Hands-on Course in: Lateral Skull Base Surgery Piacenza, Italy November 2016

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1 Piacenza, Italy

2 Case n.01 Right PBC Age 43 years Sex Female History RT for nasopharyngeal carcinoma (1993) Right-sided tympanoplasty EAC chole (2003) Onset of right hemifacial spasm and progressive right HL (anacusis)

3 Case n.01 Right PBC Radiological investigation - CT

4 Case n.01 Right PBC Radiological investigation - CT

5 Case n.01 Right PBC Radiological investigation - MRI

6 Case n.01 Right PBC Radiological investigation - MRI

7 Surgery - Right transotic removal and Fallopian canal decompression (07/11/2016) Case n.01 Right PBC Post-operative CT scan

8 Case n.02 Left TJP Class C3 Age 50 years Sex Female History -Progressive left HL pulsatile tinnitus since PTA + ICA stenting (February 2016)

9 Case n.02 Left TJP Radiological investigation - CT

10 Case n.02 Left TJP Radiological investigation - CT

11 Case n.02 Left TJP Radiological investigation - MRI

12 Case n.02 Left TJP Radiological investigation - MRI

13 Case n.02 Left TJP Radiological investigation Angiography & Embolization

14 Surgery - Left infratemporal fossa approach type A (with anterior rerouting of the facial nerve, 07/11/2016) Case n.02 Left TJP Post-operative CT scan

15 Case n.03 Left VS in NF2 Pt Age 47 years Sex Female History -Bilateral progressive HL (left worse) since July 2016, with imbalance -Slight left FN dysfunction (grade 2) -No previous diagnosis of neurofibromatosis type 2

16 Case n.03 Left VS in NF2 Pt Radiological investigation - MRI

17 Case n.03 Left VS in NF2 Pt Radiological investigation - MRI

18 Surgery - Removal via left translabyrinthine approach with transapical extension (08/11/2016). She was planned for ABI insertion, that was not possible since Luschka foramen was not accessible. Case n.03 Left VS in NF2 Pt Post-operative CT scan

19 Case n.04 Intrameatal VS Age 45 years Sex Female History -Progressive left HL, aural fullness, tinnitus and intermittent vertigo since 2015

20 Case n.04 Intrameatal VS Radiological investigation - MRI

21 Surgery - Initially planned for left TLA with CI, only TLA removal (08/11/2016) since the patient refused CI. - The patient had already refused wait&scan Case n.04 Intrameatal VS Post-operative CT scan

22 Case n.05 Right Intracochlear tumour Age 60 years Sex Male History -Progressive right-sided HL and tinnitus since Radiological finding of right intracochlear lesion since 2013, followed up -Anacusis since 6 months ago

23 Case n.05 Right intracochlear tumour Radiological investigation - MRI

24 Surgery - Removal via right transotic approach on patient s request (09/11/2016) Case n.05 Right intracochlear tumour Post-operative CT scan

25 Case n.06 XII cn tumor Age 36 years Sex Male History -Two-year history of left hypoglossal nerve palsy -Delayed diagnosis

26 Case n.06 XII cn tumor Radiological investigation - CT

27 Case n.06 XII cn tumor Radiological investigation - MRI

28 Case n.06 XII cn tumor Radiological investigation - MRI

29 Case n.06 XII cn tumor Radiological investigation Angio - MRI

30 Surgery - Infralabyrinthine transcondylar transsigmoid removal with neck extension Case n.06 XII cn tumor Post-operative CT scan

31 Case n.07 Right PB tumor Age 41 years Sex Male History -Progressive right-sided HL with tinnitus in the last 6 months

32 Case n.07 Right PB tumor Radiological investigation - CT

33 Case n.07 Right PB tumor Radiological investigation - MRI

34 Case n.07 Right PB tumor Radiological investigation - MRI

35 Surgery - Removal via right infratemporal fossa approach type B with zygomatic extension (10/11/2016) Case n.07 Right PB tumor Post-operative CT scan

36 Piacenza, Italy

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