MODERATORS: LION CHANNEL 1 Cor Cremers (The Netherlands) Wilko - - PowerPoint PPT Presentation

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MODERATORS: LION CHANNEL 1 Cor Cremers (The Netherlands) Wilko - - PowerPoint PPT Presentation

Mar 29, 2024 14 likes •419 views

(08h30) MODERATORS: LION CHANNEL 1 Cor Cremers (The Netherlands) Wilko Grolman (The Netherlands) John Oates, Birmingham (UK) WELCOME & OPENING REMARKS SURGEON: LION TV 1 : 08h30 10h30 Rolf Salcher University Medical School

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MODERATORS: Cor Cremers (The Netherlands) Wilko Grolman (The Netherlands) John Oates, Birmingham (UK)

WELCOME & OPENING REMARKS (08h30) LION CHANNEL 1

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SURGEON: Rolf Salcher University Medical School Hannover (Germany)

CARINA (Cochlear) fully implantable hearing aid (Case presentation will be made online) LION TV 1 : 08h30 – 10h30

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SURGEON: Thomas Lenarz University Medical School Hannover (Germany)

MED-EL Vibrant Soundbridge insertion with round window coupling using precision coupler (Case presentation will be made online) LION TV 1 : 08h30 – 10h30

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SURGEON: Robert Vincent Causse Ear Clinic Colombiers (France)

Otosclerosis primary surgery (Left ear) – Transcanal approach Combined Lumenis OtoLase hand-held CO2 laser and microdrill stapedotomy with vein graft interposition Ossiculoplasty with Causse Teflon piston LION TV 1 : 09h00 – 09h30

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Clinical history: 34 yr-old female Left progressive hearing loss since few years without tinnitus nor dizziness No family history of deafness Personal history negative Otoscopy normal and tuning fork lateralized towards the left ear

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Audiometry:

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SURGEON: Robert Vincent Causse Ear Clinic Colombiers (France)

Otosclerosis primary surgery (left ear) – Endaural approach LION TV 1 : 98h30 – 10h00

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Clinical history: 36 yr-old female Reduced hearing since 2005 Right stapes surgery in 2009 (external clinic) Speech comprehension reduced in the last years

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Audiometry:

pure tone audiometry speech audiometry

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SURGEON: Thibaud Dumon Causse Ear Clinic Colombiers (France)

Tympanoplasty for progressive unstable retraction pocket (Left ear) Canal wall up technique LION TV 1 : 10h30 – 12h30

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Clinical history:

  • Left ear: hearing loss, tinnitus, ear fulness sensation
  • Left tympanoplasty 1992, 2016
  • Eustachian tube balloon dilatation 2018
  • Otoscopy:
  • left ear: recurent attic retraction pocket
  • Audiogram:
  • left ear: mild mixed HL
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Audiometry:

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f m F 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 100 % 50 % 0 % dB HV Niveau d'audition Score de reconnaissance vocale

Weber 250 500 1000 2000 4000 8000 Audiogramme du 08/10/2018 Tympan droit Tympan gauche 2000 1000 500 2000 1000 500 Réflexe stapédien

  • reille droite
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ipsi contro Audiogramme Vocal Pam OD CA : 9 db OD CO : 4 db Pam OG CA : 22 db OG CO : Audiogramme Tonal : Oreille droite Audiogramme Tonal : Oreille gauche Tympanogramme : Oreille gauche Tympanogramme : Oreille droite 4000 Effet on off

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CT scan:

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SURGEON: Chris Aldren Wexham Park Hospital Slough (UK)

Ossiculoplasty, primary surgery for epitympanic malleus ankylosis (Right ear) Removal of incus, malleus relocation KURZ partial clip placement from stapes head to tympanic membrane with cartilage interposition LION TV 1 : 10h45 – 11h30

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Clinical history: Female aged 28 Recurrent acute otitis media in childhood Decreased hearing right ear for >4 years Intermittent high pitched tinnitus Tried hearing aid which she does not like

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Audiometry: Right AC 38dB ABG 20dB Left AC 6dB ABG 5dB

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Imaging:

Fixed malleus

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SURGEON: Rolf Salcher University Medical School Hannover (Germany)

MED-EL partial insertion cochlear implantation in patient with high frequency deafness (Case presentation will be made online) LION TV 1 : 12h30 – 14h00

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SURGEON: Nils Prenzler University Medical School Hannover (Germany)

Hearing preservation AB slim cochlear implantation with cochlear monitoring (EcochG) (Case presentation will be made online) LION TV 1 : 12h30 – 14h00

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SURGEON: Robert Vincent Causse Ear Clinic Colombiers (France)

Ossicular reconstruction, revision surgery (Right ear) – Transcanal approach Revision following two previous failed surgeries LION TV 1 : 12h45 – 13h30

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Clinical history: 21 yr-old female. Long-term history of repeated otitis since childhood

  • First previous failed right tympanoplasty (other surgeon) in 2005 with partial ossicular

chain reconstruction (PORP): immediate failure

  • Right revision operation (R Vincent) in 2007. Middle ear exploration revealed a

dislocated PORP and ossiculoplasty was performed with a 6.25mm length TORP (malleus-to-footplate). Malleus relocation was performed but silastic banding technique was not possible due to the presence of a stapes which was abnormally bent towards the promontory: Good and stable result for several years followed by progressive recurrent right HL

  • Right revision operation (R Vincent) in 2012 showing TORP dislocation. A new TORP

was inserted (same length): Good and stable result for several years followed by progressive recurrent right HL

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Audiometry:

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SURGEON: Magnus Teschner University Medical School Hannover (Germany)

Neuro Zil (OTICON) cochlear implantation (Case presentation will be made online) LION TV 1 : 14h00 – 15h30

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SURGEON: Franco Trabalzini Meyer Children’s Hospital Florence (Italy)

Med-EL cochlear implantation in children (right ear) LION TV 1 : 12h30 – 14h00

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Clinical history: 8 yr-old male. Congenital progressive bilateral hearing loss (bilateral enlarged vestibular acqueduc( Left cochlear implantation in 2015 Otoscopy: normal

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Audiometry:

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CT-Scan:

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SURGEON: Chris Aldren Wexham Park Hospital Slough (UK)

Otosclerosis primary surgery – Transcanal approach (Right ear) Canal wall up technique LION TV 1 : 14h15 – 14h45

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Clinical history: Female 29 years. History of bilateral progressive conductive hearing loss Bilateral buzzing tinnitus Blue sclera No family history of hearing loss

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Audiometry: Right AC 55dB ABG 25dB Left AC 66dB ABG 26dB

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CT scans:

Bilateral otosclerosis

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SURGEON: Robert Vincent Causse Ear Clinic Colombiers (France)

Otosclerosis revision surgery (Left ear) – Transcanal approach Revision stapedectomy with Lumenis hand-held OtoLase fiber laser and micro-drill. Ossicular reconstruction according to the cause of failure and status of the ossicular chain (incus) LION TV 1 : 14h45 – 15h15

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Clinical history: 61 yr-old male. Bilateral progressive hearing loss over time Left failed stapedectomy in 2005 (other surgeon) Right primary stapedotomy with vein graft interposition (R Vincent)

  • ne year ago with good and stable result
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Audiometry:

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SURGEON: Rolf Salcher University Medical School Hannover (Germany)

MED-EL Bonebridge implantation (Case presentation will be made online) LION TV 1 : 15h30 – 16h30

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SURGEON: Thibaud Dumon Causse Ear Clinic Colombiers (France)

PONTO (OTICON) bone anchored hearing aid insertion MIPS (Minimally Invasive Ponto Surgery) Punch technique, no soft tissue reduction, no associated incision LION TV 1 : 15h30 – 16h30

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Clinical history:

  • Bilateral progressive mixed hearing loss.
  • Left tympanoplasty 1998, 2005 (other surgeon)
  • Otoscopy: - left ear: stable lateralized TM
  • right ear : fibro adhesive otitis
  • Audio: - left moderately severe mixed HL
  • right moderate mixed HL
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Audiometry:

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Madame SALVI Marie né(e) le 06/08/1953, 65 ans

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Weber 250 500 1000 2000 4000 8000 Audiogramme du 02/11/2018 Tympan droit Tympan gauche 2000 1000 500 2000 1000 500 Réflexe stapédien

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ipsi contro Audiogramme Vocal Pam OD CA : 49 db OD CO : Pam OG CA : 60 db OG CO : Audiogramme Tonal : Oreille droite Audiogramme Tonal : Oreille gauche Tympanogramme : Oreille gauche Tympanogramme : Oreille droite

Dr DUMON

4000 Effet on off