Transcript CASE 1/2 SURGEON: Chris ALDREN Wexham Park Hospital

The 8th LION Global Broadcast
May 16th, 2013
LION TV CHANNEL 1
Wexham Park Hospital, Berkshire
SURGEON:
Chris ALDREN
Wexham Park Hospital
Berkshire (UK)
TYPE OF PATHOLOGY
Conductive hearing loss left ear
PLANNED SURGERY
Stapedotomy with vein graft (LEFT EAR)
CASE 1/2
(10h15 – 10h45)
SURGICAL TECHNIQUE
Transcanal approach stapedotomy with vein graft using
Causse Teflon piston
Chris Aldren. Stapedotomy – Case 1/2. Left ear
The 8th LION Global Broadcast
May 16th, 2013
LION TV CHANNEL 1
Wexham Park Hospital, Berkshire
CLINICAL
51 year old male
Jan 2013 noted unable to hear telephone in left ear
Left ear normal drum with conductive hearing loss.
CT Scan normal
For left stapedotomy and vein graft
Chris Aldren. Stapedotomy – Case 1/2. Left ear
The 8th LION Global Broadcast
May 16th, 2013
LION TV CHANNEL 1
Wexham Park Hospital, Berkshire
CLINICAL
Right AC 21.25 dB with 2.5 dB AB Gap
Left AC 82.5 dB with 43.75 dB AB Gap
Chris Aldren. Stapedotomy – Case 1/2. Left ear
The 8th LION Global Broadcast
May 16th, 2013
LION TV CHANNEL 1
Wexham Park Hospital, Berkshire
SURGEON:
Chris ALDREN
Wexham Park Hospital
Berkshire (UK)
CASE 2/2
(12h15 – 12h45)
TYPE OF PATHOLOGY
Post chronic otitis conductive hearing loss
PLANNED SURGERY
Ossiculoplasty (RIGHT)
SURGICAL TECHNIQUE
Transcanal approach
Titanium Partial Clip Prosthesis (KURZ)
Chris Aldren. Ossiculoplasty – Case 2/2. Right ear
The 8th LION Global Broadcast
May 16th, 2013
LION TV CHANNEL 1
Wexham Park Hospital, Berkshire
CLINICAL
35 year old male
Bilateral perforated tympanic membranes in
childhood
Left myringoplasty aged 10
Unsuccesfull right cartilage plug myringoplasty
2010 other surgeon.
Right revision cartilage tympanoplasty 16/7/12 other
surgeon.
Chris Aldren. Ossiculoplasty – Case 2/2. Right ear
The 8th LION Global Broadcast
May 16th, 2013
LION TV CHANNEL 1
Wexham Park Hospital, Berkshire
CLINICAL
• Currently right ear clean and dry with persistent
conductive hearing loss
Chris Aldren. Ossiculoplasty – Case 2/2. Right ear
The 8th LION Global Broadcast
May 16th, 2013
LION TV CHANNEL 1
Wexham Park Hospital, Berkshire
CLINICAL
Right AC 66.25 dB dB with 50 dB AB Gap
Left AC 10 dB with dB 2.5 AB Gap
Chris Aldren. Ossiculoplasty – Case 2/2. Right ear
The 8th LION Global Broadcast
May 16th, 2013
LION TV CHANNEL 1
Wexham Park Hospital, Berkshire
SURGEON:
Chris ALDREN
Wexham Park Hospital
Berkshire (UK)
TYPE OF PATHOLOGY
Post cholesteatoma conductive hearing loss
PLANNED SURGERY
Ossiculoplasty (LEFT EAR)
SURGICAL TECHNIQUE
Transcanal approach
Titanium Partial Clip Prosthesis (KURZ)
Chris Aldren. Ossiculoplasty – Case 3/3. Left ear
The 8th LION Global Broadcast
May 16th, 2013
LION TV CHANNEL 1
Wexham Park Hospital, Berkshire
CLINICAL
12 year old male
12.04.2012 Left cartilage tympanoplasty for
retraction and middle ear cholesteatoma. (Other
surgeon)
Eroded incudo stapedial joint with placement of
bone chips over joint
Post op clean dry ear but persistent conductive loss
Chris Aldren. Ossiculoplasty – Case 3/3. Left ear
The 8th LION Global Broadcast
May 16th, 2013
LION TV CHANNEL 1
Wexham Park Hospital, Berkshire
CLINICAL
12 year old male
Right ear normal AC 15dB
Left AC 55dB with 47.5dB AB gap
Chris Aldren. Ossiculoplasty – Case 3/3. Left ear