Hands-on Course in: Lateral Skull Base Surgery...Hands-on Course in: Lateral Skull Base Surgery 7-11...
Transcript of Hands-on Course in: Lateral Skull Base Surgery...Hands-on Course in: Lateral Skull Base Surgery 7-11...
7-11 November 2016
Hands-on Course in:
Lateral Skull Base SurgeryPiacenza, Italy
Age – 43 yearsSex – FemaleHistory• RT for nasopharyngeal carcinoma (1993)• Right-sided tympanoplasty EAC chole (2003)• Onset of right hemifacial spasm and
progressive right HL (anacusis)
Case n.01
Right PBC
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.01
Right PBC
Radiological investigation - CT
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.01
Right PBC
Radiological investigation - CT
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.01
Right PBC
Radiological investigation - MRI
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.01
Right PBC
Radiological investigation - MRI
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.01
Right PBC
• Surgery
- Right transotic removal and Fallopian canal decompression (07/11/2016)
Post-operative CT scan
Case n.02
Left TJP
Class C3
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Age – 50 years
Sex – Female
History
-Progressive left HL pulsatile tinnitus since 2008
-PTA + ICA stenting (February 2016)
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.02
Left TJP
Radiological investigation - CT
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.02
Left TJP
Radiological investigation - CT
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.02
Left TJP
Radiological investigation - MRI
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.02
Left TJP
Radiological investigation - MRI
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.02
Left TJP Radiological investigation
Angiography & Embolization
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.02
Left TJP
• Surgery
- Left infratemporal fossa approach type A (with anterior rerouting of the facial nerve, 07/11/2016)
Post-operative CT scan
Case n.03
Left VS in
NF2 Pt
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
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
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.03
Left VS in NF2 Pt
Radiological investigation - MRI
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.03
Left VS in NF2 Pt
Radiological investigation - MRI
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.03
Left VS in NF2 Pt
Post-operative CT scan
• Surgery
- Removal via left translabyrinthineapproach with transapical extension (08/11/2016). She was planned for ABI insertion, that was not possible since Luschka foramen was not accessible.
Case n.04
Intrameatal
VS
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Age – 45 years
Sex – Female
History
-Progressive left HL, aural fullness, tinnitus and intermittent vertigo since 2015
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.04
Intrameatal VS
Radiological investigation - MRI
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.04
Intrameatal VS
Post-operative CT scan
• 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.05
Right
Intracochlear
tumour
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Age – 60 years
Sex – Male
History
-Progressive right-sided HL and tinnitus since 2010
-Radiological finding of right intracochlear lesion since 2013, followed up
-Anacusis since 6 months ago
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.05
Right intracochlear tumour
Radiological investigation - MRI
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.05
Right intracochlear tumour
Post-operative CT scan
• Surgery
- Removal via right transotic approach on patient’s request (09/11/2016)
Case n.06
XII cn tumor
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Age – 36 years
Sex – Male
History
-Two-year history of left hypoglossal nerve palsy
-Delayed diagnosis
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.06
XII cn tumor
Radiological investigation - CT
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.06
XII cn tumor
Radiological investigation - MRI
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.06
XII cn tumor
Radiological investigation - MRI
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.06
XII cn tumor Radiological investigation
Angio - MRI
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.06
XII cn tumor
Post-operative CT scan
• Surgery
- Infralabyrinthine transcondylar trans-sigmoid removal with neck extension
Case n.07
Right PB tumor
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Age – 41 years
Sex – Male
History
-Progressive right-sided HL with tinnitus in the last 6 months
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.07
Right PB tumor
Radiological investigation - CT
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.07
Right PB tumor
Radiological investigation - MRI
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.07
Right PB tumor
Radiological investigation - MRI
Hands-on Course in:
Lateral Skull Base Surgery
7-11 November 2016
Case n.07
Right PB tumor
Post-operative CT scan
• Surgery
- Removal via right infratemporal fossa approach type B with zygomatic extension (10/11/2016)
7-11 November 2016
Hands-on Course in:
Lateral Skull Base SurgeryPiacenza, Italy