ABI in Adults
09-12, 17:00–17:30 (Europe/Istanbul), Hearing Implant 3

ABI IN ADULTS: OUR EXPERIENCE

Kh.M. Diab, N.A. Daykhes, O.A.Pachinina, O.S. Panina

Objective: To present the experience in adult auditory brainstem implantation

Patients and Methods: The data of 2 patients with deafness who underwent auditory brainstem implantation on the base of the NRMCO in 2024 were evaluated. Type of pathology, previous surgeries, intraoperative findings, complacations and audiological outcome were evaluated. The follow-up period was 10 months.

Results: In both cases etiological factor was trauma (in one case with associated meningities), that caused total cochlear ossification. In one case ineffective cochlear implantation was performed before. Both patients underwent successful placement of an auditory brainstem implant using a retrosigmoid craniotomy approach. There were no side reactions from ABI implants in these cases intraoperatively. However, in early postoperative period in one case muscle contruction was revealed from 4 electrodes, also patient faced on with IX bilateral paralysis. The audiological results in this case was moderate. In the 2nd case no significant complications were observed except for enlargement of ventricles on the 20th day postop. Ventriculoperitoneal shunting was performed. The audiological results in the patient were good with speech recognition score 60%. The 2nd patient showed poor results without significant speech recognition.

Conclusions: An ABI has proven to be a safe procedure without serious complications. ABI can provide useful hearing in patients when CI is impossible. The entire ABI process should be handled by a multidisciplinary team with extensive experience in cerebellopontine angle tumour surgery and cochlear implantation in adults and children. 


Objective: To present the experience in adult auditory brainstem implantation

Session Chair Session Chair
Speaker Speaker

Prof. Khassan Diab, born in 1973. With extensive training and expertise, he has become a leading authority in hearing improvement surgical interventions, including cochlear implantation. His surgical prowess is evidenced by an impressive record of over 5000 cochlear implantations in Russia and other countries and numerous complex surgeries for various ear conditions.

Education

  • Ph.D., Medical Care Faculty Rostov State Medical University, 1999

  • Residency, ENT Department Rostov State Medical University & St. Petersburg Research Institute of Ear, Nose, Throat and Speech, 1999-2003

  • Fellowship Rostov State Medical University, 2003-2005 Thesis: "Unsatisfactory results of stapedeoplasty and ways of their correction"

Professional Experience

  • Research Associate Ear Pathophysiology Department, St. Petersburg Research Institute of Ear, Nose, Throat and Speech November 2006 - 2010

  • Senior Research Associate St. Petersburg Research Institute of Ear, Nose, Throat and Speech 2011 - 2014

  • Head of Cadaveric Temporal Bone Courses St. Petersburg Research Institute of Ear, Nose, Throat and Speech 2006 - 2014

  • Chief Research Associate Department of Ear Diseases, Federal Research Clinical Center of Otorhinolaryngology, Moscow December 2014 - March 2016

  • Head of the Department of Ear Diseases Federal Research Clinical Center of Otorhinolaryngology, Moscow April 2016 - January 2020

  • Professor of Otolaryngology Faculty of Postgraduate Education, Pirogov Russian National Research Medical University Since November 2016

  • Deputy Director for International Affairs Curator of the Scientific and Clinical Department of Ear Diseases National Medical Research Center for Otorhinolaryngology, Federal Medico-Biological Agency of Russia January 2020 - Present

Achievements and Affiliations

·         Honor Member Black Sea Otology and Neurotology Association

Member of the Board of the Society of Paediatric Otorhinolaryngology and Head and Neck Surgery Specialists

            Member of the National Association of Otorhinolaryngologists of Russia.

·         Chairman of the Expert Council of the Eurasian Academy of Otorhinolaryngology

·         Official representative of Russia in The International Federation of Otorhinolaryngological Societies (IFOS).

·         Annually conducts advanced dissection courses with international participation "Oto-surgery and surgery of the lateral skull base".

·         Publications Author of more than 300 articles and 20 patents in the field of ear pathology

·         Lecturer Engaged in various International scientific conferences and forums, including international events

Medical Centres Affiliations:

·         Medical Centre Hospital of the President’s Affairs Administration of the Republic of Kazakhstan

·         Municipal Childrens No.2 Hospital Astana, Republic of Kazakhstan

·         City Clinical Hospitals N.5, Almaty Republic of Kazakhstan

·         University Medical Centre Corporate Foundation Astana Republic of Kazakhstan

·         Republican Specialized Scientific Practice Medical Centre of Paediatrics Tashkent, Uzbekistan

·         ShifoNur Clinic Tashkent, Uzbekistan

·         Erebuni Medical ENT (Ear, Nose, & Throat) & Cochlear Implants Centre, Yervan, Armenia

·         Al Qassimi Hospital – Ministry of Health and Prevention UAE, Sharjah, United Arab Emirates

Surgical Expertise

  • Conducted over 5000 cochlear implantations

  • Successfully performed 100 implantations of bone conduction hearing aids

  • Completed approximately 100 surgical treatments for Meniere's disease

  • Executed more than 15,000 different types of tympanoplasties, including cases of petrous bone cholesteatoma

  • Proficient in surgical treatment of temporal bone tumors, including glomus tumors, facial nerve schwannoma, and neuroma of the internal auditory canal (500 cases)

  • Actively operating on patients (50 per year) with congenital external auditory canal malformations

  • Pioneering the simultaneous method of formation of the external auditory canal and external ear reconstruction using Medpor

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