Antwerp University Hospital 4 articles published in JoVE Medicine Endolymphatic Duct Blockage as a Surgical Treatment Option for Ménière's Disease Annejet Alida Schenck1,2, Issam Saliba3, Josephina Maria Kruyt4, Peter Paul van Benthem2, Hendrikus Maria Blom1,2,5 1Department of Otorhinolaryngology, Haga Hospital, 2Department of Otorhinolaryngology, Leiden University Medical Centre, 3Division of Otolaryngology-Head and Neck Surgery, Montreal University Hospital Center (CHUM), University of Montreal, 4Department of Otorhinolaryngology, Bergman Clinics, 5Department of Otorhinolaryngology, Antwerp University Hospital Endolymphatic duct blockage is a relatively new surgical method for patients suffering from Ménière's disease. Following a regular mastoidectomy, the endolymphatic duct is identified and ligated using a regular titanium hemoclip. The effectiveness of this procedure is currently being assessed in a randomized trial. Medicine Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex Davina Wildemeersch1, Jens Gios2, Philippe G. Jorens3, Guy H. Hans2 1Multidisciplinary Pain Center, Anesthesiology and Critical Care Medicine, Antwerp University Hospital (UZA), University of Antwerp (UA), 2Multidisciplinary Pain Center (PCT), Antwerp University Hospital (UZA), 3Critical Care Medicine, Antwerp University Hospital (UZA), University of Antwerp (UA) Pain assessment in anesthetized patients who cannot communicate with the outside world in any way remains challenging despite the development of innovative objective pain evaluation tools. In this project, the pupillary dilation reflex and the nociception flexion reflex are assessed in critically ill, mechanically ventilated adult patients. Neuroscience In Vitro Recording of Mesenteric Afferent Nerve Activity in Mouse Jejunal and Colonic Segments Sara Nullens1, Annemie Deiteren2, Wen Jiang3, Christopher Keating4, Hannah Ceuleers1, Sven Francque5, David Grundy3, Joris G. De Man1, Benedicte Y. De Winter1 1Laboratory of Experimental Medicine and Pediatrics, Division of Gastroenterology, University of Antwerp, 2Visceral Pain Group, Discipline of Medicine, University of Adelaide, 3Department of Biomedical Sciences, University of Sheffield, 4Department of Pharmacy, Pharmacology and Postgraduate Medicine, University of Hertfordshire, 5Department of Gastroenterology and Hepatology, Antwerp University Hospital Mesenteric afferent nerves convey information from the gastrointestinal tract towards the brain regarding normal homeostasis as well as pathophysiology. Gastrointestinal afferent nerve activity can be assessed by mounting isolated intestinal segments with attached afferent nerves into an organ bath, isolating the nerve, and assessing basal as well as stimulated activity. Medicine Chronic Constriction Injury of the Rat's Infraorbital Nerve (IoN-CCI) to Study Trigeminal Neuropathic Pain Kristof Deseure1, Guy H. Hans2 1Translational Neurosciences, University of Antwerp, 2Multidisciplinary Pain Center, Antwerp University Hospital This manuscript describes a rodent model to study trigeminal neuropathic pain. The methods described include surgical procedures to perform a chronic constriction injury of the rat’s infraorbital nerve and the post-surgical behavioral tests to measure the changes in spontaneous and evoked behavior that are indicative of persistent pain and allodynia.