CASE 1/2 SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK)

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Presentation transcript:

CASE 1/2 SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK) The 8th LION Global Broadcast May 16th, 2013 LION TV CHANNEL 1 Wexham Park Hospital, Berkshire SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK) CASE 1/2 (10h15 – 10h45) TYPE OF PATHOLOGY Conductive hearing loss left ear PLANNED SURGERY Stapedotomy with vein graft (LEFT EAR) SURGICAL TECHNIQUE Transcanal approach stapedotomy with vein graft using Causse Teflon piston Chris Aldren. Stapedotomy – Case 1/2. Left ear

Jan 2013 noted unable to hear telephone in left ear The 8th LION Global Broadcast May 16th, 2013 LION TV CHANNEL 1 Wexham Park Hospital, Berkshire CLINICAL 51 year old male Jan 2013 noted unable to hear telephone in left ear Left ear normal drum with conductive hearing loss. CT Scan normal For left stapedotomy and vein graft Chris Aldren. Stapedotomy – Case 1/2. Left ear

Right AC 21.25 dB with 2.5 dB AB Gap The 8th LION Global Broadcast May 16th, 2013 LION TV CHANNEL 1 Wexham Park Hospital, Berkshire CLINICAL Right AC 21.25 dB with 2.5 dB AB Gap Left AC 82.5 dB with 43.75 dB AB Gap Chris Aldren. Stapedotomy – Case 1/2. Left ear

CASE 2/2 SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK) The 8th LION Global Broadcast May 16th, 2013 LION TV CHANNEL 1 Wexham Park Hospital, Berkshire SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK) CASE 2/2 (12h15 – 12h45) TYPE OF PATHOLOGY Post chronic otitis conductive hearing loss PLANNED SURGERY Ossiculoplasty (RIGHT) SURGICAL TECHNIQUE Transcanal approach Titanium Partial Clip Prosthesis (KURZ) Chris Aldren. Ossiculoplasty – Case 2/2. Right ear

Bilateral perforated tympanic membranes in childhood The 8th LION Global Broadcast May 16th, 2013 LION TV CHANNEL 1 Wexham Park Hospital, Berkshire CLINICAL 35 year old male Bilateral perforated tympanic membranes in childhood Left myringoplasty aged 10 Unsuccesfull right cartilage plug myringoplasty 2010 other surgeon. Right revision cartilage tympanoplasty 16/7/12 other surgeon. Chris Aldren. Ossiculoplasty – Case 2/2. Right ear

The 8th LION Global Broadcast May 16th, 2013 LION TV CHANNEL 1 Wexham Park Hospital, Berkshire CLINICAL Currently right ear clean and dry with persistent conductive hearing loss Chris Aldren. Ossiculoplasty – Case 2/2. Right ear

Right AC 66.25 dB dB with 50 dB AB Gap The 8th LION Global Broadcast May 16th, 2013 LION TV CHANNEL 1 Wexham Park Hospital, Berkshire CLINICAL Right AC 66.25 dB dB with 50 dB AB Gap Left AC 10 dB with dB 2.5 AB Gap Chris Aldren. Ossiculoplasty – Case 2/2. Right ear

SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK) The 8th LION Global Broadcast May 16th, 2013 LION TV CHANNEL 1 Wexham Park Hospital, Berkshire SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK) TYPE OF PATHOLOGY Post cholesteatoma conductive hearing loss PLANNED SURGERY Ossiculoplasty (LEFT EAR) SURGICAL TECHNIQUE Transcanal approach Titanium Partial Clip Prosthesis (KURZ) Chris Aldren. Ossiculoplasty – Case 3/3. Left ear

Eroded incudo stapedial joint with placement of bone chips over joint The 8th LION Global Broadcast May 16th, 2013 LION TV CHANNEL 1 Wexham Park Hospital, Berkshire CLINICAL 12 year old male 12.04.2012 Left cartilage tympanoplasty for retraction and middle ear cholesteatoma. (Other surgeon) Eroded incudo stapedial joint with placement of bone chips over joint Post op clean dry ear but persistent conductive loss Chris Aldren. Ossiculoplasty – Case 3/3. Left ear

CLINICAL 12 year old male Right ear normal AC 15dB The 8th LION Global Broadcast May 16th, 2013 LION TV CHANNEL 1 Wexham Park Hospital, Berkshire CLINICAL 12 year old male Right ear normal AC 15dB Left AC 55dB with 47.5dB AB gap Chris Aldren. Ossiculoplasty – Case 3/3. Left ear