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Related Experiment Video

Updated: May 20, 2026

Cochlear Implant Surgery and Electrically-evoked Auditory Brainstem Response Recordings in C57BL/6 Mice
09:06

Cochlear Implant Surgery and Electrically-evoked Auditory Brainstem Response Recordings in C57BL/6 Mice

Published on: January 9, 2019

Cochlear implantation and contralateral auditory brainstem implantation.

Arasa Raj Sinnathuray1, Renaud Meller, Marie Cosso

  • 1Service d'Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, Hôpital Nord-Chemin des Bourrelly, Marseille, France. rajsinn@aol.com

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|July 10, 2012
PubMed
Summary

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This study explored combined cochlear implant (CI) and auditory brainstem implant (ABI) use in two patients with profound deafness. Results suggest bilateral sound detection offers benefits, with CI-CROS systems showing comparable outcomes to CI-ABI.

Area of Science:

  • Audiology
  • Neurosurgery
  • Hearing Restoration

Background:

  • Sensorineural deafness presents complex challenges for auditory rehabilitation.
  • Combined cochlear implant (CI) and auditory brainstem implant (ABI) strategies are emerging for severe hearing loss.
  • Evaluating novel auditory implant combinations is crucial for improving patient outcomes.

Observation:

  • Two adult patients with postlingual sensorineural deafness underwent sequential unilateral CI and contralateral ABI implantation.
  • One patient had a vestibular schwannoma, while the other had Ménière's disease requiring neurectomy.
  • Auditory performance was assessed using pure tone audiometry, speech discrimination in quiet and noise, and sound localization under various device configurations.

Findings:

  • Auditory brainstem implant (ABI) alone yielded the poorest pure tone audiometry results.

Related Experiment Videos

Last Updated: May 20, 2026

Cochlear Implant Surgery and Electrically-evoked Auditory Brainstem Response Recordings in C57BL/6 Mice
09:06

Cochlear Implant Surgery and Electrically-evoked Auditory Brainstem Response Recordings in C57BL/6 Mice

Published on: January 9, 2019

  • Speech discrimination in quiet was optimal with a cochlear implant (CI) and contralateral routing of sound (CROS) system (CI-CROS).
  • The CI and ABI combination (CI-ABI) effectively overcame the head shadow effect for noise originating from the CI side, while CI-CROS excelled with contralateral noise.
  • Both CI-ABI and CI alone provided useful sound localization capabilities.
  • Quality of life assessments favored the CI-CROS configuration.
  • Implications:

    • Bilateral sound detection, utilizing both unilateral CI and ABI, appears advantageous over unilateral devices in cases of profound deafness with limited auditory nerve function.
    • Contralateral routing of sound (CROS) systems paired with a CI may offer comparable benefits to a CI-ABI system.
    • These findings contribute to understanding the efficacy of combined auditory implant strategies for hearing restoration.