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Langzeitergebnisse nach Kochleaimplantatversorgung bei Kindern

Long-term functional outcomes of cochlear implants in children

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Zusammenfassung

Die Versorgung von tauben und ertaubten Kindern mit einem Kochleaimplantat hat sich seit Jahren etabliert. Dennoch liegen im deutschsprachigen Raum keine aussagkräftigen Langzeitergebnisse von einer repräsentativ großen Anzahl Kinder vor. Diese sind jedoch notwendig, um Prognosen über die Entwicklung und Ergebnisse von Kindern mit unterschiedlichem Implantationsalter zu treffen. Retrospektiv haben wir die Daten von 156 Kindern mit unterschiedlichem Implantationsalter ausgewertet, bei denen eine minimale Nachbeobachtungszeit von 5 Jahren und sprachaudiologische Daten (Oldenburger Satztest, Freiburger Einsilber/Zahlen) vorlagen. Unsere Daten bestätigen die Vermutung, dass die früh mit einem Implantat versorgten Kinder (<2 Jahre) die besten Sprachverständnisergebnisse aufweisen. Daher kann die Forderung nach einem suffizienten universellen Neugeborenen-Hörscreening nachdrücklich unterstützt werden, damit nach erfolgter Hörgerätetestphase die Implantation im 1. Lebensjahr angestrebt werden kann. Die chirurgischen, anästhesiologischen und Rehabilitationsvoraussetzungen sowie die Erfahrung müssen gegeben sein, um die Operation von Säuglingen und Kleinkindern durchführen zu können.

Abstract

The treatment of deaf and hearing-impaired children with cochlear implants has been established for several years. Nonetheless, no long-term results exist for studies of a representatively large number of children in the German-speaking area. These are necessary in order to formulate prognoses regarding the development and results of children undergoing implantation at various ages. In a retrospective study, we assessed the data of 156 children with various implantation ages and a minimum follow-up period of 5 years for whom speech and audiological data (Oldenburg Sentence Test, Freiburg words/numbers test) were available. Our findings confirm the assumption that early-implanted children (<2 years) achieve the best speech-comprehension results. For this reason, support for a sufficient universal neonate hearing screen should be emphatically given so that implantation, after a hearing test phase, can be targeted in the first year of life. The surgical, anesthesiological, and rehabilitation conditions must be fulfilled, and surgical experience is required for operation on infants and small children.

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Authors and Affiliations

  1. Universitätsklinik für Hals-, Nasen- und Ohrenheilkunde und Poliklinik, Universitätsklinikum Freiburg, Killianstraße 5, 79106, Freiburg, Deutschland

    R. Laszig, A. Aschendorff, R. Beck, C. Schild, S. Kröger, T. Wesarg & S. Arndt

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  1. R. Laszig
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  2. A. Aschendorff
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  3. R. Beck
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  4. C. Schild
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  5. S. Kröger
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  6. T. Wesarg
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  7. S. Arndt
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Correspondence to R. Laszig.

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Laszig, R., Aschendorff, A., Beck, R. et al. Langzeitergebnisse nach Kochleaimplantatversorgung bei Kindern. HNO 57, 657–662 (2009). https://doi.org/10.1007/s00106-009-1939-7

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  • DOI: https://doi.org/10.1007/s00106-009-1939-7

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