gms | German Medical Science

78. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2007, München

The Cochlear Implant Centre Ruhr: a potential model of integrative supply

Meeting Abstract

  • corresponding author Markus Fischer - CIC Ruhr; Department of Oto-Rhino-Laryngology; University of Duisburg-Essen, Essen, Germany
  • author Heike Bagus - CIC Ruhr, Essen, Germany
  • author Dirk Koch - CIC Ruhr; Department of Oto-Rhino-Laryngology; University of Duisburg-Essen, Essen, Germany
  • author Reinhold Bagus - CIC Ruhr, Essen, Germany
  • author Dorit Schlimbach - CIC Ruhr; Department of Oto-Rhino-Laryngology; University of Duisburg-Essen, Essen, Germany
  • author Melanie Teschendorf - CIC Ruhr; Department of Oto-Rhino-Laryngology; University of Duisburg-Essen, Essen, Germany
  • author Maria Wollinger - CIC Ruhr, Essen, Germany
  • author Stephan Lang - CIC Ruhr; Department of Oto-Rhino-Laryngology; University of Duisburg-Essen, Essen, Germany
  • author Klaus Jahnke - CIC Ruhr; Department of Oto-Rhino-Laryngology; University of Duisburg-Essen, Essen, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 78th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Munich, 16.-20.05.2007. Düsseldorf, Köln: German Medical Science; 2007. Doc07hno015

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2007/07hno015.shtml

Veröffentlicht: 8. August 2007

© 2007 Fischer et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: Since 1995 deaf or severely hearing impaired patients are provided with cochlear implants at the CIC Ruhr in Essen. The treatment concept would potentially fulfil the requirements of SGB V §§140a-d concerning the integrative supply. The principles of this law edited in the year 2000 basing on the participation of different professional groups and the maxim „out-patient before in-patient“ are consequently realised in Essen for more than 10 years.

Methods: Until 2005 93 children, 12 adolescents and 32 adults, were implanted (median age 5 years). Speech perception in adolescents and adults was tested with the Freiburg speech test for numbers, the modified Aachen Aphasia test and speech tracking. In children semi-quantitative tests (Schmidt-Giovanni, Pollack) as well as the Mainz Speech Test I in closed set and the Göttingen Children’s Speech Perception Test I in closed set were used.

Results: Speech perception in the Freiburg number test showed an improvement from 23% preoperatively to 72% in adolescent and adults after the first 6 months with CI. In the modified Aachen Aphasia test without labiolexia percepted words rose from 45,4 to 124,8 six months after CI implantation. In children the mean value in the Mainz Speech Test I in closed set was 87% after 36 months. Six months after implantation the test score in the Göttingen Children’s Speech Perception Test I in closed set had increased six fold and in the Schmid-Giovannini test it had doubled.

Conclusions: The concept of rehabilitation on an outpatient basis after CI implantation shows comparable results in speech development and hearing perception compared to in-patient rehabilitation.