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SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL.

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Presentation on theme: "SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL."— Presentation transcript:

1 SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL TECHNIQUE Transcanal approach. CO 2 laser with the Omniguide hand-held fiber and Osseostap Microdrill stapedotomy. Vein graft interposition. 0.4mm diameter Causse teflon piston Causse Ear Clinic, Béziers LION TV CHANNEL 1 CASE 1/4 (09h15 – 09h45) The 8 th LION Global Broadcast May 16 th, 2013

2 Causse Ear Clinic, Béziers LION TV CHANNEL 1 Robert Vincent. Otosclerosis Primary Surgery. Left Ear CLINICAL History: 52 year old female Progressive bilateral hearing loss Right stapedotomy (other surgeon) 17 years ago with good and stable result No tinnitus nor dizziness Family history: negative Personal history: negative Otoscopy: normal Tuning fork: Weber test lateralized towards the left ear The 8 th LION Global Broadcast May 16 th, 2013

3 Causse Ear Clinic, Béziers LION TV CHANNEL 1 Robert Vincent. Otosclerosis Primary Surgery. LeftEar PURE-TONE AUDIOMETRY The 8 th LION Global Broadcast May 16 th, 2013

4 SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL TECHNIQUE Transcanal approach. CO 2 laser with the Omniguide hand-held fiber and Skeeter oto-tool stapedotomy. Vein graft interposition. 0.4mm diameter Causse teflon piston Causse Ear Clinic, Béziers LION TV CHANNEL 1 CASE 2/4 (11h45 – 12h15) The 8 th LION Global Broadcast May 16 th, 2013

5 Causse Ear Clinic, Béziers LION TV CHANNEL 1 Robert Vincent. Otosclerosis Primary Surgery. Left Ear CLINICAL History: 53 year old female Left progressive bilateral hearing loss No tinnitus nor dizziness Family history: negative Personal history: negative Otoscopy: normal Tuning fork: Weber test lateralized towards the left ear The 8 th LION Global Broadcast May 16 th, 2013

6 Causse Ear Clinic, Béziers LION TV CHANNEL 1 Robert Vincent. Otosclerosis Primary Surgery. LeftEar PURE-TONE AUDIOMETRY The 8 th LION Global Broadcast May 16 th, 2013

7 SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Tympanoplasty PLANNED SURGERY: Revision stapedotomy (LEFT EAR) SURGICAL TECHNIQUE Transcanal approach. Ossiculoplasty with TORP Silastic Banding Technique LION TV CHANNEL 1 CASE 3/4 (13h00 – 13h45) Causse Ear Clinic, Béziers The 8 th LION Global Broadcast May 16 th, 2013

8 LION TV CHANNEL 1 Robert Vincent. Ossiculoplasty. left ear CLINICAL History: 47 year old female. History of repeated otitis Progressive left hearing loss No otorrhoea Tuning fork: Weber test towards the left ear Otoscopy: Right ear norma Left ear: posterior retraction of the TM with eroded incus Causse Ear Clinic, Béziers The 8 th LION Global Broadcast May 16 th, 2013

9 LION TV CHANNEL 1 PURE-TONE AUDIOMETRY Causse Ear Clinic, Béziers The 8 th LION Global Broadcast May 16 th, 2013 Robert Vincent. Ossiculoplasty. left ear

10 SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Ossicular reconstruction PLANNED SURGERY: Revision tympanoplasty (RIGHT EAR) SURGICAL TECHNIQUE Transcanal approach. Lateralized TM Ossiculoplasty with Malleus Replacement Prosthesis (MRP) and TORP CASE 4/4 (15h00 – 15h45) Causse Ear Clinic, Béziers LION TV CHANNEL 1 The 8 th LION Global Broadcast May 16 th, 2013

11 CLINICAL History: 73 year old female. History of chronic otitis without cholesteatoma. 5 previous right failed tympanoplasties. Last operation (same surgeon) lateralized TM, absent malleus incus & stapes: reconstruction with MRP+TORP. Good initial result followed by recurrent ABG over 1 year Left revision tympanoplasty (same surgeon) in 2011 Lateralized TM, absent malleus incus & stapes: reconstruction with MRP+TORP: good result Otoscopy: lateralized TM both ears Robert Vincent. Ossiculoplasty. Revision surgery. Right ear Causse Ear Clinic, Béziers LION TV CHANNEL 1 The 8 th LION Global Broadcast May 16 th, 2013

12 PURE-TONE AUDIOMETRY Causse Ear Clinic, Béziers LION TV CHANNEL 1 The 8 th LION Global Broadcast May 16 th, 2013 Robert Vincent. Ossiculoplasty. Revision surgery. Right ear


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