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Pediatric Auditory Brainstem Implant Surgery.

Sidharth V Puram1, Daniel J Lee1

  • 1Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114, USA; Department of Otology and Laryngology, Harvard Medical School, 25 Shattuck St, Boston, MA 02115, USA.

Otolaryngologic Clinics of North America
|November 11, 2015
PubMed
Summary
This summary is machine-generated.

Auditory brainstem implants (ABIs) offer hearing to children ineligible for cochlear implants (CIs). Pediatric ABI surgery is safe and effective, providing auditory perception for profound hearing loss.

Keywords:
Auditory brainstem implant (ABI)Cochlear hypoplasia or aplasiaCochlear nerve hypoplasia or aplasiaCongenital hearing lossPediatricRetrosigmoid craniotomy

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Area of Science:

  • Otorhinolaryngology
  • Neurosurgery
  • Audiology

Background:

  • Auditory brainstem implants (ABIs) are crucial for profound hearing loss when cochlear implants (CIs) are unsuitable.
  • Indications include complex ear anatomy or prior CI failure.
  • Pediatric application of ABIs is expanding.

Purpose of the Study:

  • To review the preoperative evaluation, surgical techniques, and devices for pediatric auditory brainstem implantation.
  • To analyze surgical and audiological outcomes in children undergoing ABI surgery.

Main Methods:

  • Review of institutional experience and global case data (nearly 200 cases).
  • Discussion of preoperative assessment protocols for pediatric ABI candidates.
  • Analysis of surgical approaches and contemporary ABI device utilization in children.

Main Results:

  • Pediatric ABI surgery demonstrates safety and efficacy.
  • Surgical and audiological outcomes are favorable in the pediatric population.
  • Institutional and international data support the effectiveness of ABIs in children.

Conclusions:

  • Auditory brainstem implantation is a viable option for pediatric hearing restoration.
  • Careful patient selection and surgical technique are key to successful outcomes.
  • ABI technology offers significant benefits for children with specific hearing loss profiles.