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Skip to content Skip to search Skip to footer Otolaryngology–Head & Neck Surgery Open Menu Back Close Menu Search for: Search Close Search AboutAbout History Our Mission Giving Contact Us Patient CarePatient Care Appointments & LocationsAppointments & Locations Virtual visits Patient safety For Referring Physicians Facial Plastic and Reconstructive Surgery Physicians Ear & HearingEar & Hearing Acoustic Neuroma Appointments & Locations Acoustic Neuroma Experts Auditory Brainstem Implants Our physicians Vestibular Cochlear Implant ProgramCochlear Implant Program Cochlear Implants Explained Rehabilitation & Research Audiology General OtolaryngologyGeneral Otolaryngology Common Complaints Sleep Disturbance Salivary Gland Disorders Head and Neck CancerHead and Neck Cancer Meet the Head and Neck Cancer Team World Class Multidisciplinary Care Surgical Innovation Head and Neck Cancer Survivorship Head and Neck Cancer Research International Physician Observer Program in Head & Neck Surgery Nose and Sinus DiseaseNose and Sinus Disease Rhinology Allergy Pediatric OtolaryngologyPediatric Otolaryngology Patient Forms & Information Sleep Voice & AirwayVoice & Airway Voice & Airway Team What our patients say Skull base surgery Specialties EducationEducation Residency ProgramsResidency Programs A Taste of WashU ENT Clinical Residency Physician-Scientist Training ProgramPhysician-Scientist Training Program Physician-Scientist Supplemental Resident Quality of Life Current Residents Recent Residency Graduates Applying & InterviewingApplying & Interviewing Information for Residency Candidates Fellowship ProgramsFellowship Programs Advanced Head & Neck Surgical Oncology and Microvascular ReconstructionAdvanced Head & Neck Surgical Oncology and Microvascular Reconstruction Physician Observations Neurotology Facial Plastic & Reconstructive Surgery Pediatric Otolaryngology Medical StudentsMedical Students Predoctoral Training Program Diversity sub-internship Courses Research Opportunities Surgical Simulation Lab Program in Audiology and Communication Sciences Learning Environment Alumni ResearchResearch LaboratoriesLaboratories Puram LabPuram Lab Puram Lab Opportunities Puram Lab Team Puram Lab News Puram Lab Publications Puram Lab Research Projects Kim LabKim Lab Kim Lab Opportunities Kim Lab Team Kim Lab Research Projects Kim Lab Publications Kim Lab News Firszt LabFirszt Lab Firszt Lab Contacts Firszt Lab Team Sheets Lab Outcomes Research People News & EventsNews & Events Clinical Research Education and Statistics Training (CREST) Workshop 2024 Midwest Otolaryngology Simulation Training Special EventsSpecial Events Senturia Lectureship Spector Lectureship Shepard Lecture Ogura Lectureship Calendar Latest NewsLatest News Newsletter Inclusion & Diversity Open Search Auditory Brainstem Implants This type of implant bypasses the cochlea and auditory nerve to directly stimulate auditory pathways of the brain. Patients that are not good candidates for a cochlear implant due to severely damaged or missing cochleas or auditory nerves may benefit from an auditory brainstem implant. Request an appointmentwith one of our specialists In person and virtualoptions available The Cochlear Nucleus ABI541 System: 1) microphone; 2) receiver; and 3) electrode array placed on the brainstem (4). Image courtesy of Cochlear Americas. How does an auditory brainstem implant work? The ABI bypasses parts of the ear that are absent or no longer work properly by sending signals directly to the brainstem. A microphone on the sound processor, worn behind the ear, picks up sounds and converts them to digital information.A receiver-stimulator, implanted under the skin, uses the digital information to provide electrical signals to an array of electrodes.The electrode array provides electrical stimulation to neurons of the auditory brainstem. Components of the ABI541 system include a sound processor with microphone (left), worn behind the ear, and a receiver with electrode array (right) that is surgically implanted. Image courtesy of Cochlear Americas. Who can benefit from an auditory brainstem implant? The auditory brainstem implant was first developed to provide sound stimulation to neurofibromatosis type 2 (NF2) patients with bilateral damage to auditory nerves caused by acoustic neuroma tumors. This is still the largest patient population receiving these devices. Others who can benefit include children and adults with bilateral cochlea and auditory nerve aplasia or hypoplasia; traumatic nerve damage; or cochlear ossification. These conditions cause significant damage to the cochlea and/or auditory nerve, making these patients poor candidates for a cochlear implant. What is auditory brainstem implant surgery like? A surgical approach known as translabyrinthine (through the inner ear) or retrosigmoidal (behind the ear) will be used to gain access to the electrode placement site. After the electrode is placed on the brainstem, the receiver-stimulator is anchored into the bony wall of the skull. The electrode array will be tested to ensure activity and stimulation of auditory responses and to make sure the electrode is not stimulating other nerves. Most patients spend two to four days in the hospital following surgery. They will have a follow-up visit one or two weeks afterward for evaluation of wound healing. Four to six weeks after surgery, the implant will be activated (turned on) and programmed to sound levels appropriate for the patient. Selecting a provider When surgery is necessary, picking the most experienced provider is important. This is why patients should seek out auditory brainstem implant experts who: Work together as a multidisciplinary team that includes specialists in neurotology, neurosurgery, radiology, audiology, speech and language pathology, and psychologyHave significant experience performing these procedures in both NF2 and non-NF2 patientsOffer advanced clinical trials to broaden treatment optionsParticipate in innovative research programs that will advance treatments for hearing loss Patient Care Appointments & Locations For Referring Physicians Facial Plastic and Reconstructive Surgery Physicians Ear & Hearing Acoustic Neuroma Appointments & Locations Acoustic Neuroma Experts Auditory Brainstem Implants Our physicians Vestibular Cochlear Implant Program Audiology General Otolaryngology Head and Neck Cancer Nose and Sinus Disease Pediatric Otolaryngology Sleep Voice & Airway What our patients say Skull base surgery Specialties Department of OtolaryngologyWashington University School of Medicine660 South Euclid AvenueCampus Box 8115St. Louis, MO [email protected] Us Instagram Twitter YouTube Contacts Physician directory MyChart Appointments: 314-362-7509 Administrative office: 314-362-7395 Media assistance Careers Faculty Job Openings Staff Job Openings Team Resources AMiON (Call Schedule) Workday ©2024 Washington University in St. Louis

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