TYPE OF SURGERY: Cochlear implant surgery of a patient with VLA Syndrome PLANNED SURGERY: Med-El cochlear implantation (RIGHT EAR) SURGICAL TECHNIQUE Perilymph.

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TYPE OF SURGERY: Cochlear implant surgery of a patient with VLA Syndrome PLANNED SURGERY: Med-El cochlear implantation (RIGHT EAR) SURGICAL TECHNIQUE Perilymph gusher is expected LION TV CHANNEL 2 CASE 1/1 (11h45 – 12h45) SURGEON: Caglar Batman Marmara Medical University Istanbul (Turkey) Marmara Medical University, Istanbul The 8 th LION Global Broadcast May 16 th, 2013

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul 16 years old, girl Clinical presentation : Progressive hearing loss Clinical follow-up: –Progressive hearing loss starting from second year of life –Several times she had had progression and remissions –She had very limited benefit from corticosteroids –She could not benefit from her hearing aids in the last 6 months The 8 th LION Global Broadcast May 16 th, 2013

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul The 8 th LION Global Broadcast May 16 th, 2013 Background: –Febrile illness (-) / Seizures (-) –Icterus (-) / Maternal febrile illness during pregnancy) (-) –Infection(-)/ Intermarriage (-) –Postlingual –Right-handed –Tonsillectomy + adenoidectomy ( 2 years old)

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul The 8 th LION Global Broadcast May 16 th, 2013 Audiometry:

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul The 8 th LION Global Broadcast May 16 th, 2013 Temporal CT and MR -Bilateral vestibular aqueduct enlargement (vestibular aquaduct syndrome) - Trajectory of facial nerve and vestibulocochlear nerve are regular - Morphology of vestibulum and semicircular canals are regular -Bilateral modiolus are smaller than normal size. This was considered as hypoplastic - Bulbous appearance of cochlea was considered as septation defect

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul LION TV2 – 4/44 The 8 th LION Global Broadcast May 16 th, 2013

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul LION TV2 – 4/44 The 8 th LION Global Broadcast May 16 th, 2013

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul LION TV2 – 4/44 The 8 th LION Global Broadcast May 16 th, 2013

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul LION TV2 – 4/44 The 8 th LION Global Broadcast May 16 th, 2013

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul LION TV2 – 4/44 The 8 th LION Global Broadcast May 16 th, 2013

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul LION TV2 – 4/44 The 8 th LION Global Broadcast May 16 th, 2013

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul LION TV2 – 4/44 The 8 th LION Global Broadcast May 16 th, 2013

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul LION TV2 – 4/44 The 8 th LION Global Broadcast May 16 th, 2013

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul LION TV2 – 4/44 The 8 th LION Global Broadcast May 16 th, 2013

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul LION TV2 – 4/44 The 8 th LION Global Broadcast May 16 th, 2013

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul LION TV2 – 4/44 The 8 th LION Global Broadcast May 16 th, 2013

Caglar Batman. Cochlear Implantation. Right ear LION TV CHANNEL 2 Marmara Medical University, Istanbul LION TV2 – 4/44 The 8 th LION Global Broadcast May 16 th, 2013

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