TY - JOUR
T1 - Outcomes following Pediatric Auditory Brainstem Implant Surgery
T2 - Early Experiences in a North American Center
AU - Puram, Sidharth V.
AU - Barber, Samuel R.
AU - Kozin, Elliott D.
AU - Shah, Parth
AU - Remenschneider, Aaron
AU - Herrmann, Barbara S.
AU - Duhaime, Ann Christine
AU - Barker, Fred G.
AU - Lee, Daniel J.
N1 - Publisher Copyright:
© American Academy of Otolaryngology-Head and Neck Surgery Foundation 2016.
PY - 2016/7/1
Y1 - 2016/7/1
N2 - There are no approved Food and Drug Administration indications for pediatric auditory brainstem implant (ABI) surgery in the United States. Our prospective case series aims to determine the safety and feasibility of ABI surgery in pediatric patients <5 years old with congenital deafness at a tertiary North American center. The inclusion criterion was pre- or postlinguistic deafness in children not eligible for cochlear implantation. Seventeen candidates were evaluated (mean ± SD: age, 2.52 ± 0.39 years). Four patients underwent ABI surgery (age, 19.2 ± 3.43 months), including 4 primary procedures and 1 revision for device failure. Spontaneous device failure occurred in another subject postoperatively. No major/minor complications occurred, including cerebrospinal fluid leak, facial nerve injury, hematoma, and nonauditory stimulation. All subjects detected sound with environmental awareness, and several demonstrated babbling and mimicry. Poor durability of older implants underscores need for updated technology.
AB - There are no approved Food and Drug Administration indications for pediatric auditory brainstem implant (ABI) surgery in the United States. Our prospective case series aims to determine the safety and feasibility of ABI surgery in pediatric patients <5 years old with congenital deafness at a tertiary North American center. The inclusion criterion was pre- or postlinguistic deafness in children not eligible for cochlear implantation. Seventeen candidates were evaluated (mean ± SD: age, 2.52 ± 0.39 years). Four patients underwent ABI surgery (age, 19.2 ± 3.43 months), including 4 primary procedures and 1 revision for device failure. Spontaneous device failure occurred in another subject postoperatively. No major/minor complications occurred, including cerebrospinal fluid leak, facial nerve injury, hematoma, and nonauditory stimulation. All subjects detected sound with environmental awareness, and several demonstrated babbling and mimicry. Poor durability of older implants underscores need for updated technology.
KW - ABI
KW - auditory brainstem implant
KW - clinical trial
KW - deafness
KW - hearing loss
KW - nonneurofibromatosis type II
KW - pediatric
UR - http://www.scopus.com/inward/record.url?scp=84976873449&partnerID=8YFLogxK
U2 - 10.1177/0194599816637599
DO - 10.1177/0194599816637599
M3 - Article
C2 - 27095049
AN - SCOPUS:84976873449
SN - 0194-5998
VL - 155
SP - 133
EP - 138
JO - Otolaryngology - Head and Neck Surgery (United States)
JF - Otolaryngology - Head and Neck Surgery (United States)
IS - 1
ER -