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Auditory Brainstem Implants in Children with Inner Ear Anomalies: An Indian Perspective
Prawin Kumar1, Prabuddha Bhatarai1, Ariya Jayan1
1Department of Audiology, All India Institute of Speech and Hearing, Manasagangotri, Mysore, Karnataka 570006 India.
Summary
Auditory brainstem implantation (ABI) offers benefits for hearing loss when cochlear implants fail. However, limited acceptance in India stems from challenges like poor word recognition and high costs.
Area of Science:
- Neurosurgery
- Audiology
- Biomedical Engineering
Background:
- Auditory brainstem implantation (ABI) is an alternative for patients with retro-cochlear pathologies or inner ear anomalies unsuitable for cochlear implantation.
- Despite its advantages, ABI adoption is limited due to factors like suboptimal word recognition, surgical infrastructure constraints, and high implantation costs.
Purpose of the Study:
- To review the benefits of ABI surgery in non-tumor patients.
- To explore the reasons behind the limited acceptance of ABI devices, particularly from an Indian perspective.
Main Methods:
- Literature review focusing on ABI outcomes in non-tumor populations.
- Analysis of factors influencing patient acceptance and adoption of ABI technology in India.
Main Results:
- ABI provides a viable auditory restoration option for specific patient groups.
- Limited patient acceptance is linked to functional outcomes, surgical accessibility, and economic factors in the Indian context.
Conclusions:
- ABI offers significant benefits for select patients, but its potential is not fully realized due to existing limitations.
- Addressing challenges in surgical infrastructure, cost, and patient counseling is crucial for increasing ABI adoption in India.
