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  • Küçük Resim
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    Consensus statement: Long-term results of ABI in children with complex inner ear malformations and decision making between CI and ABI
    (Taylor and Francis Ltd., 2016) Sennaroğlu, Levent; Colletti, Vittorio; Lenarz, Thomas; Manrique, Manuel; Laszig, Roland; Rask Andersen, Helge; Göksu, Nebil; Offeciers, Erwin; Saeed, Shakeel Riaz; Behr, Robert; Bayazıt, Yıldırım Ahmet; Casselman, Jan Walther; Freeman, Simon; Kileny, Paul; Lee, Daniel; Shannon, Robert; Kameswaran, Mohan; Hagr, Abdulrahman Abdullah; Zarowski, Andrzej; Schwartz, Mark; Bilginer, Burçak; Kishore, Ameet; Sennaroğlu, Gonca; Yücel Ersoy, Esra; Saraç, Sarp; Ataş, Ahmet; Colletti, Liliana; O’Driscoll, Martin; Moon, In Seok; Gartner, Lutz; Huarte, Alicia; Nyberg, Gunnar; Mocan Özgen, Burçe; Atay, Gamze; Bajini, Münir Demir; Çınar, Betül Çiçek; Batuk Özbal, Merve; Yaralı, Mehmet; Aydınlı Esen, Fatma; Aslan, Filiz; Kirazlı, Meltem Çiğdem; Özkan, Hilal Burcu; Hans, J. M.; Koşaner, Julie; Polak, Marek
    ‘Second Consensus Meeting on Management of Complex Inner Ear Malformations: Long Term Results of ABI in Children and Decision Making Between CI and ABI’ took place on 5–6 April 2013 in Kyrenia, Northern Cyprus with the participation of 20 centers from 11 countries. These centers presented their auditory brainstem implantation (ABI) experience in children and infants and also provided the selection criteria and cochlear implant (CI) results in patients with an abnormal cochlea and nerve. In addition, Cochlear and Med El companies provided presentations regarding solutions to problems during revision surgery and future projections of device technology. According to the results from different centers, it was evident that an ABI is capable of providing hearing sensation in prelingually deafened children with complex inner ear malformations and diseases. It is possible to obtain a pure tone average with an ABI between 30 and 60 dB HL in most of these patients. It has been observed that the majority of children obtain Categories of Auditory Performance (CAP) scores around 5, but occasionally certain ABI users obtained scores of up to CAP 8-II, NEAP-Nottingham Early Assessment Package. The Ear Foundation 2009). CAP scores tend to increase with earlier implantation, i.e. under 2 years of age. However, after 3 years of use, it usually reaches a plateau. Children with additional disorders cannot reach CAP scores of children without disorders. However, they obtain an improvement of cognitive functions but duration of ABI use and increasing chronological age also play a role in this improvement.
  • Küçük Resim
    Öğe
    Methods and preliminary outcomes of pediatric auditory brainstem implantation
    (Annals Publishing Company, 2014) Bayazıt, Yılmaz Ahmet; Koşaner, Julie; Çınar, Betül Çiçek; Ataç, Ahmet; Tutar, Hakan; Gündüz, Bülent; Altınyay, Senay; Gökdoğa, Çağıl; Ant, Ayça; Özdek, Ali; Göksu, Nebil
    Objective: The objective was to provide information about methods used and preliminary outcomes for pediatric ABI (auditory brainstem implant). Study Design: An analysis of outcome was performed in children who received an ABI. Methods: Twelve children received a MED-EL ABI system. Progress in audition and language was monitored through parental reports, questionnaires, profiles, and closed-set tests. Results: The median number of active electrodes was 9 of 12. Seven of 12 users consistently respond to sound, and 5 of 12 do not. Highest performers can recognize words in small sets and have begun to use some words. Conclusion: Auditory brainstem implants appear to be beneficial for some pediatric patients who cannot benefit from traditional cochlear implant surgery. Benefits in the short term can be recognition of environmental sounds, recognition of some words and very commonly used phrases, and the beginning use of words. Although some of our ABI users demonstrate no response to sound, they do want to wear their sound processors all waking hours. The cause of lack of response may be related to the second intervention, which might have led to displacement of the electrode array, or presence of additional handicaps or syndromes. However, the results are less than optimal. The relatively short postoperative follow-up duration is a considered weakness of this study.