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Der Einfluss dieser Versorgungsart auf das Sprachverstehen (SV) im zeitlichen Verlauf ist bislang nicht hinreichend untersucht. Die vorliegende Studie untersucht den Einfluss einer bimodalen Versorgung auf das SV postlingual ertaubter, bimodal versorgter CI-Tr\u00e4ger:innen nach einer Tragedauer von mindestens 36\u00a0Monaten und analysiert dabei m\u00f6gliche Einflussfaktoren.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methode<\/jats:title>\n                <jats:p>Es wurden 54\u00a0bimodal versorgte lautsprachkompetente CI-Tr\u00e4ger:innen mit einer CI-Erfahrung von mindestens 36\u00a0Monaten in diese retrospektive L\u00e4ngsschnittstudie eingeschlossen. Audiometrische Daten von diesen CI-Tr\u00e4ger:innen wurden im zeitlichen Verlauf verglichen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Die Ver\u00e4nderung der Ergebnisse im Freiburger Einsilbertest (FBE) im Verlauf der 36\u00a0Monate war f\u00fcr die Ertaubungsgruppe &lt;\u202f10\u00a0Jahre sowohl f\u00fcr den Pegel 65\u202fdB \u201esound pressure level\u201c (SPL) als auch f\u00fcr 80\u202fdB SPL signifikant und f\u00fcr die Ertaubungsgruppe\u202f\u2265\u202f10\u00a0Jahre f\u00fcr 65\u202fdB SPL signifikant (<jats:italic>p<\/jats:italic>\u202f&lt;\u20095\u202f%). Beim Oldenburger Satztest (OlSa) ergab sich f\u00fcr die Konfigurationen S<jats:sub>0<\/jats:sub>, S<jats:sub>0<\/jats:sub>N<jats:sub>0<\/jats:sub> und S<jats:sub>0<\/jats:sub>N<jats:sub>CI<\/jats:sub> eine hochsignifikante Ver\u00e4nderung (<jats:italic>p<\/jats:italic>\u202f&lt;\u20090,1\u202f%). und f\u00fcr S<jats:sub>0<\/jats:sub>N<jats:sub>HG<\/jats:sub> (HG: H\u00f6rger\u00e4t) eine sehr signifikante Ver\u00e4nderung (<jats:italic>p<\/jats:italic>\u202f&lt;\u20091\u202f%). Das Alter bei Versorgung als m\u00f6glicher Einflussfaktor konnte durch den FBE nicht best\u00e4tigt werden. Die Ertaubungsdauer stellte dagegen einen negativen Einflussfaktor f\u00fcr das SV mit dem CI dar, wobei eine l\u00e4ngere Ertaubungsdauer mit schlechteren Ergebnissen beim FBE assoziiert ist. Der Grad der Schwerh\u00f6rigkeit des mit HG versorgten Ohrs beeinflusste das SV nicht. Im Median betrug der bimodale Nutzen (Differenz aus dem SV mit bimodaler Versorgung gegen\u00fcber einseitiger HG-Versorgung beim FBE f\u00fcr 65\u202fdB SPL) \u00fcber die gesamte Untersuchungszeit 10\u202f%. F\u00fcr im Median 79\u202f% der Versuchspersonen war der bimodale Nutzen \u00fcber den gesamten Zeitverlauf von 36\u00a0Monaten nachweisbar.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Im zeitlichen Verlauf verbessert sich das SV mit dem CI der bimodalen Versuchspersonen signifikant. Die untersuchten Einflussfaktoren (Alter, Ertaubungsdauer und Grad der Schwerh\u00f6rigkeit des Gegenohrs) unterst\u00fctzen die leitliniengerechte Indikationsstellung einer bimodalen Versorgung in Deutschland \u2013\u00a0unabh\u00e4ngig von Alter, Ertaubungsdauer und H\u00f6rf\u00e4higkeit des Gegenohrs\u00a0\u2013 eine Cochleaimplantation durchzuf\u00fchren.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-024-01508-w","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T14:46:41Z","timestamp":1724770001000},"page":"729-741","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Audiologisches Ergebnis bimodal versorgter CI-Tr\u00e4ger:innen im zeitlichen Verlauf und in Abh\u00e4ngigkeit unterschiedlicher Einflussfaktoren","Audiological outcome of bimodal CI users over time and depending on different influencing factors"],"prefix":"10.1007","volume":"72","author":[{"given":"Hanna","family":"Schlegel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Hartmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Kreikemeier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Dalhoff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"L\u00f6wenheim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Tropitzsch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,8,27]]},"reference":[{"key":"1508_CR1","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1159\/000380741","volume":"20","author":"P Avan","year":"2015","unstructured":"Avan\u00a0P, Giraudet\u00a0F, B\u00fcki\u00a0B (2015) Importance of Binaural Hearing. 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