{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T23:38:39Z","timestamp":1719877119518},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Hintergrund\u2002Verglichen mit dem Zugewinn an Lebensqualit\u00e4t, den viele Patienten durch ein Cochlea-Implantat (CI) erfahren, bringt das CI nur wenige Einschr\u00e4nkungen im t\u00e4glichen Leben mit sich. Doch kann man mit einem CI auch Tauchen und Fliegen? Halten das operierte Ohr sowie das Implantat selbst den ausgepr\u00e4gten Druckver\u00e4nderungen stand? Bisher gibt es keine klaren Empfehlungen und sehr wenig Literatur \u00fcber die Risiken des Ger\u00e4tetauchens sowie des Fliegens mit CI.<\/jats:p><jats:p>Material und Methoden\u2002In einer hypo-\/hyperbaren Druckkammer wurden Menschen mit einem CI einem Druckprofil mit Phasen des Druckanstiegs sowie Phasen des Druckabfalls ausgesetzt, sodass zun\u00e4chst ein Flug und dann ein Tauchgang simuliert wurden. Sowohl vor als auch nach der Druckkammermessung erfolgten eine Ohrmikroskopie sowie eine Messung der Impedanzen des Cochlea-Implantats. Zus\u00e4tzlich f\u00fcllte jeder Patient einen symptombezogenen Fragebogen vor sowie nach der Druckkammermessung aus.<\/jats:p><jats:p>Ergebnisse\u2002In der Druckkammer wurden insgesamt 17 CI-implantierte Ohren bei 11 Probanden untersucht. Zwei Drittel der Probanden gaben an, w\u00e4hrend der Untersuchung leichte Beschwerden gehabt zu haben. Bei einem Probanden musste die Messung aufgrund von Schmerzen abgebrochen werden. Sieben Patienten zeigten im Anschluss an die Druckexposition eine Hammergef\u00e4\u00dfinjektion in der Ohrmikroskopie. Bei keinem der Patienten kam es nach der Untersuchung zu einer subjektiven H\u00f6rverschlechterung. Es kam zu keiner relevanten \u00c4nderung der Impedanzen des CI-Implantats.<\/jats:p><jats:p>Schlussfolgerung\u2002Die Exposition mit Unter- und \u00dcberdruck bei Patienten mit Cochlea-Implantaten ergab in der objektiven \u00dcberpr\u00fcfung der Impedanzen keine wesentliche Abweichung der Impedanzen, sodass keine erneute Anpassung notwendig war. Allerdings zeigten sich leichtgradige Barotraumata sowie subjektive, leichte Beschwerden. Weitere Studien sind erforderlich, um eine ad\u00e4quate Risikoeinsch\u00e4tzung zur Druckexposition bei CI-Tr\u00e4gern geben zu k\u00f6nnen.<\/jats:p>","DOI":"10.1055\/a-1346-9370","type":"journal-article","created":{"date-parts":[[2021,1,26]],"date-time":"2021-01-26T23:33:26Z","timestamp":1611704006000},"page":"35-39","source":"Crossref","is-referenced-by-count":1,"title":["Ist Fliegen oder Tauchen riskant f\u00fcr CI-Tr\u00e4ger? \u2013 Untersuchungen in einer Druckkammer"],"prefix":"10.1055","volume":"101","author":[{"given":"Antonia","family":"Nolte","sequence":"additional","affiliation":[{"name":"Universit\u00e4t zu K\u00f6ln, Medizinische Fakult\u00e4t und Uniklinik K\u00f6ln, Klinik und Poliklinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf-\u00a0und\u00a0Hals-Chirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moritz","family":"Meyer","sequence":"additional","affiliation":[{"name":"Universit\u00e4t zu K\u00f6ln, Medizinische Fakult\u00e4t und Uniklinik 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