{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:33:04Z","timestamp":1761006784713,"version":"build-2065373602"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"vor","delay-in-days":5176,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2002,7]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>We sought to describe the advantages of the retrosigmoid\u2010transmeatal (RS\u2010TM) approach in the application of auditory brainstem implants (ABIs) in adults with monolateral and bilateral vestibular schwannoma (VS) and in children with cochlear nerve aplasia.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>We conducted a retrospective case review.<\/jats:p><\/jats:sec><jats:sec><jats:title>SETTING<\/jats:title><jats:p>The study was conducted at the ENT Department of the University of Verona, Italy.<\/jats:p><\/jats:sec><jats:sec><jats:title>PATIENTS<\/jats:title><jats:p>Six adult patients (5\u00a0men and 1 woman) with neurofibromatosis type 2 (NF2) were operated on for VS removal with ABI. An additional patient had a unilateral VS in the only hearing ear. Tumor size ranged from 12 to 40\u00a0mm. In addition, 2 children received ABIs for bilateral cochlear nerve aplasia.<\/jats:p><\/jats:sec><jats:sec><jats:title>INTERVENTION<\/jats:title><jats:p>An RS\u2010TM approach was used in all VS patients, and an RS approach was used in the subjects with cochlear nerve aplasia. After tumor excision, landmarks (VII, VIII and IX cranial nerves, choroid plexus) for the foramen of Luschka were carefully identified. The choroid plexus was then partially removed and the tela choroidea divided and bent back; the floor of the lateral recess of the fourth ventricle and the convolution of the dorsal cochlear nucleus became visible. In the 2 subjects with no cochlear nerve, the choroid plexus and VII and IX cranial nerves were used as landmarks. The electrode array was then inserted into the lateral recess and the correct position was monitored with the aid of electrically evoked auditory brainstem responses (EABR) and neural response telemetry (NRT).<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Correct implantation was possible in all patients. Auditory sensations were induced in all patients with various numbers of electrodes. Different pitch sensations could be identified with different electrode stimulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>We believe that the RS approach is the route of choice for patients who are candidates for ABI due to the easy and clear access to the cochlear nucleus area. This route avoids some of the drawbacks of the translabyrinthine approach, such as mastoidectomy, labyrinthectomy, sealing of the cavity and posterior fossa with abdominal fat, and contamination from the middle ear. For this reason, it is the route of choice in children with cochlear nerve aplasia or severe cochlear malformation and in adults with complete ossification of the cochlea or cochlear nerve disruption due to cranial trauma.<\/jats:p><\/jats:sec>","DOI":"10.1067\/mhn.2002.126723","type":"journal-article","created":{"date-parts":[[2003,2,4]],"date-time":"2003-02-04T21:49:09Z","timestamp":1044395349000},"page":"84-96","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Auditory Brainstem Implantation: The University of Verona Experience"],"prefix":"10.1002","volume":"127","author":[{"given":"Vittorio","family":"Colletti","sequence":"first","affiliation":[{"name":"ENT Department University of Verona Verona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Fiorino","sequence":"additional","affiliation":[{"name":"ENT Department University of Verona Verona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Carner","sequence":"additional","affiliation":[{"name":"ENT Department University of Verona Verona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Sacchetto","sequence":"additional","affiliation":[{"name":"ENT Department University of Verona Verona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronica","family":"Miorelli","sequence":"additional","affiliation":[{"name":"ENT Department University of Verona Verona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Orsi","sequence":"additional","affiliation":[{"name":"ENT Department University of Verona Verona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,9]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1981.00790460002002"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1042-3680(18)30833-7"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198410000-00012"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988709600204"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989010200615"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989770039-1"},{"key":"e_1_2_5_8_1","first-page":"798","article-title":"Bipolar recording of the cochlear nerve action potentials during cerebello\u2010pontine angle surgery","volume":"6","author":"Colletti V","year":"1994","journal-title":"Am J Otol"},{"key":"e_1_2_5_9_1","first-page":"503","article-title":"Advances in monitoring of seventh and eighth cranial nerve function during posterior fossa surgery","volume":"19","author":"Colletti V","year":"1998","journal-title":"Am J Otol"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1058621"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(99)70382-7"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1058648"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1992.77.5.0677"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/00206099809072959"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1995.82.6.0933"},{"key":"e_1_2_5_16_1","first-page":"450","article-title":"Surgical approaches to the human cochlear nuclear complex","volume":"8","author":"Monsell EM","year":"1987","journal-title":"Am J Otol"},{"volume-title":"Evoked Potentials in Intraoperative Monitoring","year":"1988","author":"Moller AR","key":"e_1_2_5_17_1"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1058639"},{"key":"e_1_2_5_19_1","first-page":"33","article-title":"Intraoperative electrophysiologic monitoring to assist placement of auditory brainstem implant","volume":"166","author":"Waring MD","year":"1995","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0168-5597(95)00022-K"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988409200111"},{"key":"e_1_2_5_22_1","first-page":"117","article-title":"Hearing by cochlear nucleus stimulation in humans","volume":"91","author":"Edgerton BJ","year":"1982","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989310800602"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989310800603"},{"key":"e_1_2_5_25_1","article-title":"Nucleus 20\u2010channel and 21\u2010channel auditory brainstem implants. 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