Marangos N, Laszig R
HNO-Klinik, Albert-Ludwigs-Universität Freiburg.
HNO. 1998 Jan;46(1):12-26. doi: 10.1007/s001060050192.
In recent years the cochlear implant has become an established method for rehabilitation of bilateral sensory deafness in adults and children. Intracochlear multichannel stimulation with sophisticated speech coding strategies has proved to be reliable and safe enough for use in adults as well as young children; thus, a few cochlear implant systems with different specifications are currently available. The differences in their hardware and software are discussed. Furthermore, the current indications for cochlear implants in patients whose hearing is severely impaired and important aspects of the preoperative evaluation are presented with special emphasis on difficult cases such as deformities, multihandicapped subjects and very young children. Our results after 12 years of experience and more than 700 implantations suggest that the most important prognostic factor is the duration of deafness.
近年来，人工耳蜗已成为成人和儿童双侧感音神经性聋康复的既定方法。采用复杂语音编码策略的耳蜗内多通道刺激已被证明足够可靠和安全，可用于成人及幼儿；因此，目前有几种不同规格的人工耳蜗系统可供使用。文中讨论了它们硬件和软件的差异。此外，还介绍了重度听力受损患者目前人工耳蜗植入的适应证以及术前评估的重要方面，特别强调了诸如畸形、多重残疾患者和幼儿等疑难病例。我们经过12年的经验和700多次植入后的结果表明，最重要的预后因素是耳聋持续时间。
