Salcher Rolf B, Di Micco Riccardo, Timm Max E
Hals-Nasen-Ohrenklinik & DHZ, Medizinische Hochschule Hannover, Hannover, Deutschland.
Hearing4all Exzellenzcluster, Hannover, Deutschland.
HNO. 2025 Apr 11. doi: 10.1007/s00106-025-01625-0.
Due to the anatomical variety of the human cochlea and the many factors that may determine the choice of the cochlear array, there is no one-size-fits-all method for determining the right implant. The cochlear size, preoperative residual hearing, anatomical variants, operative technique, and cause of deafness must be taken into consideration when making this decision.
This work aims to spread awareness of precision surgery and provide an overview.
Factors that contribute to individualization are explained, and future advances are outlined.
The optimum treatment, if possible, is electroacoustic stimulation. Cochlear coverage of approximately 80% should be the goal when using electrical stimulation alone.
In order to maximize rehabilitation results, recent developments in cochlear implantation mark a paradigm shift away from standardized treatments and toward individualized therapy.
由于人类耳蜗的解剖结构多样，以及许多可能决定耳蜗植入阵列选择的因素，不存在一种适用于所有情况的确定合适植入物的方法。在做出这一决定时，必须考虑耳蜗大小、术前残余听力、解剖变异、手术技术和耳聋原因。
这项工作旨在提高对精准手术的认识并提供概述。
解释了有助于个体化的因素，并概述了未来的进展。
如果可能，最佳治疗方法是电声刺激。单独使用电刺激时，耳蜗覆盖率约80%应作为目标。
为了使康复效果最大化，人工耳蜗植入的最新进展标志着从标准化治疗向个体化治疗的范式转变。
