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The Division of Audiology at U Mich has established a reputation for

its cutting-edge technology and diagnostics. Director Kileny has

developed and perfected a diganostic technique knowns as transtympanic

electrical auditory brainstem response testing (TT-EABR) a minimally

invasive preoperative assessment used to determine the presence or

absence of a functional auditory nerve necessary for effective cochlear

implant stimulation. TT-EABR is particularly useful for children with

congential temporal bone anomalies, since the absence of a cochlear nerve

often accompanies this condition.

The most experience practitioners of TT-EABR in the country, Dr. Kileny

and his team have performed several hundred of these procedures over the

past several years. Children come from around the country, many

initially denied implant surgery because doctors suspect the absense of a

cochlear nerve. Once TT-EABR indicates they have a stimulable auditory

pathway, they can undergo implantation. The procedure can also help

doctors determine the best ear to implant, or identify the absense of a

cochlear nerve suitable for implantation.

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