AudiologyOnline Phone: 800-753-2160


Oticon Medical Ponto 5 Family - April 2022

Who is a Candidate for an Auditory Brainstem Implant (ABI)?

William H. Shapiro, AuD

February 1, 2016

Share:

Question

What type of patient is an appropriate candidate for an auditory brainstem implant (ABI)?

Answer

According to FDA regulations, only adults with NF2 are approved candidates for an auditory brainstem implant; however, they have been performed on pediatric patients for years in European countries. In the US, a handful of medical centers are undergoing FDA approved feasibility studies in the pediatric population. 

Criteria for selection for our research here at New York University (NYU) is the following:

  • Age 18 months to 21 years
    • ​Two groups - 18 months to 5 years; up to 21 years (post-lingual group)
  • ​Bilateral profound sensorineural hearing loss documented on physiologic and behavioral assessment
  • No cochlea or cochlear nerve hypoplasia/aplasia
  • Inability to place a CI due to fibrous growth from previous CI
  • Meningitis with no benefit from CI
  • Strong family support
  • English language competency in guardians
  • Reasonable expectations of family
  • ​Understand that child may not develop oral language

Exclusion criteria include:

  • Medical contraindications
  • Cognitive or developmental delays that could interfere progress/performance
  • Anomaly or pathology of brainstem or cortex
  • NF2 or other brainstem or cranial nerve tumors
  • Psychological contraindication
This Ask the Expert is an excerpt from the CEU course, 20Q: Auditory Brainstem Implants - Continued Advancements for Both Adults and Children.  Register to view the full course. 


william h shapiro

William H. Shapiro, AuD

William H. Shapiro received his Master of Arts degree in Audiology from Queens College of the CUNY in 1978. He received his Doctorate of Audiology from Arizona School of Health Sciences, A.T. Still University in 2007. He has worked at New York University since 1984 where he has been involved with all aspects of diagnostic and rehabilitative audiology, including the dispensing of assistive hearing technology (hearing aids, cochlear implants, and FM systems). He currently holds the title, Lester S. Miller, Jr.& Kathleen V. Miller Clinical Assistant Professor of Hearing Health, in the Department of Otolaryngology, is Director of FGP Audiology, and is Supervising Audiologist at the New York University Cochlear Implant Center, a nationally recognized center of excellence in the field of cochlear implants. Dr. Shapiro has authored several publications for peer reviewed journals as well as book chapters. He has presented at conventions, both nationally, as well as internationally. He serves on the advisory board of two cochlear implant manufacturers. He is the 2008 recipient of the “Outstanding Clinician Award” received from the New York State Speech, Language and Hearing Association.


Related Courses

CI2020 Online - Session 2
Presented by Michael Canfarotta, MD, Matthew Carlson, MD, Ivette Cejas, PhD, Michael F. Dorman, PhD, Barbara Foster, AuD, Darla Franz, Erika Gagnon, AuD, Ann Geers, PhD, Meredith Holcomb, AuD, CCC-A, Jacob Hunter, MD, Hanif Ladak, PhD, P.Eng., Allison Racey, AuD, William H. Shapiro, AuD, Donna L. Sorkin, MA, Josh Stohl, PhD, Holly Teagle, AuD, Joanne Travers
Recorded Webinar
AudiologyOnline

Presenters

Michael Canfarotta, MDMatthew Carlson, MDIvette Cejas, PhDMichael F. Dorman, PhDBarbara Foster, AuDDarla FranzErika Gagnon, AuDAnn Geers, PhDMeredith Holcomb, AuD, CCC-AJacob Hunter, MDHanif Ladak, PhD, P.Eng.Allison Racey, AuDWilliam H. Shapiro, AuDDonna L. Sorkin, MAJosh Stohl, PhDHolly Teagle, AuDJoanne Travers
Course: #35061Level: Intermediate4 Hours
  'Beyond thrilled to see caregiver mental health/well being being addressed within our field'   Read Reviews
The CI2020 Online conference in partnership with American Cochlear Implant Alliance features renowned researchers, physicians, clinicians and educators presenting high-quality scientific information applicable to all professionals working in the field of cochlear implantation. The conference explores a range of current and emerging topics that significantly impact outcomes for adults and children with cochlear implants and other auditory devices.

CI2020 Online is offered in three sessions. Session 2 consists of four, 1-hour presentations covering the following topics: Cochlear Implantation in Young Children; Supporting Patients and Families; Increasing CI Market Penetration and Practice Management; and Closer to Natural Hearing for Every Individual with MED-EL.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Foundations of Bone Conduction Systems: Candidacy and Counseling
Presented by Lori Davidson, AuD, CCC-A
Recorded Webinar
Cochlear Americas

Presenter

Lori Davidson, AuD, CCC-A
Course: #37122Level: Introductory1 Hour
  'Good information'   Read Reviews
This foundational-level course is designed for Audiologists who are new to working with Bone Conduction systems. After attending this course, participants will be able to determine if someone is a candidate for Bone Conduction technology using Baha Start, the Osia System, or the Baha System. Topics will include testing for candidacy, counseling potential candidates and demonstrating Bone Conduction systems. This course is designed as part of the overall “Foundations of Bone Conduction” series.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Ponto System - A Few Minutes to Change Your Life
Presented by Laura Dixon, AuD
Recorded Webinar
Oticon Medical

Presenter

Laura Dixon, AuD
Course: #34566Level: Intermediate1 Hour
  'Essential information for BAHD candidacy'   Read Reviews
The course will introduce participants to clinical data collected over the past 10 years and showcase benefits and the simplicity of the Ponto System. The data focuses on 3 key areas, including, implant survival, audiological results and preferences and skin complication rates.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

OpenSound Optimizer: A Revolutionary Approach to Feedback Management
Presented by Barinder Samra, MSc
Recorded Webinar
Oticon Medical

Presenter

Barinder Samra, MSc
Course: #37139Level: Intermediate1 Hour
  'spoke clearly and at a pace that was easy to follow'   Read Reviews
This course is designed to provide participants with information on a new feature incorporated into the Ponto 5 Mini Sound Processor – OpenSound Optimizer. The participant will learn what OpenSound Optimizer is, how to access it in the fitting software, and how it will benefit patients.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Foundations of Baha Implants: Baha 5 Technology
Presented by Mirelis Moreno, Amy Donaldson, AuD, CCC-A
Recorded Webinar
Cochlear Americas

Presenters

Mirelis MorenoAmy Donaldson, AuD, CCC-A
Course: #33045Level: Introductory1 Hour
  'nicely laid out in easy to follow order'   Read Reviews
This foundational-level course is designed for audiologists who are new to working with Baha systems. After attending this course, participants will be able to list the features and benefits of Baha Systems, including Baha 5 sound processors. They will be provided with information about choosing sound processors and accessories for patients based on pre-operative testing. This course is designed as part of the overall “Foundations of Baha Implants” series.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.