 - Wall-up v wall-down
45:23 - The discharging mastoid cavity
48:18 - Summary
50:17 - Q&A

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