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TYPE OF SURGERY: Cochlear implant surgery of a patient with VLA Syndrome PLANNED SURGERY:

The 8 th LION Global Broadcast May 16 th , 2013. LION TV CHANNEL 2. Marmara Medical University, Istanbul. SURGEON: Caglar Batman Marmara Medical University Istanbul (Turkey). CASE 1/1 (11h45 – 12h45). TYPE OF SURGERY: Cochlear implant surgery of a patient with VLA Syndrome

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TYPE OF SURGERY: Cochlear implant surgery of a patient with VLA Syndrome PLANNED SURGERY:

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  1. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 2 Marmara Medical University, Istanbul SURGEON: Caglar Batman Marmara Medical University Istanbul (Turkey) CASE 1/1 (11h45 – 12h45) 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

  2. The 8th LION Global BroadcastMay 16th, 2013 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 Caglar Batman. Cochlear Implantation. Right ear

  3. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 2 Marmara Medical University, Istanbul • 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

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

  5. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 2 Marmara Medical University, Istanbul 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

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

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

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

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

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

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

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

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

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

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

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

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

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