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The Cleveland Clinic Abu Dhabi has performed a groundbreaking auditory brainstem implant (ABI) in a near-deaf patient with a genetic disorder that resulted in multiple large benign intracranial tumors resulting in almost total hearing loss.
Implants are an available option for patients to regain some hearing rather than go completely deaf.
Shaikh Shamshuddin is a 36-year-old man with neurofibromatosis, a genetic disorder that, over time, leads to the growth of several benign brain tumors. He had surgery at another hospital that couldn’t remove all of the tumor. His condition took a turn for the worse, with two large tumors growing on his brain, compressing a critical area affecting his hearing.
total hearing loss
When he checked into Cleveland’s Abu Dhabi Clinic, he suffered a near-total loss of hearing, and his family grew concerned about his condition.
“I can’t hear in both ears and we are praying to find a good doctor and a good hospital,” Sansuddin said.
As his condition worsened, the family turned to Cleveland Clinic Abu Dhabi, where Dr. Florian Roser, director of the Institute of Neurology at Cleveland Clinic Abu Dhabi, explained to Shamsuddin and his family that the tumor had permanently affected the function of the auditory nerve, meaning Wearing an external hearing aid did not solve his problem. Instead, Dr. Roser recommends a procedure called an auditory brainstem implant (ABI).
Dr. Roser elaborated: “Shamsuddin is a patient with a genetic disorder that causes multiple large benign tumors in the brain. Not only are these potentially life-threatening, but with these types of tumors as they develop close to the auditory nerve The patient of the patient typically loses his hearing. The plan is to start with a tumor resection as a life saving procedure. At the same time, we need to find a solution for his hearing loss. An auditory brainstem implant would be the best thing for him option because it will help him regain some of his hearing.”
detect sound
ABI doesn’t give patients a whole new sense of hearing, but it can still help them detect sounds. It is a surgically implanted device that provides a sense of sound to people with severe hearing loss due to damage to the auditory nerve. While cochlear implants and hearing implants are similar in design and function, the devices are different.
Cochlear implants are used in individuals who have cochlear damage but still have a functioning auditory nerve. Auditory brainstem implants, on the other hand, bypass the inner ear and auditory nerve. It uses a series of electrodes to directly stimulate the auditory pathway on the brainstem.
Dr. Roser added: “It’s not like when we turn on the device, you have new hearing. However, many patients report improvements in their sound awareness and lip reading after ABI.”
surgical team
A UAE-based surgical team performed the operation on Shamsuddin, which first required two delicate surgeries to remove the brain tumor, a high-risk procedure because it involves the critical center of the brainstem. The first step involves removing the tumor on the side where the implant is located. The second important step was to protect the facial nerve to preserve his facial expression and movement, ability to smile and close his eyes, followed by the delicate and intricate placement of the implant. As a third step after tumor surgery, implants were placed in specific submillimeter regions of the brainstem to receive auditory stimulation directly on the brain. This cable is then connected to a computer device that is implanted under the skin behind the ear.
“Dr. Roser took away all my fears,” says Shamsuddin. “He explained everything to me as if I were his family,” he added.
The Department of Neurosurgery and Otorhinolaryngology at the Cleveland Clinic Abu Dhabi have successfully performed Shamsuddin’s surgery to the great delight of him and his family. After the implant was activated, and three months after the surgery, Shansuddin was able to hear sounds that helped him in his daily life, helping him orient himself. For example, hearing fire alarms, directions from approaching cars, and ringing phones.
“I was so excited when the implant was first activated. The monitor beep was the first I heard after about a month and a half of total hearing loss. Three months later, my hearing was slowly improving I can understand a little bit now. I cannot express enough gratitude to Cleveland Clinic Abu Dhabi for changing my life,” added Shamsuddin. — trade arab news agency
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