Paediatric audi tory brainstem implantation: patient selection\, surgical challenges and m anagement of complications
paediatric auditory brainstem implantation (ABI) represents one of the most technically demanding and ethically complex int erventions in contemporary otology and neurotology. While ABI has become a n established option for children with profound deafness who are not candi dates for cochlear implantation\, its use—particularly in non-tumour pae diatric indications—continues to evolve\, with significant international variation in patient selection\, surgical technique\, outcome reporting a nd complication management.
this panel discussion aims to provide a comprehensive\, e xperience-driven overview of current paediatric ABI practice\, bringing to gether international experts to critically examine areas of consensus and controversy. The session will focus on three inter-related domains: patien t selection\, surgical and peri-operative challenges\, and the prevention and management of complications.
the first part of the discussion will address patien t selection and candidacy assessment. Key topics will include radiological and anatomical criteria\, neurodevelopmental considerations\, timing of i mplantation\, counselling of families\, and the role of multidisciplinary decision-making. Particular attention will be given to borderline cases\, expanding indications beyond tumour-related deafness\, and balancing poten tial auditory benefit against surgical risk in children with complex addit ional needs.
the second component will explore surgical challenges unique to paediatr ic ABI. Panellists will discuss approaches to the lateral recess of the fo urth ventricle\, intra-operative neurophysiological monitoring\, electrode placement and fixation\, and strategies to minimise neurological morbidit y. Differences in surgical philosophy\, learning curves\, and institutiona l experience will be highlighted\, with an emphasis on practical lessons l earned from high-volume international centres.
the final section will focus on compli cations and outcome optimisation. Topics will include cerebrospinal fluid leak\, lower cranial nerve dysfunction\, device migration or malfunction\, non-auditory stimulation\, and long-term rehabilitation challenges. The p anel will also address how complications are reported\, communicated to fa milies\, and incorporated into governance\, audit and international regist ries\, as well as the need for standardised outcome measures.
the session will be hig hly interactive\, incorporating case-based discussion and audience partici pation. It is intended for otologists\, neurotologists\, paediatric ENT su rgeons\, audiologists and senior trainees\, and aims to stimulate informed debate\, share best practice\, and identify priorities for future collabo ration and consensus development in paediatric auditory brainstem implanta tion.
DTSTAMP:20260919T102634Z LOCATION:Hearing Implant 3 (ICC - B3 Floor - 3B/66) SUMMARY:Paediatric Auditory Brainstem Implantation: Patient Selection\, Sur gical Challenges And Management Of Complications - Marco Mandala\, Dan Jia ng URL:https://sciencenext.org/ifos2026/talk/TTBQFN/ END:VEVENT END:VCALENDAR