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Honorary Guest Faculty

Douglas 0. Baekou&. Director of the Center lot Hearing and Sl<ull Baso S..rgety at the Swedish Medical Ceruer In Seattkt. His researoh lnterests lndude heaOOg pre· servation with cochlear Implants and O$$&­olnt&9fal&d dovioes. He was voted -rop Ocelots" In Seanle MeUopoi tan Maga.tlne and has, been named ono of the Best Doctors in America within his specialty.

Franco Trabalzinl Ptol&.$t>Or, Directot of Otology and Skull Base Surgery Depart· moot at the University Hospital of Siooa (Italy). He is a founding member and past president of the Eur~an Academy of Otology Neurolology (EAONO).

International Permanent Faculty

Chris Aldren, FRCS WOC'kS in W1ndtoi'·UK. He has a large otological praaicG panicu· larly in primary and revision stapes surg&ry and ossiculoplasry. He tuns a highly rated Advanced Middle Ear Surgety Coul'$$ evG('f y&.ar in May at WeXham Park HO$pital. He lo&crurM and operate$ intema· tionally. H& is a Board member of LION and the British SOCiety of Otology. He is on the Facutry ot the COurs.e tinee 16 years..

~----~ Oswaldo Yerclo Mondon~::. Cruz, MO PhO, ProfesSO< ENT Department, Otology· Neuro<ology dlviolon, Federal Vnlver~ty of Sao Paulo-Srazll. Coordinatol' of the Otology Center of lhe Hospital Sirfo· libanose. Ho hM a spocial Interest In chotosteatoma. nourotoSogy and skull base prOO&dures and has publishOO numerous artioles ln these fields. Ho Is on the Faculty of the Course sinco 9 yeats .

.-------. Manohar B:lnce, MO PhD, Professor,

L-..L-.J

Head Division OtOlaryngology, Oalh0u$ie Unlvertity, HaJifax, Canada. Oirectot, Ear & sense LabS. Specialized in OtOlogy N&utoJotology and Skull Base Surgety. He has aou-appointments as Professor of N&ur0$Urg&ry, the SchoOl ol Communi· cation Oi$0t'ders., and of lhe Depanment of Biomedical Engineering. He is on the Faculty ot the COurse tinee 3 yeat$.

John Oates, FRCS work$ in Bunon on Trent UK where he loa.ds a busy ototogy tertiary referral service for otosclerosis. and os-sicular reconstruction. Ho is an invited speaker internationally. He is the Pr$$ident Elect of UON. He is on the Boord o1 the British Sodety ol Otology, and sits on the ExecU1ive of EUFOS. He is on the Facufty of the Otology Course since its inception

--<:a...L---l

Thomas Somero MO PHD Adjunct Head ENT Oepanmenl and Skull Base S..rgery, European lnsdMe fO< Otolaryngology, Antwerp (Belgium), Professor In Neurotology at the Catholic Unlve<slty ol Louvaln (UCL) In Brussels (Belgium),

Oavld Bowdlor, FRCS Is a Consultant ENT Sutgeon at Unlvet$ity HospltaJ Lewisham, London·UK with a specl&J interest In otoSogy, In particular ctvonlc ear disease and middle ear re<;Onstruction. He is an avthotity on technoSogies W'l mldcle ear surgery especially the ocoendosoope, laser and faclai """'" monitoring. He has published extoslvely in lhls ar-ea. Or Bowdler Is on the Faculty of lhe Cour.se since its Inception.

Sndy Selamen Oa Costa. Professor ENT Department Federal University of Pono Allegre-Btazil. He is the President ot the Brazilian SOCiety of Otolaryngology. Or Oa Costa is a member of several intemational ENT societies and has pubUshed numerous articles in international joumaJs. He is on the Faculty of the COlKSe since 9years.

Wllko Grolman, MO PhD. Ptofe$$0r and Chairman, Oepl of Otolaryngology University Me<:lical Center U11'8<:ht·Netherlands. Ho heads the University's ttaining program in ENT. and i.s Vioe Pr$$ident and O!rectot of Research and Education. His primary olinical intete~s are stapes surgecy andl coohlear implantaUon, and has pubi$hed many pubbtions in these lioelds. Of Grofma.n is President of UON.He is on the Facvlty of the Course sinoe 9 yew$.

John Osbome, FRCS COnsultant ENT surgeon •• Glan Clwyd hospital, Nonh Wales UK. Or OSbome d&vek>ped the coc:ntear implant programme at Glan Clwyd hospital which was the ti~ in Wales to carry ovt this surgery. He introduced multi-disciplinary paediatric hearing assessment dinie to help children wilh sensori·noural deafness or educational probSems. He is on the Fae~y of the Ototogy Course sinee its inoepUon.

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-~...,• Thomas Lonarz, M.O .• PhO, Prof~SOf &nod Chairnl.lUl, ENT Dept. Medical University HMnover·Germany. Membership in national and international societies ol ENT tuld skull bMe surgeey. His Department run$ the world's l&rgest coehlear implant Pf091'atnme with more thlln 5500 patient$ imp4nted since 19&4. Other fields of ci nicat interest $18 skull base sur~ry and bft~ins•em and midbc'ain ifi"C)lants..

Noli Sporllng, MD Director ol Otology, Depanment oC Otolaryngology, SUNY Oownstate Medical College, 8rooktyn, NY· USA. Alpha Omega Alpha Honor Medical Society and selected by •Best Ooelors In America•. Or Sperling ls an Invited lecturer In many meetings and ls a aU1hof or eo· author of numerous articles and books' chapters In the fle)d of Otology. Ho Is on the Facutry of lhe Course since 16 yea1s. -==:i;i~~, He is on the F~;~eulty of the Course since 8 years.

Wllllam Moretz Jr. Ci nical Professor at the r Ouano Mol, Otologl$1, ur;on Hospital, Alberton, Medical College of Georgia. Augu::sta·USA. South Africa. Or Mol ls prac:tis.ing in Alber1on since Or. Mor6t:Z has designed mote than 60 2003 tuld al$0 sees patients a1 The Johannesburg ventilation tube.&, mkl'dle ear prostheses & Cochlear Implant Centre. ~ has really foous.sed his instruments .. He oontinu&Sto wodt in the expertbo in the f~ekS of Otology and Nasal Recon.s· research and development ot microsurgical truc:tive Surgery. He is invotvod as, one of the technique.& and instrumentation in otology surgeons assisting in the '"Hoar lot Life'" Cochlear Over 25 years experiooce ~forming mor& l~l:ant Program lor needy chidren &nd adult$. than 9,000 ear operations. He is on the Ho is on the Faculty ol the Course since 7 years Faculty of the Coul'$& sine& 8 years.

Ashlm Dcs.:al, MO Or. A. 8. A. Oesai ENT Clinic and Research Center, Bombay (India) Is internationally acknowledged as authOrities In the field of ENT and Is Invited as guest '&Ctuter at International and national conferences. Or Desalls spedaiztl<l ln Mdaural tympanoo mastoid surgery, cartilage ossk:u10t>laSly & posteriot eanaJ reconstruction. He is on the FOOJtty of the Course since 9 years.

Resident Faculty (Causse Ear Clinic)

- ,,--.., Thlbaud Oumon, ;oined the Causse Ear Clinic OtolOgy Group in 2000. Or Oumon has a special interest in implantable hearing aid and Chronic otitis surgery.

Robert VIncent, joined the Causse Ear Cllnk:OiologyGroup ln 1991. Or V~nt has a special interest In otoscterosls surgery and congenital malformation.

FranQOis CACES. joined the Causse Ear Cinic Otology Group in 2014. Or CaOOs has a special intet"est in chronic otitis surgery and ne Ut" otology.

Renaud Pialoux. joined the Cau$$0 Ear Clinic Otology Group in 1999. Or Pifloux has a $peQal intere~ in chronic otitis Wld otosderosis surgery.

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Welcome and Registration I Accueil et inscriptions

Live Surgery: sessions 1 A, 1 B I Chirurgie en direct sessions 1A, 18 Cholesteatoma: canal wall up & down technique I Cholesteatome: technique fermee et technique ouverte Surgeons I Chirurgiens: Thibaud Dumon, Francois Caces Moderators I Moderateurs: David Bowdler, Benoit Gratacap

Pause

Technical considerations: chronic ear surgery I neurotology Considerations techniques: chirurgie de l'otite chronique I neurotologie Otoendoscopy in CSOM I Endoscopie en chirurgie de l'otite chronique: David Bowdler Cholesteatoma: what have we learned in the last 20 years I Choresleatome: qu'avons-nous appris en 20 ans: Sady Selamen Da Costa

Ossicular Reconstruction. Malleus relocation, silastic banding & malleus replacement prosthesis (MAP) 1 Ossiculoplastie. Reposition du marteau, anneau silastic & protMse marteau (MRP) Robert Vincent

Live Surgery: sessions 21 Chirurgie en direct sessions 2 Vibrant Soundbridge (VSB) implantation I Implant d'oreille moyenne Vibrant Soundbridge (V$8) Surgeons I Chirurgiens: Thibaud Dumon Moderators I Moderateurs: David Bowdler, Duane Mol

Lunch (Grand floor) I Lunch (Rez-de·chaussee)

Cholesteatoma in children I Cholesteatome de /'enfant Franco Trabalzini

SniHing and patulous eustachian tube I Reniflement et Mance tubaire Manohar Bance

lmplantable hearing devices: current status I Protheses implantables: etat actuel Thibaud Dumon

Pause

The Grand Inquisition: ossicular reconstruction I Grande Inquisition: ossiculoplastie Grand Inquisitor I Grand lnquisiteur: Chris Aldren, David Bowdler Panel: Douglas Backous, Manohar Bance, Sady Da Costa, Benoit Gratacap, Thomas Somers, Franco Trabalzini , Francois Caces.

Stapes surgery: otosclerosis & congenital malformations. Rules & hints I Chirurgie stapedienne: otospongiose & malformations congenitales. Regles et conselts. John Oates, Wilko Grolman, Robert Vincent

Adjoum I Fin du programme scientifique

Free shuttle bus service from the Clinic to Beziers downtown I SeNice de navette gratuite vers le centre de vi/le de B9ziers

Welcome reception & dinner I Reception de bienvenue et dtner Chateau de la Tour, Montady Free shuttle bus service from Beziers Downtown at 19:30 or Causse Clinic at 19:45/ Service de navette gratuite depuis le centre de ville de 8eziers a 1 9h30 ou depuis la Clinique a 19h45

Pages

C OLES ATOMA

Left ear: Tympanoplasty for CSOM with cholesteatoma. Canal wall down technique. Orei/lc gauche: Tympanoptastie en technique ouverte pour chotesteatome.

Clinical: 36 y.old male. Previous left tympanoplasty 1994. for CSOM with cholesteatoma. Progressive hearing loss with otorrhoea. Otoscopy: unstable left canal wall down mastoidectomy; scarred tympanic membrane Clinique: Homme de 36 ans. Tympanoplastie gauche en 1994 pour cholesteatome. Surdite progressive avec otorrMe. Otoscopie: Cavite ouverte instable; tympan atrophique.

Pure tone audiometry I audiometrie tonate

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Live Surgery Chirurgie en direct Session 1 B : F. CACES

CHOLESTEATOMA

OR /Bloc 5

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Right ear: Tympanoplasty for CSOM with cholesteatoma. Canal wall up technique. Orei/le droile: Tympana· plastie en technique fermee pour cholesteatome.

Clinical: 39 y.old female. Left failed tympanoplasty tor CSOM with cholesteatoma (other surgeon) in 2008. Bilateral progressive hearing loss. Recent history of posi· tional vertigo. Otosoopy: left fibrous tympanic membrane. Right cholesteatoma. Clinique: Femme de 39 ans. Cholesteatome gauche opere en 2008 (autre chirurgien). Surdite progressive bilaterafe. Recents episodes de vertiges postionnels. Otoscopie: tympan gauche epaissi et fibreux; cholestea­tomedroit.

Pure tone audiometry I audlometrle tonale

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implantation. Oreille droite: Implant d'oreille moyenne

Vibant Scundbridge (VSB)

Clinical: 76 y. old female. Personal history of cleft palate and bilateral chronic otitis media. 6 previous failed tym­panoplasties. Bilateral stable residual hearing loss. Otoscopy: bilateral central perforation

Clinique: Femme de 76 ans avec division palatine et otite chronique bilaterale. 6 precMentes tympanoplasties sans resultat. Surdite bilaterale sequel/a ire stable. Otoscopie: Perforation tympanique centrale bilaterale.

Pure tone audiometry I Audiometrie tonsle

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Welcome I Accueil

Live Surgery: session 3A & 38 I Chirurgie en direct sessions 3A & 3B Otosclerosis primary surgery I Otospongiose primaire Surgeons I Chirurgiens: Renaud Pialoux, Robert Vincent Moderators I Moderateurs: Jon Osborne, John Oates, Wilko Grolman

Technical considerations: Ossicular reconstruction & Stapes Surgery I Considerations techniques: Ossiculoplastie & chirurgie stapedienne Otosclerosis: from the lab to the clinical set I Otospongiose: du laboratoire au bloc operatoire: Sady Da Costa- Ossiculoplasty, why bother? I Ossiculoplasties, a quoi bon ?: Chris Aldren- Biomechanics in ossicular reconstruction I Biomecanique des ossiculoplasties : Manohar Bance

Pause

Live Surgery: session 4A & 48 I Chirurgie en direct sessions 4A & 48 Otosclerosis revision surgery and revision ossiculoplasty for malleus ankylosis I Reprise chirurgicale pour otospongiose et reprise d'ossiculoplastie pour ankylose du marteau Surgeons I Chirurgiens: Renaud Pialoux, Robert Vincent Moderators I Moderateurs: Chris Aldren, John Oates, Wilko Grolman

Middle ear mechanics I Mecanique de l'oreille moyenne Manohar Bance

Lunch (Grand floor) I Lunch (Rez-de-chaussee)

Hearing reconstruction of the modified radical mastoidectomy: Ossiculoplasty or osseointegration I Reconstruction de /'audition dans les cavites d'evidement: Ossiculoplasties ou osteointegration. Douglas Backous

Obliteration technique in cholesteatoma surgery: why and how? I Techniques d'obliteration en chirurgie du cholesteatome: pourquoi et comment ? Thomas Somers

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In the footsteps of captain Bligh I Dans les pas du capitaine Bligh Jonathan Osborne

The Grand Inquisition in stapes surgery I Grande Inquisition en chirurgie stapedienne Grand Inquisitor I Grand lnquisiteur: Sady Selamen Da Costa, Duane Mol Panel: Chris Aldren, Manohar Bance, Douglas Backous, Wilko Grolman, John Oates, Thomas Somers,

Adjourn I Fin du programme scientifique

Free shuttle bus service from the Clinic to Beziers downtown I Service de navette gratuite vers le centre de ville de Beziers

Gala dinner I Diner de gala Registration is required for the gala dinner as sitting is limited I Inscription obligatoire pour le diner de gala car nombre de places limite (Dressing code: casual I Habillement: decontracte) Domaine Le Clos de Maussanne I Domaine du Clos de Maussanne Free shuttle bus service from the Clinic at 19:15 or from Beziers downtown at at 19:30 I Service de navette gratuite de puis la Clinique a 19h 15 ou de puis le centre de ville de Beziers a a 19h30

XVII'" International Otology Course I XVII'"" Cours International d 'Otologie

STA~ES U GEA

~ ~ ~ ~ ~ ~ ~ ~ ~ Left ear: Otosclerosis primary surgery. Stapedotomy with vein graft interposition. Transcanal approach. Stapedotomy wilh the Skeeter·Oto·Tool & without laser. Oreille gouche: Otospongiose primaire. Stap6dotomie avec interposition veineuse sans laser et avec Skeeter· Oto· Toot. Abord trans-canalaire. Clinical: 65 y.old male. Progressive bilateral hearing loss since few years. Family history negative. No tinnitus nor dizziness. Otoscopy: normal. Tuning fort<: Weber test lateralized towards the left ear Clinique: Homme de 65 ans. Surdite progressive bilaterate sans acouphime ni vertige. Pas d'antec6dents familiaux de surdite. Otoscopie: norma/e. Diapason: test de Weber lateralise vers l'oreille gauche

Pure tone audiometry I Audiometrie tona/e

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SA~ SSU GE ~

·-·-·-·~·-·-·-·-· ~ ~ ~ w ~ ~ ® ~ ® Left ear: Otosclerosis primary surgery. Stapedotomy with vein graft interposition. Transcanal approach. CO. laser with the Omniguide fiber & Osseostap microdrill. Oreille gauche: Otospongiose primaire. Stapedotomie avec interposition veineuse. Abord trans-canalaire. Laser C02 avec fibre Omniguide et microfraise Osseostap.

Clinical: 54 y. old female. Progressive bilateral hearing loss more severe on the left ear. No tinnitus nor dizziness. Family history of otosclerosis. Otoscopy normal. Tuning forte Weber test lateralized towards the left ear. CT-Scan: bilateral otosclerotic foci Clinique: Femme de 54 ans. Surdite bilaterale depuis plus importante a gauche, sans acouphi!ne ni vertige. Antecedents familiaux d'otospongiose. Otoscopie norma/e. Diapason: Weber lat(ualise vers l'oreille gauche. Scanner : foyers d'otospongiose bilateraux

Pure tone audiometry I Audio.metrie tonale

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·-·-·-· ~ ~ ~ ~ w ~ ~ w ~ Right ear: Otosclerosis revision surgery. Stapedotomy with vein graft interposition. Transcanal approach. Oreille droite: Reprise chirurgicale pour otospongiose. Stap8dotomie avec interposition veineuse. Abord trans­canalaire.

Clinical: 43 y.old male. Previous right stapedotomy in 2003 (same surgeon). There was a partially eroded incus and ossiculoplasty was performed with a bucket-type talion prosthesis. Good initial result over 18 months. Recurrent right hearing loss since few months. Otoscopy: normal. Tuning fork: Weber lateralised towards the right ear. Cllnique: Homme de 43 ans. Otospongiose droite operee en 2003 (meme chirurgien) avec bon resultat initial. Ossiculoplastie par protMse bucket compte tenu de /'existence d'une lyse partielle de l'enclume. Bon resulat initial. Surdite droite r{icidivante depuis 2 mois. Otoscopie: norma/e. Acoumetrie au diapason: Weber lateralise sur l'oreille droite.

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~ ~ ~ w ~ ~ ~ w ~ Right ear: Revision tympanoplasty for malleus ankylosis. Transcanal approach. Malleus-to-footplate assembly. Oreille droite: Reprise d'ossiculoplastie pour ankylose du marteau. ProtMse totale marteau-platine

Clinical: 74 y.old female. tst right tympanoplasty in 1999 (same surgeon) for epitympanic malleus ankylosis. OssicuiOplasty w~h PORP. Good initial result followed by progressive recurrent right hearing loss over time. Right revision in 2008 (same surgeon). Middle ear exploration revealed a dislocated prosthesis and ossiculoplasty was performed with a 5.50 mm lenght TORP using a combined technique of malleus relocation and sitastic banding (malleus-to-footplate assembly). Good initial result over 2 years follOwed by recurrent mixed hearing loss. A second right revision was attempted in 2013 (same surgeon). The prosthesis was short and a 6.00mm lenght malleus piston was inserted. There was a good initial result but the patient suffered from vertigo with positive fistula sign. The patient was reoperated and a perilymph fistula was identified. The piston was removed and the oval window was covered by a vein graft. No ossiculoptasty was attemped. Otoscopy: closed and stable left TM. Right ear normal. Clinique: Femme de 74 ans. Oreille droite operee en 1999 (meme chirurgien) pour ankylose du marteau avec ossiculoplastie par PORP Bon resultat initial stable plusieurs annees, suivie de la reapparitin d'une surdite droite progressive. Reprise operatoire droite en 2008 (~me chirurgien) montrant une bascule de la prothese; ossiculoplastie par protMse totale de 5,5mm (TORP) avec reposition du mar­teau et anneau silastic. Bon resultat stable pendant 2 ans suivi de la reapparition d'une surdite droite. Une seconde reprise chirurgicale est ettectuee en 2013 (~me chirur­gien) objectivant une protMse trop courte. Ossiculoplastie par piston-malleus de 6mm de long. Bon resultat audio­metrique mais le patient presentant des manifestations vertigineuses avec signe de la fistule une 3eme reprise est ettectuee en 2013 avec mise en evidence d'une fistule perilymphatique. Depose de la protMse, sans reconstruction et couverture de la fistule par gretton veineux. Otoscopie norma/e.

Pure tone audiometry I Audiomelrie lonale -

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Welcome I Accueil

live Surgery: session 5A & 58 I Chirurgie en direct sessions 5A & 58 Ossiculoplasty. Malleus relocation & silastic banding technique • Malleus Replacement Prosthesis (MAP) and PONTO implantation I Ossicu/optastie. Reposition du marteau et anneau silastic • Prothese Marteau (MRP) et Implant PONTO Surgeons I Chirurgiens: Thibaud Oumon, Robert Vincent Moderators 1 Moderateurs: Wilko Grolman, Chris Aldren

Interventions into the inner ear • Current status of hearing preservation. Cochlear implantation and beyond 1 Chirurgie de f'oreiffe interne • Etat actuet de fa preservation de /'audition. Implant: cochleaire et au-deta: Thomas Lenarz The challenges of middle ear surgery in a Third World: Africa 1 Les de lis de la chirurgie otofogique du Tiers-monde, f'Afrique: Ouane Mol

Pause

live Surgery: session 5C & 50 I Chirurgie en direct sessions 5C & 50 Ossiculoplasty • Malleus relocation & silastic banding technique and 8AHA Connect bone anchored HA implantation I Ossicutoptastie • Reposition du marteau et anneau sifastic et implant BAHA Connect Surgeons 1 Chirurgiens: Renaud Pialoux, Thibaud Oumon Moderators I Moderateurs: John Oates, Oswaldo Laercio Cruz

Adjourn I Fin du programme scientifique -Lunch (ground floor) I Lunch (rez-de-chau~e)

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I live Surgery Chirurgie en direct Session SA: R. Vincent

OSSICULOf>LAS~

OR 1Bioc6

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Right ear: Tympanoplasty revision. Ossiculoplasty with HA-Titanium total prosthesis (TO RP). Oreille droite: Tympanoplastie. Ossiculoplaslie par prothese totale HA-Tilane (TORP)

Clinical: 29 y.old female.Long term histol)' of repeated otitis. 3 previous right failed typanoplasties (1998, 2000, 2001) with good initial result (other surgeon) followed by progressive recurrent right hearing loss. No otorrhoea. Otoscopy: right ear normal with correct position of the prosthesis' head.

Cllnlque: Femme de 29 ans. Antecedents omiques. 3 precedentes tympanoplasties bilaterates en 1998, 2000 et 2001 (autre chirurgien) avec bon resuttat initial suivi d'Une degradation progressive de /'audition. Pas d'otorrhlie. Otoscopie : tympan normal a droite avec position a priori correcte de la tete de la prothese.

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Clinical: 82 y. old female. Long-term histol)' of repealed otitis since childhood. Bilateral tympanoplasty for CSOM with cholesteatoma during childhood. Bilateral stable residual hearing loss. Failed bone conduction hearing aid. Otoscopy: bilaterallateralized TM

Clinique: Femme de 82 ans. Long passe d'otite chronique Antecedents de tympanoplastie bilaterare pour chotestea­tome. Surdite sequeltaire residuette stable. Echec d'appa­reiltage par voie osseuse. Otoscopie: lateralisation de grelfe bilaterate

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1 Live Surgery Chirurgie en direct Session 5C : Renaud Pialoux

OSSICULO~U,S

ORIBioc6

~ ~ ~ ~ ~ ~ ~ ~ ~ Right ear: Revision tympanoplasty with ossiculoplasty. Oreilte droite: Reprise de tympanoptastie avec ossicutcptas· fie.

Clinical: 66 y.old female. Long term history of repeated otitis. Previous type 1 right tympanoplasty (other surgeon) in 1988. Left type 1 tympanoplasty (other surgeon) in 1989. Failed right revision tympanoplasty in 2005 (other surgeon) without hearing improvement. Bilateral residual hearing loss without otorrhoea. Otoscopy: right ear normal; left ear, anterior stable TM perforation. Clinique: Femme de 66 ans avec antectidents d'otite chronique bilaterale. Tympanoplastie droite (type 1) en 1988 (autre chirurgien). Tympanoplastie gauche (type 1) en 1989 (autre chirurgien). Echecde reprise de tympano­ptastie droite en 2005 (autre chirurgien) avec surdite residue/le. Otoscopie : oreille droite norma/e. Perforation tympanique gauche anteneure

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Right ear: Left ear: BAHA Connect bone anchored

hearing aid implantation Oreilte gsuche: Implant a a ncrage osseux BAHA Connect

Clinical: 53 y.old female. Long term history of bilateral repeated otitis since childhood. Two previous left tympanoplasty for CSOM with cholesteatoma (1986 and 2011 ). Left stable residual hearing loss, dizziness. Otoscopy: right ear normal. left ear: stable canal wall down mastoidectomy, scarred tympanic membrane with incus erosion. Clinique: Femme de 53 ans. Antecedent d'otite chronique depuis l'enfance. Deux prectidentes tympano· plasties gauches pour cholesteatome (1986 et 2011 ). Surdite gauche residue/le et stable, avec vertiges. Otoscopie: oreille droite norma/e. Oreille gauche: cavite ouverte stable avec tympan atrophique et lyse de l'enclume.

Pure tone audiometry I Audiometrie tonsle

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Right ear I Orsille droite Left ear I Orellle gauche

Page 13

Free internet access I Acces internet gratuit

Free internet access is available during the course. The 2 terminals are located

at the ground floor of the clinic (F) I Acces interne! gratuit pendant le cours avec

2 bornes internet au rez-de-chaussee (F)

Certificate of attendance- CME Credit I Certificat de presence- FMC

The 17th International Otology Course has been accredited by the European

Accreditation Council for Continuing Medical Education (EACCME) and is designed

for up to 15 CME credits. Certificate of attendance and CME forms will be available

at the registration desk of the course (F: ground floor) I Le 176me Cours International

d'Otologie a ete accredite par le Conseil Europeen d'Accreditation pour la FMC

(EACCME) pour une valeur de 15 points. Les certificats de presence

et de FMC sont a retirer au bureau des inscriptions (F: rez-de-chaussee)

Recording of the Course I Enregistrement du Cours:

The 17th International Otology Course will soon be available in the

e-library of the LION at: www.lion-web.org. and in the LION

YouTube channel :

Le 17M,. Cours d'Otologie sera rapidement disponible sur la e-library

du site internet du LION www.lion-web.org ainsi que sur la chaine

You Tube du LION (Live International Otolaryngology Network)

Lunch, exhibits I Lunch, stands

Exhibits are located at the ground floor (F) and the otology department (D) I Les stands

sont situes au rez de chaussee (F) et au niveau du department d'otologie (D). Lunch

takes olace in front of the Clinic buildino Ill I Lunch en face de la Cliniaue fLJ

Ground floor I Re: de chatJssk

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2nd floor I 2eme etage

I st floor I I er &age

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D: ~ D<1*tJDml l ~,._..,~~-!>: P.~~tlftii'S room 1 c~ M pat'lmtl