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SURGEON: (08H30 - 09H30) Ravi Ramalingam KKR ENT Hospital & - PowerPoint PPT Presentation

Dec 21, 2022 •542 likes •1.13k views

CASE 1/1 SURGEON: (08H30 - 09H30) Ravi Ramalingam KKR ENT Hospital & Research Institute Chennai (India) TYPE OF SURGERY: Cochlear implantation PLANNED SURGERY: Right sided surgery for a 2 year old , with ADVANCED BIONICS with Ultra Slim J

  5. CASE 1/1 SURGEON: (08H30 - 09H30) Ravi Ramalingam KKR ENT Hospital & Research Institute Chennai (India) TYPE OF SURGERY: Cochlear implantation PLANNED SURGERY: Right sided surgery for a 2 year old , with ADVANCED BIONICS with Ultra Slim J Electrode SURGICAL TECHNIQUE: Classic post aural approach with Cortical Mastoidectomy with posterior tympanotomy and peri round window insertion

  6. Ravi Ramalingam – AB cochlear implantation- Right ear Clinical history: 2 year old baby boy presented with congenital bilateral hard of hearing and delayed speech (Informant mother). Born to II degree consanguinous marriage, full term LSCS delivery. With no pre/intra or post natal complications.

  7. Ravi Ramalingam – AB cochlear implantation- Right ear Audiometry: • Behavioral observation audiometry: Bilateral profound hearing loss. • Impedence Audiometry : Bilateral ‘A’ Type. • OAE : Suggestive of outer hair cell dysfunction. • BERA: Bilateral Profound Hearing Loss

  8. Ravi Ramalingam – AB cochlear implantation- Right ear Imaging:

  9. Ravi Ramalingam – AB cochlear implantation- Right ear Imaging:

  10. Ravi Ramalingam – AB cochlear implantation- Right ear Imaging:

  11. CASE 1/1 SURGEON: (08h30 - 09h30) Antonio della Volpe Santobono –Pausilipon Children’s Hospital of Naples (Italy) TYPE OF SURGERY: Cochlear implant surgery PLANNED SURGERY: MED-EL Mi1250 SYNCHRONY 2 FLEX 28 (right ear) SURGICAL TECHNIQUE: Cochlear Implant Standard Technique

  12. Antonio della Volpe – MED-EL SYNCHRONY 2 Flex 28 cochlear implantation - Right ear Clinical history: Male 3 yrs Progressive bilateral profound hearing loss Congenital cytomegalovirus infection Ganciclovir therapy at birth

  13. Antonio della Volpe – MED-EL SYNCHRONY 2 Flex 28 cochlear implantation - Right ear Audiometry:

  14. Antonio della Volpe – MED-EL SYNCHRONY 2 Flex 28 cochlear implantation - Right ear Imaging: MRI/TC

  15. Antonio della Volpe – MED-EL SYNCHRONY 2 Flex 28 cochlear implantation - Right ear Imaging: TC

  16. Antonio della Volpe – MED-EL SYNCHRONY 2 Flex 28 cochlear implantation - Right ear MED-EL Otoplan Report: Patient name : FETA TRAJAN Date of birth: 2016-11-22 Ear side: Right FLEX28 Image acquisition date: 2019-11-05 12:10:14 Image resolution: 0.5 x 0.5 x 0.5mm Cochlear parameters Diameter (A Value): 8.6mm Height (H Value): 2.5mm Width (B Value): 6.3mm Estimated CDL: 32.4mm

  17. Antonio della Volpe – MED-EL SYNCHRONY 2 Flex 28 cochlear implantation - Right ear MED-EL Otoplan Report: Selected Electrode: FLEX28 OC SG Ave Contact No Angle (deg) mm Hz mm Hz Hz 1 611.5 27.1 221.6 12.9 209.0 215.3 2 544.0 25.1 348.6 12.4 352.0 350.3 507.8 3 475.1 23.1 520.6 11.9 495.0 4 408.2 21.1 751.5 11.3 670.0 710.8 5 347.9 19.1 1063.3 10.6 926.0 994.7 6 295.4 17.1 1482.5 9.5 1370.0 1426.2 7 247.9 15.1 2047.8 8.5 1945.0 1996.4 8 201.8 13.1 2809.4 7.4 2660.0 2734.7 9 158.0 11.1 3835.0 6.4 3556.0 3695.5 10 118.0 9.1 5217.0 5.3 4655.0 4936.0 11 82.0 7.1 7078.2 4.3 5966.0 6522.1 12 49.4 5.1 9587.2 3.2 7637.0 8612.1

  18. CASE 1/1 SURGEON: (09h00 - 09h30) Kerstin Willenborg University Hospital Hannover (Germany) TYPE OF SURGERY: Bone Anchored Hearing Aid implantation PLANNED SURGERY: BAHA ATTRACT implantation SURGICAL TECHNIQUE: ONLINE CASE PRESENTATION DURING THE BROADCAST

  19. CASE 1/2 SURGEON: (09h30 - 10h30) Aarno Dietz University Hospital Kuopio (Finland) TYPE OF SURGERY: Cochlear implantation PLANNED SURGERY: OTICON EVO electrode array implantation (right ear) SURGICAL TECHNIQUE: Transmastoid posterior tympanotomy approach in local anesthesia without sedation

  20. Aarno Dietz – OTICON EVO cochlear implantation - Right ear Clinical history: • 76 years old gentleman • Diabetes Typ 2, hypertension, prostatic ca (remission) • Left ear sudden deafness 20 years ago • Right ear progressive hearing loss • No speech recognition • Some lip reading • Loss of many social contacts due to hearing loss

  21. Aarno Dietz – OTICON EVO cochlear implantation - Right ear Audiometry:

  22. Aarno Dietz – OTICON EVO cochlear implantation - Right ear Imaging:

  23. Aarno Dietz – OTICON EVO cochlear implantation - Right ear Imaging: Cochlear size A-measure = 9.9 mm

  24. CASE 1/1 SURGEON: (09h30 - 10h30) Alex Huber University Medical School Zurich (Switzerland) TYPE OF SURGERY: Cochlear implantation in Single Sided Deafness PLANNED SURGERY: ADVANCED BIONICS HiFocus implantation (right ear) SURGICAL TECHNIQUE: Facial recess, round window insertion

  25. Alex Huber – AB cochlear implantation - Right ear Clinical history: 57 y/o male patient suffering with single sided hearing loss after sudden deafness 10/2018. There was no improvement after systemic and intratympanic steroid treatment. Retrocochlear pathology was excluded by MRI. The patient tried conventional hearing aids, CROS and bone conduction hearing aids without success. The patient is motivated for a CI and has realistic expectations.

  26. Alex Huber – AB cochlear implantation - Right ear Audiometry: (Please insert audiometry here)

  27. Alex Huber – AB cochlear implantation - Right ear Imaging:

  28. CASE 1/1 SURGEON: (10h30 - 12h30) Robert Mlynski Rostock University Medical Center Dept. of Otorhinolaryngology, Head and Neck Surgery, ”Otto Koerner“ Rostock (Germany) TYPE OF SURGERY: Second look with Vibrant Soundbridge implantation PLANNED SURGERY: VSB right ear SURGICAL TECHNIQUE: T ransmastoid / Transcanal approach Rostock University Medical Center Germany

  29. Robert Mlynski – VSB implantation - Right ear Medical history: • 61 years old female • multiple middle ear surgeries both sides • Vibrant Soundbridge Implantation left side 08/2017 tympanoplasty type III PORP (Cholesteatoma) right side 10/2018 • • mixed hearing loss right side Rostock University Medical Center Germany

  30. Robert Mlynski – VSB implantation - Right ear Audiometry: pure tone thresholds right ear speech perception right ear Rostock University Medical Center Germany

  31. Robert Mlynski – VSB implantation - Right ear Imaging: CT Scan before the tympanoplasty 10/2019 Rostock University Medical Center Germany

  32. CASE 1/1 SURGEON: (10h30 - 11h30) Rolf Salcher University Hospital Hannover (Germany) TYPE OF SURGERY: Cochlear implant surgery PLANNED SURGERY: NUCLEUS MRA implantation SURGICAL TECHNIQUE: ONLINE CASE PRESENTATION DURING THE BROADCAST

  33. CASE 1/1 SURGEON: (11h30 - 12h30) Sherif Khalil University Medical College London (UK) TYPE OF SURGERY: Cochlear implant surgery PLANNED SURGERY: ADVANCED BIONICS Ultra 3D Cochlear Implantation with AIM monitoring (Right ear) SURGICAL TECHNIQUE: (Please type brief description here)

  34. Sherif Khalil – AB cochlear implantation - Right ear Clinical history: • 72 female • Hearing loss started at the age of 50. • Received bilateral hearing aids • Progressive hearing loss Bilateral tinnitus • • Balance OK • Recent drop of hearing in right ear <12 months ago; no benefit from H/A

  35. Sherif Khalil – AB cochlear implantation - Right ear Audiometry: Speech tests: BKB (in Quiet): 12.5% AB Words Phonemes: 23% Words: 13%

  36. Sherif Khalil – AB cochlear implantation - Right ear Imaging:

  37. CASE 1/2 SURGEON: (11h30 - 12h45) Thibaud Dumon Causse Ear Clinic Colombiers-Béziers (France) TYPE OF SURGERY: Bone Conduction Implant PLANNED SURGERY: New BONEBRIDGE MedEl SURGICAL TECHNIQUE: retroauricular approach

  38. Thibaud Dumon – New BONEBRIDGE implantation - Left ear Clinical history: • Male 62 years old • Left ear. Perforation by blast (bombing) in 1980 • Left Tympanoplasty x 2 Left hearing loss + tinnitus • • Otoscopy: left ear: subtotal atelectasy right ear: normal • Audiogram:left ear: 60 dB mixed HL, 40 dB ABG right ear: normal

  39. Thibaud Dumon – New BONEBRIDGE implantation - Left ear Audiometry:

  40. Thibaud Dumon – New BONEBRIDGE implantation - Left ear Imaging:

  41. Thibaud Dumon – New BONEBRIDGE implantation - Left ear Imaging: pre OP measurements

  42. CASE 1/2 SURGEON: (12h30 - 13h30) Joachim Müller University Hospital Munich (Germany) TYPE OF SURGERY: Cochlear implantation PLANNED SURGERY: MED-EL SYNCHRONY 2 Flex Soft implantation (right ear) SURGICAL TECHNIQUE: Standard minimal incision, posterior tympanotomy, round window insertion with structure preservation and aimed hearing preservation

  43. Joachim Müller – MEL-EL SYNCHRONY 2 cochlear implantation - Right ear Clinical history: - progressive hearing loss on both ears - history of noise exposure - had been using hearing aids for years

  44. Joachim Müller – MEL-EL SYNCHRONY 2 cochlear implantation - Right ear Audiometry:

  45. CASE 1/1 SURGEON: (12h30 - 13h30) Nils Prenzler University Hospital Hannover (Germany) TYPE OF SURGERY: Cochlear implant surgery PLANNED SURGERY: OTICON EVO electrode array implantation SURGICAL TECHNIQUE: ONLINE CASE PRESENTATION DURING THE BROADCAST

  46. CASE 2/2 SURGEON: (13h30 - 14h30) Aarno Dietz University Hospital Kuopio (Finland) TYPE OF SURGERY: Cochlear implantation PLANNED SURGERY: MED-EL SYNCHRONY 2 Flex 26 implantation (right ear) SURGICAL TECHNIQUE: Suprameatal approach in local anesthesia without sedation

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