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TYPE OF SURGERY: Canal wall up with bony obliteration for CSOM with history of cholesteatoma

The 8 th LION Global Broadcast May 16 th , 2013. LION TV CHANNEL 1. St Augustinus Hospital, Antwerp. SURGEON: Thomas Somers European Institute for ORL St Augustinus Hospital Antwerp (Belgium). CASE 1/2 (10h 00 – 11h 45). TYPE OF SURGERY: Canal wall up with bony obliteration

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TYPE OF SURGERY: Canal wall up with bony obliteration for CSOM with history of cholesteatoma

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  1. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 1 St Augustinus Hospital, Antwerp SURGEON: Thomas Somers European Institute for ORL St Augustinus Hospital Antwerp (Belgium) CASE 1/2 (10h 00 – 11h 45) TYPE OF SURGERY: Canal wall up with bony obliteration for CSOM with history of cholesteatoma SURGICAL TECHNIQUE: 1) Retro-auricular approach 2) Attico-antro-mastoidectomy CWU+ harvesting of bone powder 3) Removal of cholesteatoma 4) Attic, Posterior tympanotomy closure with bone chips 5) Bony obliteration of attic, antrum and mastoid 6) Cartilage tympanoplasty and ev. ossiculoplasty 7) Closure

  2. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 1 St Augustinus Hospital, Antwerp CLINICAL History: Male 34 y Longstanding bilateral otorrhea and hearing loss, No vertigo, no tinnitus, good general condition Otoscopy: L Attic retraction, epithelial debris, pus R Attic retraction (also to be operated in the future) Thomas Somers. Cholesteatoma. Left Ear

  3. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 1 St Augustinus Hospital, Antwerp (Please audio here) Thomas Somers. Cholesteatoma. Left Ear

  4. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 1 St Augustinus Hospital, Antwerp HR-CT-Scan: Sclerotic mastoid, Opacified ME,Attic, Antrum. Scutum defect, thin attic bony plate, no fistula, eroded ossicles, covered bony facial canal MRI: Large cholesteatoma in the attic, antrum, mastoid Thomas Somers. Cholesteatoma . Left Ear LION TV1 - 15/59

  5. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 1 St Augustinus Hospital, Antwerp SURGEON: Thomas Somers European Institute for ORL St Augustinus Hospital Antwerp (Belgium) CASE 2/2 (14h 00 – 15h 30) TYPE OF SURGERY: Surgery for CSOM with history of cholesteatoma PLANNED SURGERY: Subtotal petresectomy SURGICAL TECHNIQUE: Blind sac closure, radical mastoidectomy and removal of cholesteatoma, filling of the cavity with abdominal fat, closure (BAHA or Bone bridge in second stage if hearing preserved and after MRI control)

  6. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 1 St Augustinus Hospital, Antwerp CLINICAL History: Cholesteatoma surgery elsewhere: 1983,1985,1989 Otoscopy: R side: massive polyp, no eardrum seen L side: dry attic retraction Thomas Somers. Cholesteatoma revision. Left Ear

  7. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 1 St Augustinus Hospital, Antwerp (Please audio here) Thomas Somers. Cholesteatoma revision. Left ear LION TV1 - 14/59

  8. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 1 St Augustinus Hospital, Antwerp CB-CT-Scan

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