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Einerseits besteht dieser aus einem standardisierten Vorgehen, andererseits werden individuelle Bed\u00fcrfnisse des Patienten ber\u00fccksichtigt. Sie beginnt mit der \u201eErstanpassung\u201c in der Basistherapie, wobei zun\u00e4chst ein zufriedenstellender Klang- und Lautheitseindruck im Fokus stehen. In der Folgetherapie wird eine Feinanpassung vorgenommen, um ein bestm\u00f6gliches Sprachverstehen in Ruhe und im St\u00f6rger\u00e4usch zu erreichen. Ziel ist eine individuelle Anpassung des CI-Prozessors an audiologische Vorgaben. Die Anpassung erfolgt durch ein gem\u00e4\u00df der Leitlinie zur CI-Versorgung speziell qualifiziertes Fachpersonal und ber\u00fccksichtigt anatomische Gegebenheiten, elektrophysiologische Messungen und audiologische Evaluationsdaten. Die CI-Anpassung soll die H\u00f6r- und Sprachverst\u00e4ndlichkeit lebenslang erhalten und so f\u00fcr eine umfangreiche Verbesserung der Lebensqualit\u00e4t sorgen. 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