surgeon: chris aldren wexham park hospital berkshire (uk)

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SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK) TYPE OF PATHOLOGY Conductive hearing loss left ear PLANNED SURGERY Stapedotomy with vein graft (LEFT EAR) SURGICAL TECHNIQUE Transcanal approach stapedotomy with vein graft using Causse Teflon piston Wexham Park Hospital, Berkshire Wexham Park Hospital, Berkshire ris Aldren. Stapedotomy – Case 1/2. Left ear LION TV CHANNEL 1 LION TV CHANNEL 1 The 8 The 8 th th LION Global Broadcast LION Global Broadcast May 16 May 16 th th , 2013 , 2013 CASE 1/2 (10h15 – 10h45)

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The 8 th LION Global Broadcast May 16 th , 2013. LION TV CHANNEL 1. Wexham Park Hospital, Berkshire. SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK) . CASE 1/2 (10h15 – 10h45). TYPE OF PATHOLOGY Conductive hearing loss left ear PLANNED SURGERY - PowerPoint PPT Presentation

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Page 1: SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK)

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)

Page 2: SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK)

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

Page 3: SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK)

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

Page 4: SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK)

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)

Page 5: SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK)

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

Page 6: SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK)

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

Page 7: SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK)

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

Page 8: SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK)

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

Page 9: SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK)

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

Page 10: SURGEON: Chris ALDREN Wexham Park Hospital Berkshire (UK)

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