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Cited by 46Hearing Loss and RehabilitationHearing, Cochlea, Tinnitus, GeneticsEar Surgery and Otitis Media

Indications and contraindications of auditory brainstem implants: systematic review and illustrative cases.

Merkus, Paul, Lella, Fillipo Di, Trapani, Giuseppe Di, Pasanisi, Enrico, Beltrame, Milo A., Zanetti, Diego, Negri, Maurizio, Sanna, Mario·2014·European Archives of Oto-Rhino-Laryngology
DOI 10.1007/s00405-013-2378-3
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Abstract

The number of non-neurofibromatosis type 2 (NF2) indications for auditory brainstem implant (ABI) in the literature is increasing. The objective of this study was to analyze and discuss the indications for ABI. Retrospective chart review and systematic review were conducted at Quaternary referral skull base center and referring centers. Analysis of ABI cases with non-NF2 indications and systematic review presenting non-NF2 ABI cases were performed. Fourteen referred cases with ABI were identified. All cases had unsatisfactory results of ABI and all could have been rehabilitated with a cochlear implant (CI). Of these 14 cases, 9 improved with a cochlear implant, and 2 with a hearing aid, two are still planned for CI, one received bilateral CI, no ABI. In literature, we found 31 articles presenting 144 non-NF2 ABI cases with at least 7 different indications other than NF2. ABI should be restricted to those patients who have no other rehabilitation options. Patency of the cochlea and evidence of an intact cochlear nerve should be examined with imaging and electrophysiologic testing. Sometimes a CI trial should be planned prior to proceeding with ABI. We have shown that in many cases a CI is still possible and CI provided better results than ABI. In vestibular schwannoma in the only hearing ear, cochlear otosclerosis, temporal bone fractures, (presumed) bilateral traumatic cochlear nerve disruption, auto-immune inner ear disease and auditory neuropathy primarily CI are indicated. Traumatic bilateral cochlear nerve disruption is exceptionally unlikely. In cochlear nerve aplasia, testing should be performed prior to meeting indications for ABI. In malformations, ABI is indicated only in severe cochlear hypoplasia or cochlear aplasia.

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Authors
Merkus, P., Lella, F. D., Trapani, G. D., Pasanisi, E., Beltrame, M. A., Zanetti, D., Negri, M., & Sanna, M.
Affiliations
  • Amsterdam Public Health (NL)
  • University of Parma (IT)
  • Azienda Ospedaliera San Gerardo (IT)
Corresponding author
Merkus, Paul
ORCID
Venue
European Archives of Oto-Rhino-Laryngology
Publisher
Springer Science and Business Media LLC
Published
2013-02-13
Volume
271
Issue
1
Pages
3-13
ISSN
  • 0937-4477 (ISSN-L)
  • 1434-4726
DOI
10.1007/s00405-013-2378-3
OpenAlex
W2000884114
Cited by
46
References
37
Citations by year
2026: 1 · 2025: 3 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 3 · 2017: 7 · 2016: 6 · 2015: 5 · 2014: 5 · 2013: 2
FWCI
0.51
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • European Archives of Oto-Rhino-Laryngology (publishedVersion)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
  • Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
  • Health Sciences › Medicine › Otorhinolaryngology › Ear Surgery and Otitis Media
Keywords
auditory brainstem implant, neurofibromatosis type 2, cochlear implants, auditory nerve, vestibular schwannoma, cochlear otosclerosis, temporal bone fracture, autoimmune inner ear disease, auditory neuropathy, cochlear hypoplasia, cochlear aplasia, cochlear nerve aplasia, hearing rehabilitation
MeSH terms
Contraindications, Vestibulocochlear Nerve Diseases, Cochlear Implants, Deafness, Hearing Loss, Central, Humans, Neuroma, Acoustic, Ossification, Heterotopic, Otosclerosis, Treatment Outcome, Hearing Loss, Auditory Brain Stem Implants

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