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TYPE OF SURGERY: Cochlear Implantation after Tympanoplasty for CSOM without cholesteatoma PLANNED SURGERY: Cochlear Implantation (LEFT EAR) SURGICAL TECHNIQUE Subtotal petrosectomy and cochlear implantation LION TV CHANNEL 2 LION TV CHANNEL 2 CASE 1/2 (11h00 – 12h15) Azienda Ospedaliera Universitaria Senese, Siena Azienda Ospedaliera Universitaria Senese, Siena SURGEON: Franco Trabalzini Azienda Ospedaliera Universitaria Senese Siena (Italy) The 8 The 8 th th LION Global Broadcast LION Global Broadcast May 16 May 16 th th , 2013 , 2013

TYPE OF SURGERY: Cochlear Implantation after Tympanoplasty for CSOM without cholesteatoma PLANNED SURGERY: Cochlear Implantation (LEFT EAR) SURGICAL TECHNIQUE

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Page 1: TYPE OF SURGERY: Cochlear Implantation after Tympanoplasty for CSOM without cholesteatoma PLANNED SURGERY: Cochlear Implantation (LEFT EAR) SURGICAL TECHNIQUE

TYPE OF SURGERY: Cochlear Implantation after Tympanoplasty for CSOM without cholesteatoma

PLANNED SURGERY: Cochlear Implantation (LEFT EAR)

SURGICAL TECHNIQUE Subtotal petrosectomy and cochlear implantation

LION TV CHANNEL 2LION TV CHANNEL 2

CASE 1/2(11h00 – 12h15)

Azienda Ospedaliera Universitaria Senese, SienaAzienda Ospedaliera Universitaria Senese, Siena

SURGEON:Franco TrabalziniAzienda Ospedaliera Universitaria Senese Siena (Italy)

The 8The 8thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013

Page 2: TYPE OF SURGERY: Cochlear Implantation after Tympanoplasty for CSOM without cholesteatoma PLANNED SURGERY: Cochlear Implantation (LEFT EAR) SURGICAL TECHNIQUE

Franco Trabalzini. Cochlear Implantation. Left Ear

LION TV CHANNEL 2LION TV CHANNEL 2Azienda Ospedaliera Universitaria Senese, SienaAzienda Ospedaliera Universitaria Senese, Siena

CLINICAL

MM, 51 years, male

History: History of recurrent otitis media from childhoodHistory of sporadic bilateral dischargeLeft Tympanoplasty (November 2012)Dry left ear since 6 months

Otoscopy: Right: - Chronic otitis mediaLeft: - Reconstructed tympanic membrane

The 7The 7thth LION Global Broadcast LION Global BroadcastMay 16May 16hh, 2013, 2013

Page 3: TYPE OF SURGERY: Cochlear Implantation after Tympanoplasty for CSOM without cholesteatoma PLANNED SURGERY: Cochlear Implantation (LEFT EAR) SURGICAL TECHNIQUE

PURE-TONE AUDIOMETRY

LION TV CHANNEL 2LION TV CHANNEL 2

Franco Trabalzini. Cochlear Implantation. Left Ear

Azienda Ospedaliera Universitaria Senese, SienaAzienda Ospedaliera Universitaria Senese, Siena

The 7The 7thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013

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SPEECH AUDIOMETRY: no discrimination

Page 4: TYPE OF SURGERY: Cochlear Implantation after Tympanoplasty for CSOM without cholesteatoma PLANNED SURGERY: Cochlear Implantation (LEFT EAR) SURGICAL TECHNIQUE

CT SCAN (prior to left tympanoplasty)

LION TV CHANNEL 2LION TV CHANNEL 2

Franco Trabalzini. Cochlear Implantation. Left Ear

Azienda Ospedaliera Universitaria Senese, SienaAzienda Ospedaliera Universitaria Senese, Siena

The 7The 7thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013

Page 5: TYPE OF SURGERY: Cochlear Implantation after Tympanoplasty for CSOM without cholesteatoma PLANNED SURGERY: Cochlear Implantation (LEFT EAR) SURGICAL TECHNIQUE

TYPE OF SURGERY: Cochlear Implantation after subtotal petrosectomy for CSOM with cholesteatoma

PLANNED SURGERY: Cochlear Implantation (LEFT EAR)

SURGICAL TECHNIQUECochlear implantation after subtotal petrosectomy

LION TV CHANNEL 2LION TV CHANNEL 2

CASE 2/2(14h00 – 15h30)

Azienda Ospedaliera Universitaria Senese, SienaAzienda Ospedaliera Universitaria Senese, Siena

SURGEON:Franco TrabalziniAzienda Ospedaliera Universitaria Senese Siena (Italy)

The 7The 7thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013

Page 6: TYPE OF SURGERY: Cochlear Implantation after Tympanoplasty for CSOM without cholesteatoma PLANNED SURGERY: Cochlear Implantation (LEFT EAR) SURGICAL TECHNIQUE

Franco Trabalzini. Cochlear Implantation. Left Ear

LION TV CHANNEL 2LION TV CHANNEL 2Azienda Ospedaliera Universitaria Senese, SienaAzienda Ospedaliera Universitaria Senese, Siena

CLINICAL

AC, 52 years, female

History: History of recurrent otitis media from childhoodMay 2012, right tympanoplasty.November 2012, left subtotal petrosectomy.Dry right ear since 6 months

Otoscopy: Right: - Reconstructed tympanic membraneLeft: - EAC Blind sac closure

The 7The 7thth LION Global Broadcast LION Global BroadcastMay 16May 16hh, 2013, 2013

Page 7: TYPE OF SURGERY: Cochlear Implantation after Tympanoplasty for CSOM without cholesteatoma PLANNED SURGERY: Cochlear Implantation (LEFT EAR) SURGICAL TECHNIQUE

PURE-TONE AUDIOMETRY

LION TV CHANNEL 2LION TV CHANNEL 2

Franco Trabalzini. Cochlear Implantation. Left Ear

Azienda Ospedaliera Universitaria Senese, SienaAzienda Ospedaliera Universitaria Senese, Siena

The 7The 7thth LION Global Broadcast LION Global BroadcastMay 16May 16thth, 2013, 2013

125 250 500 1000 2000 4000 8000

Hz

AC=BC

SPEECH AUDIOMETRY: no discrimination

-10

0

10

20

30

40

50

60

70

80

90

100

110

120

dB HL