TYPE OF SURGERY: Cochlear implant surgery Implantation with Nucleus CI24RE (CA) – LEFT EAR PLANNED SURGERY: Retro-auricular approach. Attico-Antro-Mastoidectomy

TYPE OF SURGERY:Cochlear implant surgery Implantation with Nucleus CI24RE (CA) – LEFT EAR

PLANNED SURGERY: Retro-auricular approach. Attico-Antro-Mastoidectomy & posterior tympanotomy. Drilling of the implant bed postero-superiorly. Introduction of the CI. Closure and testing of impedances and NRT.

LION TV CHANNEL 2LION TV CHANNEL 2

CASE 1/2(09h15 – 10h30)

SURGEON: Erwin OffeciersEuropean Institute for ORLSt Augustinus HospitalWilrijk - Antwerp (Belgium)

St Augustinus Hospital, AntwerpSt Augustinus Hospital, Antwerp

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

Erwin Offeciers. Cochlear Implantation. Left ear

LION TV CHANNEL 2LION TV CHANNEL 2St Augustinus Hospital, AntwerpSt Augustinus Hospital, Antwerp

CLINICAL Female adult °1954

History: Progressive bilateral hearing loss since > 25 yearsFamily history positive for hearing lossHearing aids insufficientOtoscopyNormal both sides


PURE-TONE AUDIOMETRY

ABR – OAE : No responseVNG: bilateral caloric responses present




SPEECH AUDIOMETRY

Auditory Phoneme Detection test (70 dB, with HA)LEFT: 11/15 phonemesRIGHT: 14/15 phonemes

Auditory Phoneme Discrimination testLEFT: 7/22 contrasts discriminatedRIGHT: 14/22 contrasts discriminated




Imaging: MRI & CT




TYPE OF SURGERY: CWU with bony obliterationfor CSOM with history of pars tensa cholesteatoma

SURGICAL TECHNIQUE1) Retro-auricular approach + harvesting of bone chips & powder2) Attico-antro-mastoidectomy - CWU3) Removal of the pathology4) Closure with bone chips of Tympano-Attical barrier & Post. Tymp.5) Bony obliteration of attic, antrum and mastoid6) Reconstruction of ME with tympano-ossicular allograft7) Closure


CASE 2/2(13h30 – 15h00)

SURGEON: Erwin OffeciersEuropean Institute for ORLSt Augustinus Hospital Wilrijk - Antwerp (Belgium)




Erwin Offeciers. Left ear. Pars tensa cholest. Bony Obliteration Technique. Allograft ME rec.

CLINICAL: Male adult °1978

History: Chronic ear LEFT, with developing pars tensa cholesteatomaInitially followed and cleaned periodicallyOtorrhea becoming too frequent and bothersomeHearing loss begins to disturb sociallyOtoscopy: Left perforation-retraction, non self-cleaningDestruction of long process of the incus




PURE-TONE AUDIOMETRY





MRI & CT Scan (after suction cleaning of the ear)




Documents

TYPE OF SURGERY: Cochlear implant surgery Implantation with Nucleus CI24RE (CA) – LEFT EAR PLANNED SURGERY: Retro-auricular approach. Attico-Antro-Mastoidectomy