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HNO

, 57:199 | Cite as

Vollimplantierbare Hörsysteme

  • J. MaurerEmail author
Leitthema

Zusammenfassung

Bisher bestehen mit vollimplantierbaren Hörsystemen vergleichsweise wenige Erfahrungen, da die beiden heute zur Verfügung stehenden Systeme erst seit kurzem eine CE-Zulassung für Europa haben und in den USA die FDA-Zulassungen gerade anstehen. Zudem ist die Technologie teuer und wird i. d. R. nicht von Versicherungen übernommen. Es konnte aber gezeigt werden, dass bei sorgfältiger Patientenauswahl und sorgfältigster Operationstechnik mit dieser hochsensiblen Technologie schon eine gute und über die Qualität konventioneller Hörsysteme hinausgehende Patientenzufriedenheit erreicht werden kann. Zur Weiterverbreitung müssen die Systeme auch bei breiter Anwendung zuverlässige Ergebnisse zeigen. Reoperationen zum Batteriewechsel sollten nicht häufiger als bei Herzschrittmachern notwendig werden. Nicht alle technischen Probleme sind endgültig gelöst. Es ist aber abzusehen, dass vollimplantierbare Systeme auf Dauer für einige Patienten eine echte Alternative zu herkömmlichen Hörgeräten sein werden.

Schlüsselwörter

Vollimplantierbare Hörsysteme Patientenzufriedenheit Patientenauswahl Batteriewechsel Operationstechnik 

Fully implantable hearing systems

Abstract

As yet comparatively little experience has been gained with fully implantable hearing systems, as the two systems available at present have only recently received CE permission for Europe and the FDA permissions are still pending in the USA. Additionally the technology is expensive and usually not covered by insurance companies. However, it could be shown that by careful patient selection and very careful surgical techniques, good results can be achieved with this highly sensitive technology, often with better patient satisfaction and hearing quality than with conventional hearing aids. To spread the technology further, the systems must also show reliable results on a broad application. Further surgery to change the batteries should not be necessary more frequently than with cardiac pacemakers. Not all technical problems are finally solved. However, it is to be foreseen that fully implantable hearing systems will be a good long-term alternative to conventional hearing aids for some patients.

Keywords

Fully implantable hearing systems Patient satisfaction Patient selection Change of batteries Surgical techniques 

Notes

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer Medizin Verlag 2009

Authors and Affiliations

  1. 1.Klinik für HNO-Krankheiten, Kopf-Hals-Chirurgie & Centrum für Hören und KommunikationKatholisches Klinikum KoblenzKoblenzDeutschland

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