{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T10:27:39Z","timestamp":1780741659858,"version":"3.54.1"},"reference-count":182,"publisher":"Georg Thieme Verlag KG","issue":"S 01","license":[{"start":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T00:00:00Z","timestamp":1653264000000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Versorgung mit implantierbaren H\u00f6rger\u00e4ten stellt einen Bereich mit hohem Entwicklungs- und Innovationspotenzial dar. Der vorliegende \u00dcbersichtsartikel gibt einerseits einen \u00dcberblick \u00fcber derzeitige Indikationskriterien f\u00fcr die Versorgung mit aktiven Mittelohrimplantaten. Andererseits werden Zielparameter sowie Ergebnisse nach der Versorgung mit aktiven Mittelohrimplantaten beleuchtet. Hierbei liegt der Fokus auf audiologischen Ergebnissen sowie dem vom Patienten bewerteten Gesundheitszustand. Sogenannte \u201ePatient Reported Outcome Measures\u201c (PROMs) nehmen mittlerweile auch in der H\u00f6rimplantatversorgung einen festen Stellenwert in der Evaluierung des Versorgungserfolges ein. Bisher ist die Studienlage sowohl hinsichtlich audiologischer als auch subjektiver Erfolgsparameter gemessen an den Evidenz-Level-Kriterien nicht befriedigend. Ein bislang fehlender internationaler Konsens \u00fcber akzeptierte Outcomeparameter erschwert eine metaanalytische Aufarbeitung der Ergebnisse immens. In den bislang publizierten Untersuchungen konnte sowohl f\u00fcr Patienten mit einer Schallempfindungsschwerh\u00f6rigkeit als auch f\u00fcr Patienten mit einer Schallleitungs- oder kombinierten Schwerh\u00f6rigkeit ein besseres Sprachverstehen mit dem aktiven Mittelohrimplantat im Vergleich zur konventionellen H\u00f6rsystemversorgung ermittelt werden. Aktuelle Analysen zeigen eine signifikante Verbesserung der allgemeinen sowie der h\u00f6rspezifischen Lebensqualit\u00e4t nach Versorgung mit einem aktiven Mittelohrimplantat. Zur Beurteilung des Versorgungserfolges bei Kindern existieren bislang keine validierten, h\u00f6rspezifischen Lebensqualit\u00e4tsmessinstrumente. Insbesondere bei Kindern mit komplexen Fehlbildungen des \u00e4u\u00dferen Ohres sowie des Mittelohres zeigen sich audiologisch zufriedenstellende Ergebnisse, welche zuk\u00fcnftig jedoch durch Lebensqualit\u00e4tsmessungen untermauert werden m\u00fcssen.<\/jats:p>","DOI":"10.1055\/a-1647-8616","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T22:43:39Z","timestamp":1653345819000},"page":"S3-S35","source":"Crossref","is-referenced-by-count":3,"special_numbering":"S","title":["Ergebnisse und Lebensqualit\u00e4t nach Implantation aktiver Mittelohrimplantate"],"prefix":"10.1055","volume":"101","author":[{"given":"Susen","family":"Lailach","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Dresden Klinik und Poliklinik f\u00fcr Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halschirurgie (Klinikdirektor: Prof. Dr.med. Dr. h.c. Thomas Zahnert) Dresden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Zahnert","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Dresden Klinik und Poliklinik f\u00fcr Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halschirurgie (Klinikdirektor: Prof. Dr.med. Dr. h.c. 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