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

The 8 th LION Global Broadcast May 16 th , 2013. LION TV CHANNEL 2. St Augustinus Hospital, Antwerp. SURGEON: Erwin Offeciers European Institute for ORL St Augustinus Hospital Wilrijk - Antwerp (Belgium ). CASE 1/2 (09h15 – 10h30). TYPE OF SURGERY: Cochlear implant surgery

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

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  1. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 2 St Augustinus Hospital, Antwerp SURGEON: Erwin Offeciers European Institute for ORL St Augustinus Hospital Wilrijk - Antwerp (Belgium) CASE 1/2 (09h15 – 10h30) 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.

  2. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 2 St Augustinus Hospital, Antwerp CLINICAL Female adult °1954 History: Progressive bilateral hearing loss since > 25 years Family history positive for hearing loss Hearing aids insufficient Otoscopy Normal both sides Erwin Offeciers. Cochlear Implantation. Left ear

  3. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 2 St Augustinus Hospital, Antwerp PURE-TONE AUDIOMETRY ABR – OAE : No response VNG: bilateral caloric responses present Erwin Offeciers. Cochlear Implantation. Left ear

  4. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 2 St Augustinus Hospital, Antwerp SPEECH AUDIOMETRY Auditory Phoneme Detection test (70 dB, with HA) LEFT: 11/15 phonemes RIGHT: 14/15 phonemes Auditory Phoneme Discrimination test LEFT: 7/22 contrasts discriminated RIGHT: 14/22 contrasts discriminated Erwin Offeciers. Cochlear Implantation. Left ear

  5. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 2 St Augustinus Hospital, Antwerp Imaging: MRI & CT Erwin Offeciers. Cochlear Implantation. Left ear

  6. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 1 St Augustinus Hospital, Antwerp SURGEON: Erwin Offeciers European Institute for ORL St Augustinus Hospital Wilrijk - Antwerp (Belgium) CASE 2/2 (13h30 – 15h00) TYPE OF SURGERY: CWU with bony obliteration for CSOM with history of pars tensa cholesteatoma SURGICAL TECHNIQUE 1) Retro-auricular approach + harvesting of bone chips & powder 2) Attico-antro-mastoidectomy - CWU 3) Removal of the pathology 4) Closure with bone chips of Tympano-Attical barrier & Post. Tymp. 5) Bony obliteration of attic, antrum and mastoid 6) Reconstruction of ME with tympano-ossicular allograft 7) Closure

  7. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 1 St Augustinus Hospital, Antwerp CLINICAL: Male adult °1978 History: Chronic ear LEFT, with developing pars tensa cholesteatoma Initially followed and cleaned periodically Otorrhea becoming too frequent and bothersome Hearing loss begins to disturb socially Otoscopy: Left perforation-retraction, non self-cleaning Destruction of long process of the incus Erwin Offeciers. Left ear. Pars tensa cholest. Bony Obliteration Technique. Allograft ME rec.

  8. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 1 St Augustinus Hospital, Antwerp PURE-TONE AUDIOMETRY Erwin Offeciers. Left ear. Pars tensa cholest. Bony Obliteration Technique. Allograft ME rec.

  9. The 8th LION Global BroadcastMay 16th, 2013 LION TV CHANNEL 1 St Augustinus Hospital, Antwerp MRI & CT Scan (after suction cleaning of the ear) Erwin Offeciers. Left ear. Pars tensa cholest. Bony Obliteration Technique. Allograft ME rec.

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