137 Hands-on Course in LATERAL SKULL BASE SURGERY
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1 October 23 rd, Hands-on Course in LATERAL SKULL BASE SURGERY October 23 rd -27 th 2017 GRUPPO OTOLOGICO Piacenza Rome Italy
2 CASE #1 Left IAC tumor Age 59 years Sex Female History - Mild left-sided HL and tinnitus in the last years - Dizziness/ vertigo - MRI: VS -> f/u
3 Hearing tests CASE #1 Left IAC tumor
4 CASE #1 Left IAC tumor Radiological investigation - MRI
5 CASE #1 Left IAC tumor Surgery - Patient refused other management options - Patient refused simultaneous CI - Removal via enlarged left translabyrinthine approach with FN preservation (23/10/2017) Post-operative CT
6 CASE #2 Right facial hemispasm Age 62 years Sex Female History - Hemifacial spasm since August 2016 (MRI) - Allergy reaction to carbamazepin Hearing test
7 MRI CASE #2 Right facial hemispasm
8 MRI CASE #2 Right facial hemispasm
9 MRI CASE #2 Right facial hemispasm
10 CASE #2 Right facial hemispasm Surgery - MVD via right RS approach with Teflon sponge interposition (23/10/2017) Post-operative CT
11 CASE #3 Right JF lesion Age 44 years Sex Female History - Progressive-onset of right HL, pulsatile tinnitus, spinning vertigo in the last 2-3 years - No other CN deficits
12 Otoscopy & Hearing test CASE #3 Right JF lesion
13 Radiological investigation - CT CASE #3 Right JF lesion
14 Radiological investigation - CT CASE #3 Right JF lesion
15 Radiological investigation - CT CASE #3 Right JF lesion
16 Radiological investigation - MRI CASE #3 Right JF lesion
17 Radiological investigation - MRI CASE #3 Right JF lesion
18 CASE #3 Right JF lesion Surgery - Removal via right combined TLA-TA + IFT-A approach (23/10/2017) - (Patient refused other management options) Post-operative CT
19 October 24 rd, Hands-on Course in LATERAL SKULL BASE SURGERY October 23 rd -27 th 2017 GRUPPO OTOLOGICO Piacenza Rome Italy
20 CASE #1 Left JF meningioma Age 27 years Sex Female History - Progressive left-sided HL with tinnitus in the last years - Dizziness - Disphonia
21 CASE #1 Left JF meningioma Hearing tests CN examination Incomplete left IX-X CNs palsy, normal VII-XI-XII
22 CASE #1 Left JF meningioma Radiological investigation - CT
23 CASE #1 Left JF meningioma Radiological investigation - MRI
24 CASE #1 Left JF meningioma Radiological investigation - MRI
25 CASE #1 Left JF meningioma Surgery - Removal via combined POTS-TLA approach (24/10/2017) Post-operative CT
26 CASE #2 Residual Right IAC VS Age 58 years Sex Female History : suboccipital right IAC/CPA tumour - Post-operative VII grade-6 HB palsy, dead ear - Unsteadiness/dizziness - Headache Hearing test CN examination: Right VII CN palsy
27 CASE #2 Residual Right IAC VS Radiological investigation - CT
28 CASE #2 Residual Right IAC VS Radiological investigation - MRI
29 CASE #2 Residual Right IAC VS Surgery - Residual tumour removal through enlarged TL approach (24/10/2017) - (Static FN reanimation surgery will follow) Post-operative CT
30 CASE #3 Left IAC tumour Age 44 years Sex Female History - Incidental finding of left IAC tumour 1 year ago - No symptoms Hearing tests
31 Radiological investigation - MRI CASE #3 Left IAC tumour
32 CASE #3 Left IAC tumour Surgery - Removal via left RS-RL approach with cochlear nerve preservation (positive intra-op ABR, 24/10/2017) - (Patient refused other management options) Post-operative CT
33 October 25 th, Hands-on Course in LATERAL SKULL BASE SURGERY October 23 rd -27 th 2017 GRUPPO OTOLOGICO Piacenza Rome Italy
34 CASE #1 Refractory MD Age 59 years Sex Male History - Diagnosed with right MD 10 yrs ago : ED, ES & meningeal decompression (other hospital) : intratympanic gentamicin - Frequent severe attacks (> 5/month)
35 CASE #1 Refractory MD Hearing tests Bedside examination SpNy II -> left, patient refused full otoneurological assessment
36 Radiological investigation - MRI CASE #1 Refractory MD
37 CASE #1 Refractory MD Surgery - Right retrosigmoid vestibular neurotomy (25/10/2017) Post-operative CT
38 CASE #2 Residual left PB tumour Age 54 years Sex Female History : left-sided CWD mastoidectomy ( glomo-angioma ) - 06/2017: STP (GO), uncertain histopatology - ( benign or low-grade, possible meningioma, hemangiopericytoma ) - Tinnitus disappeared after surgery Hearing test
39 CASE #2 Residual left PB tumour Radiological investigation - CT
40 CASE #2 Residual left PB tumour Radiological investigation - CT
41 CASE #2 Residual left PB tumour Radiological investigation - MRI
42 CASE #2 Residual left PB tumour Radiological investigation - MRI
43 CASE #2 Residual left PB tumour Surgery - Residual tumour removal through modified IFT-B approach (25/10/2017) Post-operative CT
44 October 26 th, Hands-on Course in LATERAL SKULL BASE SURGERY October 23 rd -27 th 2017 GRUPPO OTOLOGICO Piacenza Rome Italy
45 CASE #1 Right LCN schwannoma Age 41 years Sex Male History - Since February 2017 recurrent severe headache (A&E) - Right XII CN palsy - CT/MRI
46 CASE #1 Right LCN schwannoma Otoscopy & CN Hearing test - Normal IX-X-XI - XII right CN palsy
47 CASE #1 Right LCN schwannoma Radiological investigation - CT
48 CASE #1 Right LCN schwannoma Radiological investigation - MRI
49 CASE #1 Right LCN schwannoma Surgery - Removal via transcervical(-transmastoid) approach (26/10/2017) Post-operative CT
50 CASE #2 Right growing CPA tumour Age 40 Sex Female History : incidental finding of right IAC/CPA tumor - Wait & Scan till then - Progression of HL in the last year - Last MRI: tumour growth (6 mm 2 cm extrameatal) Hearing tests
51 Radiological investigation - MRI CASE #2 Right growing CPA tumour
52 CASE #2 Right growing CPA tumour Surgery - Removal via right TLA-TA approach (26/10/2017) - (Patient refused other management options) Post-operative CT
53 October 26 th, Hands-on Course in LATERAL SKULL BASE SURGERY October 23 rd -27 th 2017 GRUPPO OTOLOGICO Piacenza Rome Italy
Hands-on Course in: Lateral Skull Base Surgery Piacenza, Italy November 2016
Piacenza, Italy 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
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