British Association for Paediatric Otolaryngology (BAPO) Programme

Wednesday 4 July 2018, 11.45-13.15

Specialty Keynote: Paediatric airway – surgery, registries and experience

The BAPO keynote session offers the best international opinions on open airway surgery, the latest updates in databases for endoscopic intervention and will be enhanced by a patient experience session and a panel discussion.   The keynote presentation will feature discussion of the principles and practice of the cricotracheal resection procedure.   This will be complemented by a talk on laryngotracheal reconstruction.  The educational content in both these lectures can be enhanced by the cadaveric dissection session based around these procedures performed by the same presenters (Thursday 1515-1615).  The Airway Intervention Registry will be presented.  Results from balloon dilation of airway stenosis will be shared, and the respiratory papillomatosis component of the database will be launched.

Key learning points

  • Understand the indication and principles of open airway procedures
  • Be aware of results of balloon dilation for airway stenosis
  • Have and understanding of the aims and objectives of the respiratory papillomatosis database
  • Appreciate the impact that airway problems have on our patients

From the session chair

Much of my time and energy over the last 30 years has been dedicated to treating all forms paediatric airway problems and this session brings together some of the best opinions in the field, and some ideas that will lay the foundations for future improvements by collecting data prospectively.

Teaching has been a lifelong passion which still takes up a good proportion of my day, but we can all learn, not only from our colleagues but also from our trainees who challenge accepted practice. Perhaps the best teachers are our patients, but for that we have to learn to listen and at the end of this session you will hear from a remarkable young lady and her mother about what our ‘treatment’ really involves.

Chair: Mr Mike Rothera, Consultant ENT Surgeon, Royal Manchester Children’s Hospital and Salford Royal Hospital, Manchester, UK

Speakers:

Cricotracheal resection for subglottic stenosis
Mr Kishore Sandu, Chief, Airway Sector, Lausanne University Hospital, Switzerland

Cartilage graft expansion of the airway
Mr Ben Hartley, Consultant Paediatric Otolaryngologist, Great Ormond Street Hospital for Children, London, UK

Airway intervention registry
Balloon dilation

Mr Steven Powell,
Consultant Paediatric Otolaryngologist, Great North Children’s Hospital and Freeman Hospital, Newcastle upon Tyne
Recurrent respiratory papillomatosis
Mr Adam Donne

Patient Experience: Parent of child with tracheostomy

Panel discussion


Wednesday 4 July 2018, 14.15-15.15

Update Session: Emergency ENT

The paediatric emergency update session offers a concise 1 hour update on paediatric ENT presentations and will be of interest to all trainees and any ENT surgeons who are responsible for paediatric emergencies.  The session will have 4 succinct 12 minute presentations on important emergency presentations in paediatrics: stridor, complications of sinusitis, complications of acute otitis media and deep neck space infection.  It will conclude with a 12 minute panel discussion with the opportunity for audience members to ask the panel about emergency topics.  Our presenters and panel are leading national paediatric ENT surgeons from Sheffield, Glasgow, Middlesbrough and Liverpool.

Key learning points:

  • Be aware of the best evidence for the management of complications of acute otitis media such as mastoiditis and sigmoid sinus thrombosis
  • Understand the emergency management and differential diagnosis in paediatric stridor
  • Be aware of the latest updates in management of rhinosinusitis complications
  • Understand the presentations and medical and surgical treatment of deep neck space infection

Chair: Mr Steven Powell, Consultant Paediatric Otolaryngologist, Great North Children’s Hospital and Freeman Hospital, Newcastle upon Tyne

Complications of acute otitis media
Mr Ravi Thevasagayam, Clinical Lead Paediatric ENT, Sheffield Children’s Hospital, Sheffield, UK

Paediatric stridor
Tash Kuanandam

Complications of rhinosinusitis
Miss Kate Blackmore, ENT Consultant at The James Cook University Hospital in Middlesbrough; Honorary Clinical Senior Lecturer at the University of Newcastle, UK

Deep neck space infection
Miss Su De, Consultant Paediatric ENT Surgeon at Alder Hey Childrens Hospital, Liverpool, UK

Discussion


Wednesday 4 July 2018, 15.15-16.15

Symposium: Neck Lumps in Children

This Session will cover the commoner neck lumps in children and their diagnosis, clinical assessment and surgical management. Lymph nodes, branchial lesions as well as thyroglossal and pre-auricular anomalies will be discussed by renowned experts.

Key learning points

  • Learn how to assess the comer childrens neck lumps
  • When and how to investigate lymph nodes
  • Diagnosis of branchial lesions
  • Surgical technique and preventing recurrence for thyroglossal and pre-auricular anomalies’

Chair: Mr Ben Hartley, Consultant Paediatric Otolaryngologist, Great Ormond Street Hospital for Children, London, UK

Speakers:

Anomalies of the Branchial Apparatus
Professor Ron Mitchell, Professor of Otolaryngology and Chief of Pediatric Otolaryngology, UT Southwestern Medical Center, Dallas, USA

Thyroglossal and pre-auricular abnormalities- getting it right first time
Mr Neil Bateman

Paediatric lymph nodes: when and how to investigate
Mr Steve Sobol, Associate Professor of Otorhinolaryngology-Head & Neck Surgery, University of Pennsylvania, Perelman School of Medicine, Pediatric Otolaryngology Fellowship Director

Panel Discussion


Thursday 5 July 2018, 10.00-11.00

Symposium: Paediatric OSA – Innovation and developments

Obstructive sleep apnoea is one of the conditions that paediatric ENT surgeons most frequently manage and adenotonsillectomy one of the operations most frequently performed. But what happens when adenotonsillectomy does not solve the problem. Ron Mitchell explores the surgical and non-surgical options as well as what to do when adenotonsillectomy fails. With growing evidence supporting intracapsular tonsillectomy, is extracapsular surgery still justifiable? Dan Tweedie compares techniques while a free paper looking at post-operative pain associated with the two techniques is presented by Mustaffa Junaid. Finally, few operations are as much in the commissioners’ firing line as adenotonsillectomy. Kate Stephenson reviews the evidence supporting our management of OSA.

Chair: Mr Michael Kuo

Speakers:

Paediatric OSA: beyond adenotonsillectomy
Professor Ron Mitchell
, Professor of Otolaryngology and Chief of Pediatric Otolaryngology, UT Southwestern Medical Center, Dallas, USA

Can extra capsular tonsillectomy still be justified?
Mr Dan Tweedie, Consultant Paediatric ENT Surgeon, Evelina London Children’s Hospital (Guy’s and St Thomas’ NHS Foundation Trust), UK

Adenotonsillar surgery for OSA – what is the evidence?
Ms Kate Stephenson, Paediatric Otorhinolaryngologist, Head and Neck Surgeon, Birmingham Children’s Hospital, UK

FC40.1 Pain and recovery post tonsillectomy: Intracapsular vs. Extracapsular coblation
Mustaffa Junaid, Alder Hey Children’s NHS Foundation Trust, Liverpool, UK

Panel Discussion


Thursday 5 July 2018, 15.15-16.15

Cadaver Dissection

The cadaveric dissection session will demonstrate the surgical techniques used in resection of airway stenosis and cartilage graft augmentation.  Approaches, helpful tips and common pitfalls will be discussed.  The session will complement the BAPO keynote session (Wednesday 1145-1315) where the same presenters will give lectures on these techniques and outcomes.

Learning outcomes

  • Be aware of the different open surgical approaches to airway stenosis
  • Understand the surgical techniques used in each approach
  • Gain an appreciation of the refinements in technique to improve outcomes

Chair: Mr Neil Bateman

Dissection:

Laryngotracheal Reconstruction
Mr Ben Hartley, Consultant Paediatric Otolaryngologist, Great Ormond Street Hospital for Children, London, UK

Cricotracheal Reconstruction
Dr Kishore SanduChief, Airway Sector, Lausanne University Hospital, Switzerland


Friday 6 July 2018, 10.00-11.00

Symposium: Paediatric Hearing Loss

This session will discuss three different causes for children’s hearing loss, and cover diagnosis and both medical and surgical management with a panel of experts. Rehabilitation of hearing in external canal atresia, OME and Auditory Processing Disorder in children will all be discussed.

  • Options for treatment in EAC atresia
  • How to chose between non implantable and implantable devices
  • Choosing the best treatment for the individual child with OME
  • How to recognise, diagnose and manage Auditory Processing Disorder in  Children

Chair: Mr Will Hellier

Speakers:

Hearing rehabilitation in children with absent external auditory canal
Professor Françoise DenoyelleOtolaryngologist, Head and Neck Surgeon, Pediatric Otolaryngology-Head and Neck Surgery Department, Necker-Enfants Malades Children’s Hospital, Paris, France

Decision making in glue ear – the right treatment for the right child
Mr Iain Bruce, Consultant Paediatric Otolaryngologist, Royal Manchester Children’s Hospital

An interdisciplinary approach to auditory processing disorder
Dr Nicci Campbell, Associate Professor, Principal Audiological Scientist, University of Southampton, UK

FC771. Otoendoscopy in Clinic, What do the Patients Think?
Thomas Hampton, Alder Hey Children’s Hospital, Liverpool, UK

Panel Discussion