gms | German Medical Science

81. 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.

12.05. - 16.05.2010, Wiesbaden

Cochlea Implantation in a rural setting – a retrospective analysis of the postoperative results, quality of life and overall satisfaction since 2003

Meeting Abstract

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  • corresponding author presenting/speaker Timo Rother - HNO Klinik, Bad Hersfeld, Germany
  • Christiane Albrecht - HNO Klinik, Bad Hersfeld, Germany
  • Peter Rolf Issing - HNO Klinik, Bad Hersfeld, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hno064

DOI: 10.3205/10hno064, URN: urn:nbn:de:0183-10hno0644

Veröffentlicht: 6. Juli 2010

© 2010 Rother 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 vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

In recent literature the creation of competence centers to perform Cochlea Implantation and rehab has been postulated. Our data shows the results of our patients since 2003.

80 patients have been implanted (14 bilateral, overall n=94). The median age was 52.8a (1–88a), the postoperative course was monitored for 29 months (median, interval from 2–74 months). The files were checked for complete data sets including pre- and postoperative results in monosyllabic tests (Freiburger) at 60 and 80dB as well as the speech recognition in the HSM-sentence-test. By means of the Glasgow Hearing Aid Benefit Profile (GHABP), the subjective benefit after Cochlea Implantation was quantified.

The speech recognition in the HSM-sentence-test rose from 2.3% to 87%, monosyllabic recognition at 60dB showed an improvement from 0.8% to 45%, and from 2.5% to 70% at 80dB, respectively. The response rate concerning the questionnaire was 61%. The hearing impairment showed a value of 40 (0=“no difficulty“, 100 „cannot manage at all“), the proportion of time wearing the hearing aid reached 92 points (0=“not at all“, 100=“all the time“). The hearing benefit was quantified with 80.5 points (0=“useless“, 100=“hearing is perfect with aid“), the residual impairment reached 32.8 points (0=“no difficulty“, 100=“cannot manage at all“). The overall satisfaction showed a value of 75 points (0=“not satisfied at all“, 100=“delighted with aid“).

The age, comorbidity, limited mobility and the financial situation of implanted patients requires assistance located nearby. Our results show that Cochlea Implantation is feasible with high quality in a rural setting.