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Dr. Sampath Chandra Prasad Rao and Team Bangalore Skull Base and Cochlear Institute successfully performed Asia Pacific’s First Osia Implant in a Skull Base Surgery for massive Petrous bone Epidermoid. The patient from Iraq presented with history of previous surgery with a 10 year old history of HB grade VI facial nerve paralysis and hearing loss. The tumor was completely excised via a Transcochlear Subtotal Petrosectomy. This was combined with facial plastic work by Dr. Vishwas KV that included upper lid loading, lateral canthal canthopexy and facial microfat grafting. After the combined procedures, an Osia Implant was placed on the ipsilateral side to restore hearing. At 𝐁𝐚𝐧𝐠𝐚𝐥𝐨𝐫𝐞 𝐒𝐤𝐮𝐥𝐥 𝐁𝐚𝐬𝐞 𝐈𝐧𝐬𝐭𝐢𝐭𝐮𝐭𝐞 and 𝐁𝐚𝐧𝐠𝐚𝐥𝐨𝐫𝐞 𝐂𝐨𝐜𝐡𝐥𝐞𝐚𝐫 𝐈𝐦𝐩𝐥𝐚𝐧𝐭 𝐈𝐧𝐬𝐭𝐢𝐭𝐮𝐭𝐞 we offer a multidisciplinary and multicentric approach to complex skull base pathologies. We are one of the largest Skull Base programmes in India performing more than 150 skull base cases in a year and catering to over 15 countries apart from drawing patients from all over India. www.bsbi.info www.bciinstitue.net