Müller Joachim
Schwerpunkt Cochlea Implantate und Hörprothetik, Klinik und Poliklinik für Hals-, Nasen- und Ohrenkranke der Universität Würzburg.
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2005;4:Doc04. Epub 2005 Sep 28.
Over the past two decades, the fascinating possibilities of cochlear implants for congenitally deaf or deafened children and adults developed tremendously and created a rapidly developing interdisciplinary research field.The main advancements of cochlear implantation in the past decade are marked by significant improvement of hearing and speech understanding in CI users. These improvements are attributed to the enhancement of speech coding strategies.The Implantation of more (and increasingly younger) children as well as the possibilities of the restoration of binaural hearing abilities with cochlear implants reflect the high standards reached by this development. Despite this progress, modern cochlear implants do not yet enable normal speech understanding, not even for the best patients. In particular speech understanding in noise remains problematic [1]. Until the mid 1990ies research concentrated on unilateral implantation. Remarkable and effective improvements have been made with bilateral implantation since 1996. Nowadays an increasing numbers of patients enjoy these benefits.
在过去二十年中，人工耳蜗为先天性耳聋或后天失聪的儿童及成人带来的迷人可能性得到了极大发展，并开创了一个迅速发展的跨学科研究领域。过去十年人工耳蜗植入的主要进展体现在人工耳蜗使用者的听力和言语理解能力有了显著提高。这些改善归因于言语编码策略的增强。越来越多的儿童（年龄越来越小）接受人工耳蜗植入，以及通过人工耳蜗恢复双耳听力的可能性，都反映了这一发展所达到的高标准。尽管取得了这一进展，但现代人工耳蜗仍无法实现正常的言语理解，即使对最优秀的患者也是如此。特别是在噪声环境中的言语理解仍然存在问题[1]。直到20世纪90年代中期，研究都集中在单侧植入。自1996年以来，双侧植入取得了显著且有效的进展。如今，越来越多的患者受益于此。
