First Auditory Brainstem Implant Performed in Western Cape at Netcare Christiaan Barnard Memorial Hospital

A significant milestone in auditory medicine

On 28 January 2025, a significant milestone in auditory medicine was achieved at the Netcare Christiaan Barnard Memorial Hospital in Cape Town, Western Cape. The first auditory brainstem implant (ABI) in the region was successfully implanted. This groundbreaking procedure was carried out with the assistance of Prof. Robert Behr, a world-renowned expert in the field from Fulda, Germany. The event marks a significant advancement in auditory healthcare in the Western Cape and highlights the exceptional collaboration between local and international experts in tackling complex medical challenges.

Understanding Auditory Brainstem Implants

An auditory brainstem implant is a sophisticated medical device designed for individuals with profound sensorineural hearing loss, particularly those who are not suitable candidates for traditional cochlear implants. Unlike cochlear implants, which target the cochlea in the inner ear, an ABI directly stimulates the auditory pathways in the brainstem, bypassing damaged hair cells in the cochlea.

The device consists of a small electrode array embedded within the brainstem, where it can interact directly with the neural structures responsible for auditory processing. This innovative technology is particularly beneficial for those who have lost auditory function due to various medical conditions, including tumours and congenital malformations.

Conditions Treated by Auditory Brainstem Implants

Auditory brainstem implants are typically sought after in cases where patients have significant damage to the inner ear due to specific conditions. One of the most prominent among these is Neurofibromatosis type 2 (NF2), a genetic disorder characterised by the development of benign tumours on the auditory nerves. These tumours can severely impair hearing and, in many cases, lead to total hearing loss.

For the patients treated with this procedure, NF2 profoundly affects their auditory capabilities, rendering conventional hearing aids ineffective. The hope is to restore some degree of hearing with the implantation of the ABI, thus improving their quality of life and enabling them to engage more fully in social and personal interactions.

 The Role of Prof. Robert Behr

The presence of Prof. Robert Behr during the surgery underscores the significance of this procedure and the necessity for specialised knowledge in performing such rare and intricate operations. Having garnered exceptional experience and credentials in the field, Prof. Behr’s collaboration with local medical professionals has not only elevated the status of auditory care in the region but also fostered the skills and expertise of South African surgeons through knowledge transfer.

As a prominent figure in the development of auditory research and implant technology, Prof. Behr’s role was pivotal in ensuring that the procedure adhered to the highest international standards while effectively addressing the patient’s specific needs.

Prof Robert Behr

Cape Hearing Implants: A Commitment to Advanced Solutions in Hearing Loss

The successful implantation of the ABI at the Netcare Christiaan Barnard Memorial Hospital in collaboration with the Tygerberg Hospital Stellenbosch University Cochlear Implant Unit aligns seamlessly with the mission of Cape Hearing Implants (CHi), an organisation known for its expertise in providing various implantable hearing solutions tailored to different types of hearing loss. With extensive experience in the field, CHi focuses on cochlear implants and specialises in various other auditory devices that can assist patients with varying degrees of hearing impairment.

CHi is committed to improving auditory outcomes for individuals struggling with hearing loss by integrating cutting-edge technology with proficient clinical practice. Their diverse array of solutions includes traditional hearing aids and middle-ear implants, and now, with the introduction of the ABI, they can offer a more comprehensive approach to patients facing severe and complex hearing challenges.

The future of auditory rehabilitation

The recent ABI procedure at Netcare Christiaan Barnard Memorial Hospital exemplifies the potential of collaborative medical ingenuity in addressing auditory challenges. With the collaboration of esteemed experts and the advances in technology, the future of auditory health care appears promising, providing hope to patients suffering from debilitating conditions like Neurofibromatosis type 2. As auditory medicine continues to evolve, the implications for patient care and quality of life are bound to expand, paving the way for innovative solutions that were previously unimaginable. Through initiatives like those at CHi and the successful surgeries performed in collaboration with international experts, the Western Cape is poised to become a pivotal hub for advanced auditory healthcare solutions.

 

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