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Laryngorhinootologie 2017; 96(02): 120-129
DOI: 10.1055/s-0042-122477
Facharztwissen HNO
© Georg Thieme Verlag KG Stuttgart · New York

Implantierbare Knochenleitungs- und aktive Mittelohrhörsysteme

Implantable Bone Conduction and Active Middle Ear Devices
Markus Pirlich
,
Andreas Dietz
,
Sylvia Meuret
,
Mathias Hofer
Further Information

Publication History

Publication Date:
14 March 2017 (online)

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ZUSAMMENFASSUNG

Bei audiologischen und/oder anatomischen Limitationen in der Versorgung mit konventionellen Hörgeräten können moderne teil- oder vollimplantierbare Hörsysteme in ausgewählten Fällen die Versorgungsmöglichkeiten komplettieren. Es konnte gezeigt werden, dass sich für eine Vielzahl an Patienten Verbesserungen im Tragekomfort, im Sprachverständnis und somit der Lebensqualität erzielen lassen.

Abstract

In case of audiological and/or anatomical limitations in the provision of conventional hearing aids, semi- or fully-implantable hearing systems represent a modern therapy alternative. These hearing systems are divided according to their mode of action into active middle ear implants when stimulating the auditory ossicles or the round window, into bone conduction devices while stimulating the skull directly, into cochlear implants with direct acoustic stimulation to the cochlea with its auditory nerve and finally into auditory brainstem implants by bridging the peripheral auditory structures. Taking careful criteria of indications and anatomical specificities into account, significant improvements can be achieved in comfort, speech understanding and thus quality of life for a large number of patients.

Schlüsselwörter

Implantierbare Hörsysteme - Knochenleitungshörsysteme (KLHS) - aktive Mittelohrhörsysteme (AMHS) - Schwerhörigkeit

Key words

implantable ear devices - bone conduction ear devices - active middle ear devices - hearing loss
 

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