Learn pearls of reading temporal bone images and apply that knowledge to refine your surgical approach. This panel will walk you through anatomical considerations of the middle ear, mastoid, and skull base while reviewing different pathologies in those locations. Hear experts debate topics like application of endoscopic ear surgery for cholesteatoma/chronic ear disease, transmastoid verses middle fossa approaches for CSF leaks and superior semicircular canal dehiscence, cochlear implantation in abnormal ears, and factors that influence vestibular schwannoma approaches. Multiple cases and scenarios will be presented with tips relevant for everyone from trainees to neurotologists. Improve your radiographic interpretation of the temporal bone so you can choose the best approach for your patient.