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SURGEON: Robert Vincent Causse Ear Clinic Béziers (France)

The 8 th LION Global Broadcast May 16 th , 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)

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SURGEON: Robert Vincent Causse Ear Clinic Béziers (France)

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

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

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

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

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