June 30th - July 2nd ~ 30 Juin -2 Juillet ~
PROGRAM PROGRAMME
Page 2
Honorary Guest Faculty
_.;;,__.....;,.;....,,..J
Robert Mlynski , Head of the Dept of Oto-laryngology, Head & Neck Surgery " Univ-ersity Medical Center Restock, Germany. His clinical focus is middle ear and skull-base disease, cochlear implantation and active middle ear implants. His scientific focus lies on active and passive implant-able hearing systems as well as inner ear and stemcell biology of the auditory pathway.
International Permanent Faculty
Chris Aldren , FRCS, Windsor-UK. He has a large otological practice particularly in primary and revision stapes surgery and ossiculoplasty. He runs a annual Advanced Middle Ear Surgery Course in May at Wexham Park Hospital. He lectures and operates internationally. He is a Board member of LION and the British Society of Otology and is the Past President of LION He is on the Faculty since 17 years.
Oswaldo Laercio Mendon~a Cruz, MD PhD, Professor ENT Department, Otology-Neurotology division, Federal University of Sao Paulo-Brazil. Coordinator of the Otology Center of the Hospital Sirio-Libanese. Special interest in cholesteatoma neurotology and skull base procedures and has published numerous articles in these fields. He is a Board member of LION and is on the Faculty since 10 years.
~------ Manohar Bance, MD PhD, Professor, Head Division Otolaryngology, Dalhousie University, Halifax, Canada. Director, Ear & Sense Labs. Specialized in Otology Neutolotology and Skull Base Surgery.
~IPJ"*BI He has cross-appointments as Professor of Neurosurgery, the School of Communi-cation Disorders, and of the Department of Biomedical Engineering. He is on the Faculty of the Course since 4 years.
:___;~:....._~-'
-----.J
John Oates , FRCS works in Birmingham UK where he leads a busy otology tertiary referral service for otosclerosis, and ossicular reconstruction. He is an invited speaker internationally. He is a Board member of LION. He is on the Board of the British Society of Otology, and sits on the Executive of EUFOS. He is on the Faculty of the Otology Course since its inception
Neil Sperling, MD New York Otology Group, Affiliate Assistant Professor, Weill Cornell Medical College, New York. USA. Alpha Omega Alpha Ho nor Medical Society and selected by «Best Doctors in America». Dr Sperling is an invited lecturer in many meetings and is a author or co-author of numerous articles and books' chapters in the field of Otology. He is on the Faculty of the Course since 17 years.
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Muaaz Tarabichi, Head of the Ear, Nose and Throat Department at American Hospital , Dubai -UEA. Much of Dr Tarabichi 's career has been focused on exploring the roles of the endoscope in ear surgery and has published widely on this subject. Honored by the American Academy of Otolaryngology Head and Neck Surgery for excellence in original investigation Dr Tarabichi sits on the editorial board of the Laryngoscope and multiple other specialty journals.
David Bowdler, FRCS is a Consultant ENT Surgeon at University Hospital Lewisham, London-UK with a special interest in otology, in particular chronic ear disease and middle ear reconstruction. He is an authority on technologies in middle ear surgery especially the otoendoscope, laser and facial nerve monitoring. He has published extesively in this area. Dr Bowdler is on the Faculty since its inception.
Sady Selamen Da Costa, Professor ENT Department Federal University of Porto Allegre-Brazil. He is the Past President of the Brazilian Society of Otolaryngology. Prof. Da Costa is a member of several international ENT societies and has published numerous articles in international journals. He is on the Faculty of the Course since 10 years.
Wilko Grolman, MD PhD, Professor, Dept. of Otolaryngology University Medical Center Utrecht-Netherlands. His primary clinical interests are stapes surgery and cochlear implantation. Professor Grolman has publi-shed many papers in these fields. Professor Grolman is President of LION. He is on the Faculty of the Course si nee 1 0 years.
Ashim Desai , MD Dr. A. B. R. Desai ENT Clinic and Research Center, Bombay (India) is internationally acknowledged as authorities in the field of ENT and is invited as guest lecturer at international and national conferences. Dr Desai is specialized in endaural tympano-mastoid surgery, cartilage ossiculoplasty & posterior canal reconstruction. He is on the Faculty of the Course si nee 1 0 years.
Thomas Lenarz, M .D. , PhD, Professor and Chairman, ENT Dept, Medical University Hannover-Germany. Membership in national and international societies of ENT and skull base surgery. His Department runs the world's largest cochlear implant programme with more than 5500 patients implanted since 1984. Other fields of clinical interest are skull base surgery and brainstem and midbrain implants. He is on the Faculty of the Course since 9 years.
XVIII~ International Otology Course I XVIII'"'' Cours International d 'Otologie
Page 3
William Moretz Jr, Clinical Professor at the Medical College of Georgia, Augusta-USA. Dr. Moretz has designed more than 60 ventilation tubes, middle ear prostheses & instruments .. He continues to work in the research and development of microsurgical techniques and instrumentation in otology Over 25 years experience performing more than 9,000 ear operations. He is on the Faculty of the Course since 9 years.
Marc Bassim, MD. Assistant Professor of Otology and Neurotology, department of Otolaryngology Head and Neck Surgery, American University of Beirut Medical Center, Beirut- Lebanon. His research interests include all diseases of the ear, dizziness, and hearing loss and its correction via different implantable prostheses. He is on the Faculty of the Course since 2 years.
Resident Faculty (Causse Ear Clinic) ---..,.-----. Thibaud Dumon, joined the Causse Ear
Clinic Otology Group in 2000. Dr Dumon has a special interest in implantable hearing aid and chronic otitis surgery.
Robert Vincent, joined the Causse Ear Clinic Otology Group in 1991. Dr Vincent has a special interest in otosclerosis surgery and congenital malformation.
Fran~ois CACES, joined the Causse Ear Clinic Otology Group in 2014. Dr Caces has a special interest in chronic otitis surgery and neurotology.
Duane Mol, Otologist, Union Hospital, Alberton, South Africa. Dr Mol is practising in Alberton since 2003 and also sees patients at The Johannesburg Cochlear Implant Centre. He has really focussed his expertise in the field of Otology and Nasal Recons-tructive Surgery. He is involved as one of the surgeons assisting in the "Hear for Life" Cochlear Implant Program for needy children and adults. He is on the Faculty of the Course since 8 years
Benoit Gratacap, joined the Causse Ear Clinic Otology Group in 1991. Dr Gratacap has a special interest in chronic otitis surgery.
Renaud Pialoux, joined the Causse Ear Clinic Otology Group in 1999. Dr Pialoux has a special interest in chronic otitis and otosclerosis surgery.
XVIII~ International Otology Course I XVIII'"'' Cours International d'Otologie
Page 4
08:00 Registration I Inscriptions
08:30 Welcome & introduction I Accueil & introduction: Robert Vincent
SESSION 1: OTOSCLEROSIS I OTOSPONGIOSE 08:45 Otosclerosis surgery, rules & hints I Otospongiose, regles et principes:
John Oates
09:15 Live surgery session 1A I Chirurgie en direct session 1A Otosclerosis primary surgery I Otospongiose primaire Surgeon I Chirurgien: Robert Vincent Moderators I Moderateurs: Wilko Grolman, John Oates
10:15 Break and exhibit (Grand floor & 1st floor) I Pause (Rez-de chaussee et 1 er etage)
10:45 A flexible approach to stapes surgery I Soup/esse de vue en chirurgie stapedienne Ashim Desai
11 :1 0 Otosclerosis surgery, from the lab to the Clinic I Chirurgie de l'otospongiose,de la recherche a la pratique clinique Sady Selamen Da Costa
11 :30 Live surgery session 1 C & 1 D I Chirurgie en direct session 1 C & 1 D Otosclerosis revision surgery - Middle ear implantation I Reprise otospongiose - Implant d'oreille moyenne Surgeons I Chirurgiens: Robert Vincent, Thibaud Dumon ModeratorsiModerateurs: David Bawdier, Ashim Desai
12:30 Lunch (Grand floor) I Lunch (Rez-de-chaussee)
14:00 Questions to the surgeons I Questions aux chirurgiens Robert Vincent, Renaud Pialoux, Thibaud Dumon
14:20 Honorary guest lecture I Conferencier d'honneur Biomaterials for Tympanic Membrane Reconstruction and Ossiculoplasty I Les biomateriaux en myringoplastie et ossiculoplastie Robert Mlynski
14:50 Difficult cases in otosclerosis primary surgery I Cas difficiles en otospongiose Robert Vincent
15:15 Break and exhibit (Grand floor & 1st floor) I Pause (Rez-de chaussee et 1 er etage)
15:45 Otosclerosis Surgery «In and around» I Chirurgie de l'otospongiose «In & around» Moderator I Moderateur: Neil Sperling Panelist I Panel: Robert Mlynski, Muaaz Tarabichi, Chris Aldren, John Oates, Ashim Desai, Robert Vincent, Denis Ayache Surgical indications? The role of imaging?- Instrumentation: Do we really need a laser? Anesthesia: local or general? I Surgical approach: Endaural vs transcanal The best surgical technique and prosthesis if any? The role of endoscopy? -lmplantable hearing devices and otosclerosis- Far advanced otosclerosis-Otosclerosis related to age, children and elderly I Indications chirurgicales? La place de l'imagerie?- Instrumentation: /'indispensable laser? Anesthesie: locale ou generale?- Voie d'abord. Endaurale vs transcanalaire La meilleure technique et la meilleure prothese? La place de l'endoscopie?-Protheses implantables et otospongiose - Otospongiose tres avancee -L'otospongiose chez /'enfant et le sujet age
17:15 My 5 minutes stapes surgery meditation I Mes 5 minutes de meditation en chirurgie stapedienne Robert Mlynski & Muaaz Tarabichi
17:30 Adjourn
20:00 Welcome reception at Chateau de la Tour I Reception de bienvenue et diner Chateau de la Tour, Montady. Free shuttle bus service from Beziers Downtown at 19h30 or Causse Clinic at 19h45 I Navette gratuite depuis le centre vi/le de Beziers a 19h30 ou la Clinique a 19h45
XVIII~ International Otology Course I XVIII'"" Cours International d 'Otologie
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Live Surgery eh
. . d. t OTOSCLEROSIS 1rurg1e en 1rec --------Session 1 A : R. Vincent OR I Bloc 6
Right ear: Primary otosclerosis surgery. Combined hand-held C02 laser stapedotomy with Omniguide system and microdrill I Oreil/e droite: Otospongiose primaire. Stapedo-tomie au laser CQ2 avec fibre Omniguide et micro-fraise.
Clinical: 44 y.old female. Progressive bilateral hearing loss more severe on the right ear since few years. No tinnitus nor dizziness. Personal history negative. Otoscopy normal. Clinique: Femme de 44 ans. Surdite progressive bilaterale plus importante a droite evoluant depuis quelques annees. Pas de vertige ni acouphene.Pas d'antecedents medicaux. Otoscopie normale
Pure tone audiometry I audiometrie tonale
Right Pure Tone Audiometry Left
(Hz) ·l 125 250 SOD 1000 2000 3000 4000 8000 ./tz 125 250 500 1000 2000 3000 4000 8000 0 0 ·1
0 1
20
30
0
60
60
70
60
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XVIII~ International Otology Course I XVIII'"" Cours International d 'Otologie
Page 6
Live Surgery OTOSCLEROSIS Chirurgie en direct Session 1 C : R. VINCENT OR I Bloc 6
Right ear: Otosclerosis revision. Combined hand-held Diode Neo-V laser stapedotomy and microdrill I Oreil/e droite: Reprise pour otospongiose. Stapedotomie au laser Diode Neo- V avec fibre et micro-fraise.
Clinical: 76 y.old female. Right successful primary surgery for otosclerosis in 1996 (same surgeon). Long term stable good hearing result with complete ABG closure. Progress-ive recurrence of right hearing loss since 2 years. Otoscopy normal.
Clinique: Femme de 76 ans. Otospongiose primaire operee en 1996 avec fermeture complete du rinne. Ban resultat stable pendant plusieurs annees puis surdite droite pro-gressive depuis 2 ans. Otoscopie norma/e.
Pure tone audiometry I Audiometrie tona/e Right Pure Tone Audiometry Left
(Hz) .1
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Live Surgery MIDDLE EAR IMPLANT Chirurgie en direct Session 1 D : T. Dumon OR I Bloc 5
Left ear: Med-EI Vibrant Soundbridge implantation. Oreil/e gauche: Implant Med-EI Vibrant Soundbridge
Clinical: 71 y.old female. Long-term history of repeated otitis with left failed multiple tympanoplasties. Last previous revision tympanoplasty (other surgeon) in 2013 with TORP insertion (TM-to-footplate assembly). Short term initial good result followed by recurrent hearing loss. Otoscopy: Right ear atrophic TM. Left ear stable open cavity.
Clinique: Femme de 71 ans. Antecedents otitiques repetes avec multiples echecs de tympanoplastie gauche. Derniere intervention en 2013 (autre chirurgien) avec ossiculoplastie par TORP (tympan-platine). Ban resultat initial suivi d'une degradation secondaire rapide de /'audition. Otoscopie: Tympan droit atrophique et cavite de technique ouverte sur oreille gauche stable.
Pure tone audiometry I Audiometrie tona/e
Right Pure Tone Audiometry Left
(Hz) ·lO 25 250 500 1000 2000 3000 4000 8000 _£z 125 250 500 1000 2000 3000 4000 8000 0 ·t
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XVIII~ International Otology Course I XVIII'"" Cours International d 'Otologie
08:00
08:15
08:30
09:30
09:50
10:10
10:40
11 :10
12:30
14:00
14:30
14:50
15:15
15:35
16:35
17:00
17:20
17:30
20:00
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Welcome I Accueil
SESSION 2: OSSICULAR RECONSTRUCTION I OSSICULOPLASTIE=------------'
Ossicular reconstruction. Basics and Principles I Ossiculoplasties. Bases et Principes Marc Bassim
Live surgery session 2A & 2B I Chirurgie en direct session 2A & 2B Ossicular reconstruction I Ossiculoplastie Surgeons I Chirurgiens: Robert Vincent, Renaud Pialoux Moderators I Moderateurs: Benoit Gratacap, Marc Bassim
Ossiculoplasty, why bother ? I Ossiculoplastie, a quoi bon ? Chris Aldren
Otoendoscopy of the middle ear I Endoscopie de l'oreille moyenne Oavid Bawdier
Break and exhibit (Grand floor & 1st floor) I Pause (Rez-de chaussee et 1er etage)
Intervention into the inner ear with hearing preservation. Current status and beyond I Chirurgie de l'oreille interne avec preservation de /'audition. Etat actuel, perspectives Thomas Lenarz
Live surgery sessions 2C & 20 I Chirurgie en direct session 2C & 20 Ossicular reconstruction I Ossiculoplastie Surgeons I Chirurgiens: Robert Vincent, Thibaud Oumon Moderators I Moderateurs: Chris Aldren, Oswaldo Laercio Cruz
Lunch (Grand floor) I Lunch (Rez-de-chaussee)
Endoscopic ear surgery: 22-year experience I Chirurgie oto-endoscopique: 22 ans d'experience Muaaz Tarabichi
CSOM Surgery: disease eradication & hearing preservation I Chirurgie de l'otite chronique: eradication de la pathologie et preservation de /'audition Oswaldo Laercio Cruz
Ossicular reconstruction, techniques & results I Ossiculoplasties, techniques & resultats Robert Vincent
Tympanic membrane retraction I Retraction tympanique Neil Sperling
Grand Inquisition in Ossiculoplasty I Grande Inquisition en Ossiculoplastie Controversial case presentation I Cas cliniques Grand Inquisitors I Grands lnquisiteurs: Chris Aldren, Oavid Bawdier Panelist I Panel: Muaaz Tarabichi, Robert Mlynski, Marc Bassi m, Oswaldo Laercio Cruz Thomas Lenarz, Wilko Grolman, Neil Sperling, Thibaud Oumon
Break and exhibit (Grand floor & 1st floor) I Pause (Rez-de chaussee et 1er etage)
SESSION 3: IMPLANT ABLE HEARING DEVICES I PROTHESES IMPLANTABLES
lmplantable hearing devices, State of the Art I Protheses implantables. Etat de /'Art Thibaud Oumon
Adjourn I Fin du programme scientifique
Free shuttle bus service from Causse Clinic to Beziers downtown I Navette gratuite vers centre vi/le de Beziers
Gala diner I Diner de gala : Oomaine Le Clos de Maussanne, route de Pezenas Registration is required for the gala diner as sitting is limited - Dressing code: casual/ Inscription obligatoire pour le diner de gala en raison du nombre limite de places -Tenue decontractee. Free shuttle bus service from Causse Clinic at 19h15 or Beziers Downtown at 19h30 I Navette gratuite depuis la Clinique Causse a 19h 15 ou le centre vi/le de Beziers a 19h30
XVIII~ International Otology Course I XVIII'"" Cours International d 'Otologie
Live Surgery OSSICULOPLASTY Chirurgie en direct Session 2A : R. Vincent OR I Bloc 6
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Right ear: Transcanal tympanoplasty with ossiculoplasty Oreil/e droite: Tympanoplastie avec ossiculoplastie par voie transcanalaire
Clinical: 58 y.old male. Long-term history of repeated otitis since childhood. Stable bilateral hearing loss more severe on the right ear with left intermittent episodes of otorrhoea. Otoscopy: atrophic right TM and left stable central-inferior TM perforation
Clinique: Homme de 58 ans. Antecedents otitiques de l'enfance avec surdite bilaterale sequellaire plus importante a droite. Episodes d'otorrhee gauche. Otoscopie: tympan droit atrophique et perforation centrale gauche stable.
Pure tone audiometry I Audiometrie tona/e
Right Pure Tone Aud iometry Left
(Hz) _1
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Page 8
Live Surgery OSSICULOPLASTY Chirurgie en direct Session 2B : R. Pialoux OR I Bloc 5
Left ear: Tympanoplasty with ossiculoplasty. Retro-auricular approach I Oreil/e gauche: Tympanoplastie avec ossiculoplastie par voie posterieure
Clinical: 41 y. old male. History of repeated otitis since childhood with multiple left grommet insertions. Stable residual left hearing loss. No otorrhoea. Otoscopy: Right ear normal. Left ear, atrophic TM and presence of a well tolerared T-Tube; the EAC is really narrow I
Clinique: Homme de 41 ans. Antecedents dbtite chronique avec plusieurs insertions de drains trans-tympaniques gauches. Surdite gauche residue/le et stable sans otorrhee. Otoscopie: Oreille droite norma/e. Oreille gauche, tympan atrophique et presence d'un T-Tube permeable et bien to/ere. CAE etroit.
Pure tone audiometry I Audiometrie tona/e
Right Pure Tone Audiometry Left
(Hz) .1
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XVIII~ International Otology Course I XVIII'"" Cours International d 'Otologie
Live Surgery OSSICULOPLASTY Chirurgie en direct Session 2C : R. Vincent OR I Bloc 6
Right ear: Transcanal tympanoplasty with ossiculoplasty I Oreil/e droite: Tympanoplastie avec ossiculoplastie par voie transcanalaire
Clinical: 56 y.old male. Long-term history of repeated otitis since childhood. Several previous failed left tympano-plasties (other surgeons) for CSOM with cholesteatoma. Stable residual hearing loss without otorrhoea. Right traumatic hearing loss 6 months ago with temporal bone fracture. Otoscopy: left total TM perforation with stable open cavity, right ear normal.
Clinique: Homme de 56 ans. antecedents otitiques de l'enfance avec plusieurs tympanoplasties gauches pour cholesteatome. Surdite gauche residue/le stable sans otorrhee. Surdite droite post-traumatique if y a 6 mois avec fracture du rocher. Otoscopie: perforation tympanique gauche totale et cavite stable. Oreille droite normale
Pure tone audiometry I Audiometrie tona/e
Right Pure Tone Aud iometry Left
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Page 9
Live Surgery OSSICULOPLASTY Chirurgie en direct Session 20 : T. Dumon OR I Bloc 5
~
Left ear: Revision tympanoplasty with ossiculoplasty. Retro-auricular approach I Oreil/e gauche: Reprise de tympanoplastie avec ossiculoplastie par voie retro-auriculaire
Clinical: 38 y.old female. Long-terme history of repeated otitis since childhood. Previous left failed tympanoplasty (other surgeon) in 1994. Left stable residual hearing loss without otorrhoea. Otoscopy: atrophic right TM. Left posterior TM perforation
Clinique: Femme de 38 ans. Long passe d'otite chronique depuis l'enfance. Echec d'une precedente tympanoplastie en 1994 (autre chirurgien). Surdite gauche residue/le stable sans otorrhee. Otoscopie: tympan droit atrophique. Perforation tympanique gauche posterieure.
Pure tone audiometry I Audiometrie tona/e
Right Pure Tone Audiometry Left
(Hz) ·1 125 G 250 500 1000 2000 3000 4000 8000 _IJI 125 250
I 500 1000 2000 3000 4000 8000 0 -1
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XVIII~ International Otology Course I XVIII'"" Cours International d 'Otologie
Page 10
09:00 Welcome I Accueil
SESSION 4: CSOM I OTITE CHRONIQUE
09:15 Tympanic membrane grafting: materials & techniques I Greffes tympaniques: materiels & techniques Marc Bassim
09:35 Live surgery sessions 4A & 48 I Chirurgie en direct sessions 4A & 4B Myringoplasty I Myringoplastie Surgeons I Chirurgiens: Franc;ois Caces, Renaud Pialoux
10:35 Break and exhibit (Grand floor & 1st floor) I Pause (Rez-de chaussee et 1er etage)
11 :00 Live surgery session 4C I Chirurgie en direct session 4C CSOM with Cholesteatoma - Canal wall up technique Cholesteatome - Technique fermee Surgeon: Thibaud Dumon
13:00 Closure and lunch I Fin du cours et lunch
* * *
XVIII~ International Otology Course I XVIII'"" Cours International d'Otologie
Page n
LiV~ Su~gery . TYMPANOPLASTY Ch1rurg1e en d1rect Session 4A : F Caces OR 1 Bloc 6
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Right ear: Right revision tympanoplasty with cartilage palissade technique. Oreil/e droite: Reprise de tympano-plastie avec greffe de cartilage en palissade
Clinical: 35 y.old male. Long term history of repeated otitis. Two previous right tympanoplasty in 1997 (other surgeon) for CSOM with cholesteatoma with good initial result. Two previous failed type 1 left tympanoplasty (other surgeon) in 1996. Right recurrent progressive TM retraction and persistent residual left TM perforation. Otoscopy: right global TM retraction (atelectatic ear) with possible residual attical cholesteatoma (CT-Scan). Left stable posterior TM perforation.
Clinique: Homme de 35 ans. Antecedents otitiques. Deux precedentes tympanoplasties droites pour cholesteatome en 1997 (autre chirurgien) avec ban resultat initial. Deux precedents echecs tympanoplastie gauche (type 1) en 1996 (autre chirurgien). Retraction tympanique droite recidivante et persistance d'une perforation tympanique gauche stable Otoscopie : retraction tympanique droite globale avec suspicion d'un cholesteatome attical resi-due/ (Scanner). Perforation tympanique gauche posterieure.
Pure tone audiometry I Audiometrie tona/e
Right Pure Tone Audiometry Left
(Hz) .1
125 250 500 1000 2000 3000 4000 8000 ./aZ 125 250 500 1000 2000 3000 4000 8000 0 0 ·1
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20
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Live Surgery TYMPANOPLASTY Chirurgie en direct Session 48 : R. Pialoux OR I Bloc 5
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Right ear: Type 1 tympanoplasty. Retro-auricular approach. Oreil/e droite: Tympanoplastie type 1. Voie posterieure.
Clinical: 31 y. old male. Previous failed right myringosplasty 6 months ago (other surgeon) for barotraumatic TM perforation in 2007 following scuba diving. Stable residual TM perforation without otorrhoea. Otoscopy: right total TM perforation and left ear normal.
Clinique: Homme de 31 ans. Echec d'une precedente myringoplastie droite (autre chirurgien) pour perforation baro-traumatique apresa une plongee. Perforation tympa-nique droite sequellaire sans otorrhee. Otoscopie: perfo-ration tympanique droite subtotale et tympan gauche normal.
Pure tone audiometry I Audiometrie tona/e
Right Pure Tone Audiometry left
(Hz) .1
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(d8)
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XVIII~ International Otology Course I XVIII'"" Cours International d 'Otologie
Page 12
LiV~ Su~gery . CHOLESTEATOMA Ch1rurg1e en d1rect Session 4C : T Dumon OR I Bloc 6
\&)
Right ear: Right revision tympanoplasty for CSOM with cholesteatoma. Canal wall up technique Oreil/e droite: Reprise de tympanoplastie pour cholesteatome en technique fermee.
Clinical: 42 y.old female. Long term history of repeated otitis. Two previous failed right tympanoplasty for CSOM with cholesteatoma (other surgeon). History of previous left surgery for cholesteatoma (other surgeon). Severe residual bilateral hearing loss with right otorrhoea and dizziness. Otoscopy: large right recurrent cholesteatoma. Left stable canal wall down technique. Fistula sign positive right ear. CT-Scan: Right ear, large cholesteatoma with complete erosion of the ossicular chain and of the lateral1/2 circular canal. Left ear, stable cavity without cholesteatoma
Clinique: Femme de 42 ans avec antecedents d'otite chronique bilaterale. Deux echecs precedents de tympana-pi as tie droite (autre chirurgien) pour cholesteatome et antecedents de tympanoplastie gauche pour cholesteatome (autre chirurgien). lmportante surdite sequellaire avec otorrhee droite et vertiges. Otoscopie : cholesteatome volumineux surinfecte et cavite gauche stable. Scanner: opacite complete de la mastoide avec lyse ossiculaire totale et erosion du canal112 circulaire externe
Pure tone audiometry I Audiometrie tona/e
Right Pure Tone Aud iometry left
(Hz) _1
125 250 500 1000 2000 3000 4DOO 8000 -~~ 125 250 500 1000 2000 3000 4000 8000 10 0
0 0 1
20
30
0
0
50 60
7
80 ., 100
(dB)
( r-r
..¥ '
Right ear I Oreil/e droite
10
20
30
40
50 60
10
60
90
100
l J-J-
--*-
Left ear I Oreille gauche
0 1
10
30
' 50 60
7
eo ., 1 00
(dB,
XVIII~ International Otology Course I XVIII'"" Cours International d'Otologie
Page 13
WiFi free internet access I Acces internet gratuit
WiFi free internet access is available during the course at the ground floor of the clinic (F) I
Acces internet wifi gratuit pendant le cours avec 2 bornes internet au rez-de-chaussee (F)
Certificate of attendance- CME Credit I Certificat de presence- FMC
The 18th International Otology Course has been accredited by the European
Accreditation Council for Continuing Medical Education (EACCME) and is designed
for up to 15 CME credits. Certificate of attendance and CME forms will be available
at the registration desk of the course (F: ground floor) I Le 18eme Cours International
d'Otologie a ete accredite par le Conseil Europeen d'Accreditation pour la FMC
(EACCME) pour une valeur de 15 points. Les certificats de presence
et de FMC sont a retirer au bureau des inscriptions (F: rez-de-chaussee) Recording of the Course I Enregistrement du Cours: The 18th International Otology Course will soon be available in the
e-library of the LION at: www.lion-web.org. and in the LION
YouTube channel (Live International Otolaryngology Network)
Le 18eme Cours d'Otologie sera rapidement disponible sur la e-library
du site internet du LION www.lion-web.org ainsi que sur la chafne
YouTube du LION (Live International Otolaryngology Network)
Lunch, exhibits I Lunch, stands
~Scan me for more information
Exhibits are located at the ground floor (F) and the otology department (D) I Les stands
sont situes au rez de chaussee (F) et au niveau du department d'otologie (D). Lunch
takes olace in front of the Clinic buildina (L) I Lunch en face de la Cliniaue fU
Ground floor I Rez de chaussee
F: Front desk main entry (registration) I Bureau des inscriptions
entree principale- P: Patient's room I Chambres des patients -
A: Audiometry department I D€partement d'audiom€trie-
0: Operating theatres I to 3 I Sal/es d'operations I a 3
2nd floor I 2eme etage
C: Conference room I Sal/e de conference
1st floor I 1 er et age
0: Operating theatres 4 to 9 I Salles d'operations 4 a 9 · D: Otology Department I D€partement d'otologie-
P: Patient's room I Chambres des patients
XVIII~ International Otology Course I XVIII"'" Cours International d'Otologie