1. CASE 1/4 SURGEON: Robert Vincent Causse Ear Clinic Béziers (France)
The 8th LION Global Broadcast May 16th, 2013
LION TV CHANNEL 1
Causse Ear Clinic, Béziers
SURGEON:
Robert Vincent
Causse Ear Clinic
Béziers (France)
CASE 1/4
(09h15 – 09h45)
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

2. History: 52 year old female Progressive bilateral hearing loss
The 8th LION Global Broadcast May 16th, 2013
LION TV CHANNEL 1
Causse Ear Clinic, Béziers
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
Robert Vincent. Otosclerosis Primary Surgery. Left Ear

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

4. CASE 2/4 SURGEON: Robert Vincent Causse Ear Clinic Béziers (France)
The 8th LION Global Broadcast May 16th, 2013
LION TV CHANNEL 1
Causse Ear Clinic, Béziers
SURGEON:
Robert Vincent
Causse Ear Clinic
Béziers (France)
CASE 2/4
(11h45 – 12h15)
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

5. History: 53 year old female Left progressive bilateral hearing loss
The 8th LION Global Broadcast May 16th, 2013
LION TV CHANNEL 1
Causse Ear Clinic, Béziers
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
Robert Vincent. Otosclerosis Primary Surgery. Left Ear

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

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

8. 47 year old female. History of repeated otitis
The 8th LION Global Broadcast May 16th, 2013
LION TV CHANNEL 1
Causse Ear Clinic, Béziers
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
Robert Vincent. Ossiculoplasty. left ear

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

10. CASE 4/4 SURGEON: Robert Vincent Causse Ear Clinic Béziers (France)
The 8th LION Global Broadcast May 16th, 2013
LION TV CHANNEL 1
Causse Ear Clinic, Béziers
SURGEON:
Robert Vincent
Causse Ear Clinic
Béziers (France)
CASE 4/4
(15h00 – 15h45)
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

11. History of chronic otitis without cholesteatoma.
The 8th LION Global Broadcast May 16th, 2013
LION TV CHANNEL 1
Causse Ear Clinic, Béziers
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

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