Zusammenfassung
Im Laufe der letzten 20 Jahre hat sich die elektrische Stimulation mit Hilfe von Cochlea-Implantaten zur Rehabilitation tauber Patienten von experimentellen Einzelstudien an ausgewählten Subjekten zu einem routinemäßig durchgeführten, wirksamen und sicheren Therapiekonzept entwickelt. Die Ergebnisse der ersten Patienten zeigten, daß die elektrische Stimulation nicht nur eine ergänzende Hilfe zur Verbesserung des Lippenablesens ist, sondern darüber hinaus noch bei einer erstaunlich hohen Anzahl auch offenes Sprachverständnis durch elektrische Stimulation allein ermöglicht (Busky et al. 1993; Cohen et al. 1993; Dowell et al. 1986; Lehnhardt 1990, 1994; Tye-Murray 1992). Die Einführung neuer, verbesserter Generationen und Systeme von Sprachprozessoren haben bereits mehrfach zu signifikanten Verbesserungen des Sprachverständnisses der Patienten geführt (Gantz et al. 1988; McKay et al. 1994).
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
Literatur
Aplin DY (1993) Psychological evaluation of adults in a cochlear implant program. Am Ann Deaf 138:415–419
Battmer RD, Lehnhardt E, Laszig R (1986) Promontoriumstest und Elektrocochleographie im Hinblick auf die Indikation zum Cochlear Implant. HNO 34:139–142
Balkany T, Gantz B, Dinner B et al. (1987) Workshop: evaluation of the cochlear implant candidate. Am J Otol 8:263–268
Blamey PJ, Pyman BC, Gordon M et al. (1992) Factors predicting postoperative sentence scores in postlinguistically deaf adult cochlear implant patients. Ann Otol Rhinol Laryngol 101:342–348
Busby PA, Tong YC, Clark GM (1993) Electrode position, repetition rate, and speech perception by early- and late-deafened cochlear implant patients. J Acoust Soc Am 93:1058–1067
Clark GM, O’Laughlin BJ, Rickards FW, Tong YC, Williams AJ (1977) The clinical assessment of cochlear implant patients. J Laryngol Otol 91:697–708
Clark GM, Cohen NL, Shepherd RK (1991) Surgical and safety considerations of multichannel cochlear implants in children. Ear Hear 12:15s-24S
Cohen NL, Hoffman RA (1991) Complications of cochlear implant surgery in adults and children. Ann Otol Rhinol Laryngol 100:708–711
Cohen NL, Hoffman RA (1993) Surgical complications of multichannel cochlear implants in North Americ. Adv Otorhino- laryngol 48:70–74
Cohen NL, Waltzman SB (1993) Partial insertion of the nucleus multichannel cochlear implant: technique and results. Am J Otol 14:357–361
Cohen NL, Waltzman SB, Fisher SG (1993) A prospective, randomized study of cochlear implants. The Department of Veterans Affairs Cochlear Implant Study Group. N Engl J Med 328:233–237
Dahm MC (1994) Indikationen, Kontraindikationen, Diagnostik und Auswahlkriterien aus medizinischer Sicht zum Cochlear Implant bei Kindern an der Medizinischen Hochschule Hannover. In: Lenarz T, Lehnhardt E, Bertram B (Hrsg) Cochlear Implant bei Kindern. Thieme, Stuttgart S 32–37
Dahm MC, Seldon HL, Pyman BC, Laszig R, Lehnhardt E, Clark GM (1993) Three-dimensional reconstruction of the cochlea and temporal bone. Adv Otorhinolaryngol 48:17–22
Dahm MC, Weber BP, Lenarz T (1995 a) Cochlear implantation in a Mondini malformation of the inner ear and the management of perilymphatic gusher. Adv Otorhinolaryngol 50:59–65
Dahm MC, Dietrich B, Reich A, Lenarz T (1995 b) The accuracy of preoperative high-resolution computed tomography in predicting cochlear pathology. Adv Otorhinolaryngol 50:66–71
Dawson PW, Blarney PJ, Rowland LC et al. (1992) Cochlear implants in children, adolescents, and prelinguistically deafened adults: speech perception. J Speech Hear Res 35:401–417
Dowell RC, Clark GM, Seligman PM, Brown AM (1986) Perception of connected speech without lipreading using a multiple-channel hearing prosthesis. Acta Otolaryngol 102:7–11
Gantz BJ (1989) Issues of candidate selection for a cochlear implant. Otolaryngol Clin North Am 22:239–247
Gantz BJ, McCabe BF, Tyler RS (1988) Use of multichannel cochlear implants in obstructed and obliterated cochleas. Otolaryngol Head Neck Surg 98:72–81
Gantz BJ, Tyler RS, Knutson JF et al. (1988) Evaluation of five different cochlear implant designs: audiologic assessment and predictors of performance. Laryngoscope 98:1100–1106
Gantz BJ, Woodworth GG, Knutson JF, Abbas PJ, Tyler RS (1993) Multivariate predictors of audiological success with multichannel cochlear implants. Ann Otol Rhinol Laryngol 102:909–916
Klein HM, Bohndorf K, Hermes H, Schutz WF, Gunther RW, Schlöndorff G (1992) Computed tomography and magnetic resonance imaging in the preoperative work-up for cochlear implantation. Eur J Radiol 15:89–92
Knutson JF, Hinrichs JV, Tyler RS, Gantz BJ, Schartz HA, Woodworth G (1991) Psychological predictors of audiological out-comes of multichannel cochlear implants: preliminary findings. Ann Otol Rhinol Laryngol 100:817–822
McKay CM, Vandali AE, McDermott HJ, Clark GM (1994) Speech processing for multichannel cochlear implants: variations of the Spectral Maxima Sound Processor strategy. Acta Otolaryngol (Stockh) 114:52–58
Laszig R, Klenzner T (1997) Cochlear Implant bei Resthörigkeit. HNO 45:740–741
Laszig R, Kuzma J, Seifert V, Lehnhardt E (1991) The Hannover auditory brainstem implant: a multiple-electrode prosthesis. Eur Arch Otorhinolaryngol 248:420–421
Lehnhardt E (1989) Cochlear Implant Prognosefaktoren. Auris Nasus Larynx 16 Suppl 1:1–8
Lehnhardt E (1990) Das Cochlear Implant-Möglichkeiten und Grenzen. Fortschr Med 108:433–436
Lehnhardt E (1992) Clinical aspects of cochlear implants. Otolaryngol Pol 46:95–109
Lehnhardt E (1993) Intracochleäre Plazierung der Cochlear- Implant-Elektroden in soft surgery technique. HNO 41:356–359
Lehnhardt E (1994) Cochlear Implant. In: Naumann HH, Helms J, Herberhold C (Hrsg) Oto-Rhino-Laryngologie in Klinik und Praxis, Bd 1. Thieme, Stuttgart S 895
Lehnhardt E, Aschendorff A (1993) Prognostic factors in 187 adults provided with the Nucleus cochlear mini-system 22. Adv Otorhinolaryngol 48:146–152
Lehnhardt E, Battmer RD, Nakahodo K, Laszig R (1986) Cochlear implants. HNO 34:271–279
Mack MG, Vogl TJ, Dahm MC et al. (1997) Wertigkeit der hochauflösenden MRT für die Darstellung normaler und pathologischer Strukturen des Innenohres. Klin Neuroradiol 7:77–82
Mausolf A, Hesse G (1986) Grundlagen der Elektrocochleographie im Hinblick auf Cochlear Implants. In: Lehnhardt E, Hirshorn MS (Hrsg) Cochlear Implant. Springer, Berlin Heidelberg New York Tokyo, S 8–145
Mueller DP, Dolan KD, Gantz BJ (1989) Temporal bone computed tomography in the preoperative evaluation for cochlear implantation. Ann Otol Rhinol Laryngol 98:346–349
Phelps PD (1992) Cochlear implants for congenital deformities. J Laryngol Otol 106:967–970
Phelps PD, Clifton AG (1990) Prospective cochlear implant in a case of bilateral transverse fracture of the petrous bone. J Laryngol Otol 104:997
Tye-Murray N, Tyler RS, Woodworth GG, Gantz BJ (1992) Performance over time with a Nucleus or Ineraid cochlear implant. Ear Hear 13:200–209
Schlöndorff G, Hermes H, Weck L (1989) Cochlear Implant bei Patienten mit Radikalhöhlen. HNO 37:423–425
Waltzman SB, Cohen NL, Shapiro WH, Hoffman RA (1990) The prognostic value of round window electrical stimulation in cochlear implant patients. Otolaryngol Head Neck Surg 103:102–106
Waltzman SB, Cohen NL, Shapiro WH (1993) The benefits of cochlear implantation in the geriatric population. Otolaryngol Head Neck Surg 108:329–333
Webb RL, Lehnhardt E, Clark GM, Laszig R, Pyman BC, Franz BK (1991) Surgical complications with the cochlear multi- ple-channel intracochlear implant: experience at Hannover and Melbourne. Ann Otol Rhinol Laryngol 100:131–136
Welling DB, Hinojosa R, Gantz BJ, Lee JT (1993) Insertional trauma of multichannel cochlear implants. Laryngoscope 103:995–1001
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1998 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Dahm, M.C. (1998). Indikation, Kontraindikation und Voruntersuchung bei Erwachsenen. In: Lenarz, T. (eds) Cochlea-Implantat. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-80004-7_8
Download citation
DOI: https://doi.org/10.1007/978-3-642-80004-7_8
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-80005-4
Online ISBN: 978-3-642-80004-7
eBook Packages: Springer Book Archive