Illg A
HNO-Abteilung; Deutsches Hörzentrum Hannover, Medizinische Hochschule Hannover, Karl-Wiechert-Allee 3, 30625, Hannover, Deutschland.
HNO. 2017 Jul;65(7):552-560. doi: 10.1007/s00106-016-0311-y.
The rehabilitation of patients with hearing loss includes technical, medical, and therapeutic education interventions. The success of cochlear implant (CI) treatment depends on joint coordination and execution of all measures. During the history of CI, expansion of the spectrum of indication criteria has led to evolution of auditory-verbal therapy, speech therapy, and auditory training.
This paper describes the current status of therapeutic knowledge and experience of hearing and speech therapeutic rehabilitation in children and adults. Current treatments and quality assurance measures are presented.
Effective auditory-verbal rehabilitation of children and auditory training in adults depends on individual objectives. In addition to subjective patient reports, the success of CI fitting is regularly monitored using specific tests. Therapeutic approaches that enhance the communication skills of children and adults are described in a structured manner. Established tests and their application in treatment, educational diagnostics, aftercare, and quality assurance complement the description.
Within an interdisciplinary team, structured auditory-verbal therapeutic interventions and reliable testing are crucial for documenting individual outcomes, discussing these compared to the expected result, and counselling the patient in terms of further therapeutic measures.
听力损失患者的康复包括技术、医学和治疗教育干预措施。人工耳蜗（CI）治疗的成功取决于所有措施的协同配合与实施。在人工耳蜗发展历程中，适应证标准范围的扩大推动了听觉言语治疗、言语治疗和听觉训练的发展。
本文阐述了儿童和成人听力与言语治疗康复的治疗知识及经验现状。介绍了当前的治疗方法和质量保证措施。
儿童有效的听觉言语康复和成人的听觉训练取决于个体目标。除了患者主观报告外，还定期使用特定测试监测人工耳蜗适配的效果。本文以结构化方式描述了提高儿童和成人沟通能力的治疗方法。既定测试及其在治疗、教育诊断、随访和质量保证中的应用完善了相关描述。
在跨学科团队中，结构化的听觉言语治疗干预和可靠的测试对于记录个体治疗结果、将这些结果与预期结果进行比较讨论以及为患者提供进一步治疗措施的咨询至关重要。
