Paediatric auditory brainstem implant: How we do it - Summary - MDSpire
Coming Soon: Introducing MDSpire News. Learn more
Conexiant’s news site is now MDSpire News. Learn more

Pediatric Auditory Brainstem Implantation: Our Surgical Approach

  • By

  • Peter John Kullar

  • Simon Freeman

  • Scott Rutherford

  • Simon Lloyd

  • Martin O’Driscoll

  • Lise Henderson

  • Kerri Millward

  • Omar Pathmanaban

  • January 19, 2026

Share

Objective:

To describe the surgical technique and considerations for performing auditory brainstem implants (ABIs) in pediatric patients, highlighting their significance in addressing profound hearing loss.

Key Findings:
  • Three ABI systems are commercially available: Med El CONCERTO, Oticon Digisonic SP, and Cochlear Nucleus ABI541, each with unique features that cater to different patient needs.
  • The retrosigmoid approach is favored for pediatric ABIs due to its advantages over the translabyrinthine approach, particularly in preserving inner ear structures.
  • Intraoperative monitoring techniques, including EABR, are crucial for optimal implant placement, ensuring the best possible outcomes for patients.
Interpretation:

The described technique emphasizes the importance of careful anatomical navigation and monitoring to ensure successful implantation and function of ABIs in children, potentially improving their quality of life.

Limitations:
  • The article does not address long-term outcomes or complications associated with ABI surgery, which are critical for understanding the full impact of the procedure.
  • Specific patient selection criteria and postoperative care protocols are not detailed, which are essential for guiding clinical practice.
Conclusion:

The retrosigmoid approach for pediatric ABI surgery is effective and allows for careful placement of the device while minimizing risks to surrounding structures, underscoring its importance in pediatric otology.

Original Source(s)

Paediatric auditory brainstem implant: How we do it

  • by Peter John Kullar, Simon Freeman, Scott Rutherford, Simon Lloyd, Martin O’Driscoll, Lise Henderson, Kerri Millward, Omar Pathmanaban

  • January 19, 2026

Related Content

Triple Coronary Artery Bypass Surgery: A Multidisciplinary Approach to Recovery

Coronary artery disease develops when plaque accumulates within the arteries that supply blood to the heart muscle. Genetics can play an important role, while smoking, diabetes, uncontrolled high blood pressure, inactivity, poor diet and other factors can accelerate the process.

  • by

  • October 13, 2026

  • 11 min
Precision Treatment, Earlier Molecular Detection and De-escalation Transforming Breast Cancer Care

Breast cancer management is becoming increasingly biology-driven, with treatment decisions extending well beyond anatomic stage and conventional receptor classification.

  • by

  • October 14, 2026

  • 6 min
Meet Roxana Moayer, MD

Roxana Moayer, MD, is a plastic and reconstructive surgeon with Keck Medicine of USC who specializes in facial surgery and treatment of facial nerve disorders.

  • by

  • October 13, 2026

  • 4 min