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Tuesday December 3, 2013 Surgeon: Robert Vincent (Causse Ear Clinic, Béziers – France) Case 1: Otosclerosis Primary Surgery Case 2: Otosclerosis Revision Surgery Case 3: Otosclerosis Primary Surgery ive Link between the University Medical Center Utrecht (Nethe Causse Ear Clinic Béziers (France)

Tuesday December 3, 2013 Surgeon: Robert Vincent (Causse Ear Clinic, Béziers – France) Case 1: Otosclerosis Primary Surgery Case 2: Otosclerosis Revision

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Page 1: Tuesday December 3, 2013 Surgeon: Robert Vincent (Causse Ear Clinic, Béziers – France) Case 1: Otosclerosis Primary Surgery Case 2: Otosclerosis Revision

Tuesday December 3, 2013

Surgeon:

Robert Vincent (Causse Ear Clinic, Béziers – France)

Case 1: Otosclerosis Primary SurgeryCase 2: Otosclerosis Revision SurgeryCase 3: Otosclerosis Primary Surgery

Direct Live Link between the University Medical Center Utrecht (Netherlands)and the Causse Ear Clinic Béziers (France)

Page 2: Tuesday December 3, 2013 Surgeon: Robert Vincent (Causse Ear Clinic, Béziers – France) Case 1: Otosclerosis Primary Surgery Case 2: Otosclerosis Revision

Case 1: Otosclerosis Primary Surgery (Right Ear)

08:15 am (provisional)

51 year old male

Left failed primary otosclerosis in 2008 (other surgeon). Revision

left otosclerosis (same surgeon) in 2010: eroded incus,

Ossiculoplasty with TORP (malleus-to-stapedotomy procedure).

Good initial result over 2 years followed by recurrent ABG. Right

progressive ABG. Surgical decision: right primary surgery first

and left second revision 1 year later.

Otoscopy: normal

R. Vincent. Case 1 - Otosclerosis Primary Surgery

Page 3: Tuesday December 3, 2013 Surgeon: Robert Vincent (Causse Ear Clinic, Béziers – France) Case 1: Otosclerosis Primary Surgery Case 2: Otosclerosis Revision

Pure Tone Audiometry:

R. Vincent. Case 1 - Otosclerosis Primary Surgery

Page 4: Tuesday December 3, 2013 Surgeon: Robert Vincent (Causse Ear Clinic, Béziers – France) Case 1: Otosclerosis Primary Surgery Case 2: Otosclerosis Revision

Case 2: Otosclerosis Revision Surgery (Right Ear)

09:30 am (provisional)

51 year old male

Left primary surgery for otosclerosis in 2000 (other surgeon): good and stable result.

Right failed primary surgery (other surgeon) in 2007. Failed right revision in 2008 (other surgeon): partiallly eroded incus; ossiculoplasty with stapes piston: good initial result followed by recurrent ABG over the last few months.

Otoscopy: normal

Tuning fork: Weber test lateralized towards the right ear

R. Vincent. Case 2 – Revision Otosclerosis

Page 5: Tuesday December 3, 2013 Surgeon: Robert Vincent (Causse Ear Clinic, Béziers – France) Case 1: Otosclerosis Primary Surgery Case 2: Otosclerosis Revision

Pure Tone Audiometry:

R. Vincent. Case 2 – Revision Otosclerosis

Page 6: Tuesday December 3, 2013 Surgeon: Robert Vincent (Causse Ear Clinic, Béziers – France) Case 1: Otosclerosis Primary Surgery Case 2: Otosclerosis Revision

Case 3: Otosclerosis Primary Surgery (Right Ear)

11:30 am (provisional)

53 year old female

Progressive right-sided hearing loss

No tinnitus nor dizziness

Positive family history of otosclerosis

Personal history negative

Otoscopy: normal

Tuning fork: Weber test lateralized towards the right ear

R. Vincent. Case 3 – Otosclerosis Primary Surgery

Page 7: Tuesday December 3, 2013 Surgeon: Robert Vincent (Causse Ear Clinic, Béziers – France) Case 1: Otosclerosis Primary Surgery Case 2: Otosclerosis Revision

Pure Tone Audiometry:

R. Vincent. Case 3 – Otosclerosis Primary Surgery