surgeon: robert vincent causse ear clinic béziers (france) type of surgery: otosclerosis primary...

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SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL TECHNIQUE Transcanal approach. CO2 laser with the Omniguide hand-held fiber and Osseostap Microdrill stapedotomy. Vein graft interposition. 0.4mm diameter Causse teflon piston Causse Ear Clinic, Béziers Causse Ear Clinic, Béziers LION TV CHANNEL 1 LION TV CHANNEL 1 CASE 1/4 (09h15 – 09h45) The 8 The 8 th th LION Global Broadcast LION Global Broadcast May 16 May 16 th th , 2013 , 2013

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Page 1: SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL

SURGEON:Robert VincentCausse Ear ClinicBéziers (France)

TYPE OF SURGERY: Otosclerosis primary surgery

PLANNED SURGERY: Stapedotomy (LEFT EAR)

SURGICAL TECHNIQUE Transcanal approach. CO2 laser with the Omniguide hand-held fiber and Osseostap Microdrill stapedotomy. Vein graft interposition. 0.4mm diameter Causse teflon piston

Causse Ear Clinic, BéziersCausse Ear Clinic, BéziersLION TV CHANNEL 1LION TV CHANNEL 1

CASE 1/4(09h15 – 09h45)

The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013

Page 2: SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL

Causse Ear Clinic, BéziersCausse Ear Clinic, BéziersLION TV CHANNEL 1LION TV CHANNEL 1

Robert Vincent. Otosclerosis Primary Surgery. Left Ear

CLINICAL

History: 52 year old femaleProgressive bilateral hearing lossRight stapedotomy (other surgeon) 17 years ago with good and stable resultNo tinnitus nor dizziness

Family history: negativePersonal history: negative

Otoscopy: normal

Tuning fork: Weber test lateralized towards the left ear

The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013

Page 3: SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL

Causse Ear Clinic, BéziersCausse Ear Clinic, BéziersLION TV CHANNEL 1LION TV CHANNEL 1

Robert Vincent. Otosclerosis Primary Surgery. LeftEar

PURE-TONE AUDIOMETRY

The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013

Page 4: SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL

SURGEON:Robert VincentCausse Ear ClinicBéziers (France)

TYPE OF SURGERY: Otosclerosis primary surgery

PLANNED SURGERY: Stapedotomy (LEFT EAR)

SURGICAL TECHNIQUE Transcanal approach. CO2 laser with the Omniguide hand-held fiber and Skeeter oto-tool stapedotomy. Vein graft interposition. 0.4mm diameter Causse teflon piston

Causse Ear Clinic, BéziersCausse Ear Clinic, BéziersLION TV CHANNEL 1LION TV CHANNEL 1

CASE 2/4(11h45 – 12h15)

The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013

Page 5: SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL

Causse Ear Clinic, BéziersCausse Ear Clinic, BéziersLION TV CHANNEL 1LION TV CHANNEL 1

Robert Vincent. Otosclerosis Primary Surgery. Left Ear

CLINICAL

History: 53 year old femaleLeft progressive bilateral hearing lossNo tinnitus nor dizziness

Family history: negativePersonal history: negative

Otoscopy: normal

Tuning fork: Weber test lateralized towards the left ear

The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013

Page 6: SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL

Causse Ear Clinic, BéziersCausse Ear Clinic, BéziersLION TV CHANNEL 1LION TV CHANNEL 1

Robert Vincent. Otosclerosis Primary Surgery. LeftEar

PURE-TONE AUDIOMETRY

The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013

Page 7: SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL

SURGEON:Robert VincentCausse Ear ClinicBéziers (France)

TYPE OF SURGERY: Tympanoplasty

PLANNED SURGERY: Revision stapedotomy (LEFT EAR)

SURGICAL TECHNIQUE Transcanal approach. Ossiculoplasty with TORP Silastic Banding Technique

LION TV CHANNEL 1LION TV CHANNEL 1

CASE 3/4(13h00 – 13h45)

Causse Ear Clinic, BéziersCausse Ear Clinic, Béziers

The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013

Page 8: SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL

LION TV CHANNEL 1LION TV CHANNEL 1

Robert Vincent. Ossiculoplasty. left ear

CLINICAL

History:

47 year old female. History of repeated otitis Progressive left hearing lossNo otorrhoeaTuning fork: Weber test towards the left ear

Otoscopy:

Right ear norma

Left ear: posterior retraction of the TM with eroded incus

Causse Ear Clinic, BéziersCausse Ear Clinic, Béziers

The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013

Page 9: SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL

LION TV CHANNEL 1LION TV CHANNEL 1

PURE-TONE AUDIOMETRY

Causse Ear Clinic, BéziersCausse Ear Clinic, Béziers

The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013

Robert Vincent. Ossiculoplasty. left ear

Page 10: SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL

SURGEON:Robert VincentCausse Ear ClinicBéziers (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, BéziersCausse Ear Clinic, BéziersLION TV CHANNEL 1LION TV CHANNEL 1The 8The 8thth LION Global Broadcast LION Global Broadcast

May 16May 16thth, 2013, 2013

Page 11: SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL

CLINICALHistory: 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 yearLeft 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, BéziersCausse Ear Clinic, BéziersLION TV CHANNEL 1LION TV CHANNEL 1The 8The 8thth LION Global Broadcast LION Global Broadcast

May 16May 16thth, 2013, 2013

Page 12: SURGEON: Robert Vincent Causse Ear Clinic Béziers (France) TYPE OF SURGERY: Otosclerosis primary surgery PLANNED SURGERY: Stapedotomy (LEFT EAR) SURGICAL

PURE-TONE AUDIOMETRY

Causse Ear Clinic, BéziersCausse Ear Clinic, BéziersLION TV CHANNEL 1LION TV CHANNEL 1The 8The 8thth LION Global Broadcast LION Global Broadcast

May 16May 16thth, 2013, 2013

Robert Vincent. Ossiculoplasty. Revision surgery. Right ear