SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK) TYPE OF PATHOLOGY Conductive hearing loss...
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Transcript of SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK) TYPE OF PATHOLOGY Conductive hearing loss...
SURGEON:Chris ALDRENWexham Park HospitalBerkshire (UK)
TYPE OF PATHOLOGYConductive hearing loss left earPLANNED SURGERY Stapedotomy with vein graft (LEFT EAR)
SURGICAL TECHNIQUETranscanal approach stapedotomy with vein graft using Causse Teflon piston
Wexham Park Hospital, BerkshireWexham Park Hospital, Berkshire
Chris Aldren. Stapedotomy – Case 1/2. Left ear
LION TV CHANNEL 1LION TV CHANNEL 1The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013
CASE 1/2(10h15 – 10h45)
CLINICAL51 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
Wexham Park Hospital, BerkshireWexham Park Hospital, Berkshire
LION TV CHANNEL 1LION TV CHANNEL 1The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013
CLINICALRight AC 21.25 dB with 2.5 dB AB GapLeft AC 82.5 dB with 43.75 dB AB Gap
Chris Aldren. Stapedotomy – Case 1/2. Left ear
Wexham Park Hospital, BerkshireWexham Park Hospital, Berkshire
LION TV CHANNEL 1LION TV CHANNEL 1The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013
SURGEON:Chris ALDRENWexham Park HospitalBerkshire (UK)
TYPE OF PATHOLOGYPost chronic otitis conductive hearing loss
PLANNED SURGERY Ossiculoplasty (RIGHT)
SURGICAL TECHNIQUETranscanal approach Titanium Partial Clip Prosthesis (KURZ)
Chris Aldren. Ossiculoplasty – Case 2/2. Right ear
Wexham Park Hospital, BerkshireWexham Park Hospital, Berkshire
LION TV CHANNEL 1LION TV CHANNEL 1The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013
CASE 2/2(12h15 – 12h45)
CLINICAL35 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
Wexham Park Hospital, BerkshireWexham Park Hospital, Berkshire
LION TV CHANNEL 1LION TV CHANNEL 1The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013
CLINICAL
Chris Aldren. Ossiculoplasty – Case 2/2. Right ear
• Currently right ear clean and dry with persistent conductive hearing loss
Wexham Park Hospital, BerkshireWexham Park Hospital, Berkshire
LION TV CHANNEL 1LION TV CHANNEL 1The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013
CLINICALRight AC 66.25 dB dB with 50 dB AB GapLeft AC 10 dB with dB 2.5 AB Gap
Chris Aldren. Ossiculoplasty – Case 2/2. Right ear
Wexham Park Hospital, BerkshireWexham Park Hospital, Berkshire
LION TV CHANNEL 1LION TV CHANNEL 1The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013
SURGEON:Chris ALDRENWexham Park HospitalBerkshire (UK)
TYPE OF PATHOLOGYPost cholesteatoma conductive hearing loss
PLANNED SURGERY Ossiculoplasty (LEFT EAR)
SURGICAL TECHNIQUETranscanal approach Titanium Partial Clip Prosthesis (KURZ)
Chris Aldren. Ossiculoplasty – Case 3/3. Left ear
Wexham Park Hospital, BerkshireWexham Park Hospital, Berkshire
LION TV CHANNEL 1LION TV CHANNEL 1The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013
CLINICAL12 year old male12.04.2012 Left cartilage tympanoplasty for retraction and middle ear cholesteatoma. (Other surgeon)Eroded incudo stapedial joint with placement of bone chips over jointPost op clean dry ear but persistent conductive loss
Chris Aldren. Ossiculoplasty – Case 3/3. Left ear
Wexham Park Hospital, BerkshireWexham Park Hospital, Berkshire
LION TV CHANNEL 1LION TV CHANNEL 1The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013
CLINICAL12 year old maleRight ear normal AC 15dBLeft AC 55dB with 47.5dB AB gap
Chris Aldren. Ossiculoplasty – Case 3/3. Left ear
Wexham Park Hospital, BerkshireWexham Park Hospital, Berkshire
LION TV CHANNEL 1LION TV CHANNEL 1The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013