Robert Vincent Causse Ear Clinic Béziers (France) CASE 1/4

SURGEON: CASE 1/4
Robert Vincent
Causse Ear Clinic (09h15 – 09h45)
Béziers (France)

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

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

PURE-TONE AUDIOMETRY

Robert Vincent. Otosclerosis Primary Surgery. LeftEar

SURGEON: CASE 2/4
Robert Vincent
Causse Ear Clinic (11h45 – 12h15)
Béziers (France)

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

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

PURE-TONE AUDIOMETRY

Robert Vincent. Otosclerosis Primary Surgery. LeftEar

SURGEON: CASE 3/4
Robert Vincent
Causse Ear Clinic (13h00 – 13h45)
Béziers (France)

TYPE OF SURGERY:
Tympanoplasty

PLANNED SURGERY:
Revision stapedotomy (LEFT EAR)

SURGICAL TECHNIQUE
Transcanal approach. Ossiculoplasty with TORP
Silastic Banding Technique

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

PURE-TONE AUDIOMETRY

Robert Vincent. Ossiculoplasty. left ear

SURGEON: CASE 4/4
Robert Vincent
Causse Ear Clinic (15h00 – 15h45)
Béziers (France)

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

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

PURE-TONE AUDIOMETRY

Robert Vincent. Ossiculoplasty. Revision surgery. Right ear