{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T04:34:48Z","timestamp":1791606888257,"version":"4.3.4"},"reference-count":51,"publisher":"Deutscher Arzte-Verlag GmbH","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"DOI":"10.3238\/arztebl.2020.0690","type":"journal-article","created":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T05:22:47Z","timestamp":1601529767000},"source":"Crossref","is-referenced-by-count":34,"title":["Cochlear Implantation: Diagnosis, Indications, and Auditory Rehabilitation Results"],"prefix":"10.3238","author":[{"given":"Stefan","family":"Dazert","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan Peter","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Loth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Zahnert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timo","family":"St\u00f6ver","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11437","published-online":{"date-parts":[[2020,10,9]]},"reference":[{"key":"10.3238\/arztebl.2020.0690_ref1","doi-asserted-by":"crossref","unstructured":"L\u00f6hler J, Walther LE, Hansen F, et al.: The prevalence of hearing loss and use of hearing aids among adults in Germany: a systematic review. Eur Arch Otolaryngol 2019; 276: 945\u201356","DOI":"10.1007\/s00405-019-05312-z"},{"key":"10.3238\/arztebl.2020.0690_ref2","doi-asserted-by":"crossref","unstructured":"Schmucker C, Kapp P, Motschall E, Loehler J, Meerpohl JJ: Prevalence of hearing loss and use of hearing aids among children and adolescents in Germany: a systematic review. BMC Public Health 2019; 19: 1277","DOI":"10.1186\/s12889-019-7602-7"},{"key":"10.3238\/arztebl.2020.0690_ref3","doi-asserted-by":"crossref","unstructured":"L\u00f6hler J, Cebulla M, Shehata-Dieler W, Volkenstein S, V\u00f6lter C, Walther LE: Hearing impairment in old age\u2013detection, treatment, and associated risks. Dtsch Arztebl Int 2019; 116: 301\u201310","DOI":"10.3238\/arztebl.2019.0301"},{"key":"10.3238\/arztebl.2020.0690_ref4","doi-asserted-by":"crossref","unstructured":"Lin FR, Albert M: Hearing loss and dementia\u2013who is listening? Aging Ment Health 2014; 18: 671\u20133","DOI":"10.1080\/13607863.2014.915924"},{"key":"10.3238\/arztebl.2020.0690_ref5","doi-asserted-by":"crossref","unstructured":"V\u00f6lter C, G\u00f6tze L, Dazert S, Falkenstein M, Thomas JP: Can cochlear implantation improve neurocognition in the aging population? Clin Interv Aging 2018; 13: 701\u201312","DOI":"10.2147\/CIA.S160517"},{"key":"10.3238\/arztebl.2020.0690_ref6","doi-asserted-by":"crossref","unstructured":"L\u00f6hler J, Lehmann M, Segler V, et al.: The Mini-Audio-Test (MAT) \u2013 a screening method on hearing impairment to be used by general practitioners and specialized physicians. Laryngorhinootologie 2019; 98: 27\u201334.","DOI":"10.1055\/a-0805-5741"},{"key":"10.3238\/arztebl.2020.0690_ref7","unstructured":"DGHNO (Deutsche Gesellschaft f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf- und Hals-Chirurgie): Wei\u00dfbuch Cochlea-Implantat(CI)-Versorgung: https:\/\/cdn.hno.org\/media\/PDF\/ci-weissbuch-und-register-dghno-1-auflage-stand-04-2018.pdf (last accessed on 22 February 2020)."},{"key":"10.3238\/arztebl.2020.0690_ref8","unstructured":"AWMF: Leitlinie Cochlea-Implantat Versorgung der DGHNO 2020 (in press) : www.awmf.org\/leitlinien\/detail\/ll\/017-071.html (last accessed on 19 July 2020)"},{"key":"10.3238\/arztebl.2020.0690_ref9","doi-asserted-by":"crossref","unstructured":"Hoff S, Ryan M, Thomas D, et al.: Safety and effectiveness of cochlear implantation of young children, including those with complicating conditions. Otol Neurotol 2019; 40: 454\u201363","DOI":"10.1097\/MAO.0000000000002156"},{"key":"10.3238\/arztebl.2020.0690_ref10","doi-asserted-by":"crossref","unstructured":"Leigh J, Dettman S, Dowell R, Sarant J: Evidence-based approach for making cochlear implant recommendations for infants with residual hearing. Ear Hear 2011; 32: 313\u201322","DOI":"10.1097\/AUD.0b013e3182008b1c"},{"key":"10.3238\/arztebl.2020.0690_ref11","doi-asserted-by":"crossref","unstructured":"Vickers D, Summerfield Q, Lovett R: Candidacy criteria for paediatric bilateral cochlear implantation in the United Kingdom: Cochlear Implants Int 2015; 16: 48\u20139","DOI":"10.1179\/1467010014Z.000000000235"},{"key":"10.3238\/arztebl.2020.0690_ref12","doi-asserted-by":"crossref","unstructured":"Kral K, Lang-Roth R, Hilger N, Streicher B: Do early cochlear-implanted toddlers show a better speech development than later implanted children? Laryngorhinootologie 2017; 96: 160\u20137","DOI":"10.1055\/s-0042-109613"},{"key":"10.3238\/arztebl.2020.0690_ref13","doi-asserted-by":"crossref","unstructured":"Chiossi JSC, Hyppolito MA: Effects of residual hearing on cochlear implant outcomes in children: A systematic review. Int J Pediatr Otorhinolaryngol 2017; 100: 119\u201327","DOI":"10.1016\/j.ijporl.2017.06.036"},{"key":"10.3238\/arztebl.2020.0690_ref14","doi-asserted-by":"crossref","unstructured":"Hoppe U, Hocke T, Hast A, Iro H: Maximum monosyllabic score as a predictor for cochlear implant outcome. HNO 2019; 67: 199\u2013206","DOI":"10.1007\/s00106-018-0605-3"},{"key":"10.3238\/arztebl.2020.0690_ref15","doi-asserted-by":"crossref","unstructured":"Dowel RC: The case for earlier cochlear implantation in postlingually deaf adults. Int J Audiol 2016; 55: 51\u20136","DOI":"10.3109\/14992027.2015.1128125"},{"key":"10.3238\/arztebl.2020.0690_ref16","doi-asserted-by":"crossref","unstructured":"Lammers MJW, Versnel H, Topsakal V, van Zanten GA, Grolman W: Predicting performance and non-use in prelingually deaf and late-implanted cochlear implant users. Otol Neurotol 2018; 39: e436-42","DOI":"10.1097\/MAO.0000000000001828"},{"key":"10.3238\/arztebl.2020.0690_ref17","doi-asserted-by":"crossref","unstructured":"Rousset A, Dowell R, Leigh J: Receptive language as a predictor of cochlear implant outcome for prelingually deaf adults. Int J Audiol 2016; 55: 24\u201330","DOI":"10.3109\/14992027.2016.1157269"},{"key":"10.3238\/arztebl.2020.0690_ref18","doi-asserted-by":"crossref","unstructured":"Sparreboom M, Langereis MC, Snik AF, Mylanus EA: Long-term outcomes on spatial hearing, speech recognition and receptive vocabulary after sequential bilateral cochlear implantion in children. Res Dev Disabil 2015; 36C: 328\u201337","DOI":"10.1016\/j.ridd.2014.10.030"},{"key":"10.3238\/arztebl.2020.0690_ref19","doi-asserted-by":"crossref","unstructured":"Van de Heyning P, T\u00e1vora-Vieira D, Mertens G, et al.: Towards a unified testing framework for single-sided deafness studies: a consensus paper. Audiol Neurootol 2017; 21: 391\u20138","DOI":"10.1159\/000455058"},{"key":"10.3238\/arztebl.2020.0690_ref20","doi-asserted-by":"crossref","unstructured":"Arndt S, Laszig R, Aschendorff A, Hassepass F, Beck R, Wesarg T: Cochlear implant treatment of patients with single-sided deafness or asymmetric hearing loss. HNO 2017; 65 Suppl 2: 98\u2013108","DOI":"10.1007\/s00106-016-0297-5"},{"key":"10.3238\/arztebl.2020.0690_ref21","doi-asserted-by":"crossref","unstructured":"Sladen DP, Carlsin ML, Dowling BP, et al.: Early outcomes after cochlear implantation for adults and children with unilateral hearing loss. Laryngoscope 2017;127: 1683\u20138","DOI":"10.1002\/lary.26337"},{"key":"10.3238\/arztebl.2020.0690_ref22","doi-asserted-by":"crossref","unstructured":"Laszig R, Aschendorff A, Beck R, et al.: Long-term functional outcomes of cochlear implants in children. HNO 2009; 57: 657\u201362","DOI":"10.1007\/s00106-009-1939-7"},{"key":"10.3238\/arztebl.2020.0690_ref23","doi-asserted-by":"crossref","unstructured":"Briggs RJ, Tykocinski M, Xu J, et al.: Comparison of round window and cochleostomy approaches with a prototype hearing preservation electrode. Audiol Neurootol 2006; 11: 42\u20138","DOI":"10.1159\/000095613"},{"key":"10.3238\/arztebl.2020.0690_ref24","doi-asserted-by":"crossref","unstructured":"Sato M, Baumhoff P, Tillein J, Kral A: Physiological mechanisms in combined, electric-acoustic stimulation. Otol Neurotol 2017; 38: e215\u201323","DOI":"10.1097\/MAO.0000000000001428"},{"key":"10.3238\/arztebl.2020.0690_ref25","doi-asserted-by":"crossref","unstructured":"Lenarz T, James C, Cuda D, et al.: European multi-centre study of the Nucleus Hybrid L24 cochlear implant. Int J Audiol 2013; 52: 838\u201348","DOI":"10.3109\/14992027.2013.802032"},{"key":"10.3238\/arztebl.2020.0690_ref26","doi-asserted-by":"crossref","unstructured":"Hoppe U, Liebscher T, Hornung J: Anpassen von Cochlea-Implantatsystemen. HNO 2017; 65: 546\u201351","DOI":"10.1007\/s00106-016-0226-7"},{"key":"10.3238\/arztebl.2020.0690_ref27","doi-asserted-by":"crossref","unstructured":"Zeh R, Baumann U: Station\u00e4re Rehabilitationsma\u00dfnahmen bei erwachsenen CI-Tr\u00e4gern: Ergebnisse in Abh\u00e4ngigkeit von der Dauer der Taubheit, Nutzungsdauer und Alter. HNO 2015; 63: 557\u201376","DOI":"10.1007\/s00106-015-0037-2"},{"key":"10.3238\/arztebl.2020.0690_ref28","doi-asserted-by":"crossref","unstructured":"Diller G: (Re)habilitation nach Versorgung mit einem Kochleaimplantat. HNO 2009; 57: 649\u201356","DOI":"10.1007\/s00106-009-1922-3"},{"key":"10.3238\/arztebl.2020.0690_ref29","doi-asserted-by":"crossref","unstructured":"L\u00f3pez-Higes R, Gallego C, Mart\u00edn-Aragoneses MT, Melle N: Morpho-syntactic reading comprehension in children with early and late cochlear implants. J Deaf Stud Deaf Educ 2015; 20: 136\u201346","DOI":"10.1093\/deafed\/env004"},{"key":"10.3238\/arztebl.2020.0690_ref30","doi-asserted-by":"crossref","unstructured":"Boisvert I, Reis M, Au A, Cowan R, Dowell RC: Cochlear implantation outcomes in adults: A scoping review. PLoS One 2020; 15: e0232421","DOI":"10.1371\/journal.pone.0232421"},{"key":"10.3238\/arztebl.2020.0690_ref31","doi-asserted-by":"crossref","unstructured":"Blamey P, Artieres F, Baskent D, et al.: Factors affecting auditory performance of postlinguistically deaf adults using cochlear implants: an update with 2251 patients. Audiol Neurootol 2013; 18: 36\u201347","DOI":"10.1159\/000343189"},{"key":"10.3238\/arztebl.2020.0690_ref32","doi-asserted-by":"crossref","unstructured":"Blamey PJ, Maat B, Ba&#351;kent D, et al.: A retrospective multicenter study comparing speech perception outcomes for bilateral implantation and bimodal rehabilitation. Ear Hear 2015; 36: 408\u201316","DOI":"10.1097\/AUD.0000000000000150"},{"key":"10.3238\/arztebl.2020.0690_ref33","doi-asserted-by":"crossref","unstructured":"von Ilberg CA, Baumann U, Kiefer J, Tillein J, Adunka OF: Electric-acoustic stimulation of the auditory system: a review of the first decade. Audiol Neurootol 2011; 16: 1\u201330","DOI":"10.1159\/000327765"},{"key":"10.3238\/arztebl.2020.0690_ref34","doi-asserted-by":"crossref","unstructured":"Helbig S, Baumann U, Helbig M, von Malsen-Waldkirch N, Gstoettner W: A new combined speech processor for electric and acoustic stimulation\u2013eight months experience. ORL J Otorhinolaryngol Relat Spec 2008; 70: 359\u201365","DOI":"10.1159\/000163031"},{"key":"10.3238\/arztebl.2020.0690_ref35","doi-asserted-by":"crossref","unstructured":"Lorens A, Polak M, Piotrowska A, Skarzynski H: Outcomes of treatment of partial deafness with cochlear implantation: a DUET study. Laryngoscope 2008; 118: 288\u201394","DOI":"10.1097\/MLG.0b013e3181598887"},{"key":"10.3238\/arztebl.2020.0690_ref36","doi-asserted-by":"crossref","unstructured":"Rohloff K, Koopmann M, Wei D, Rudack C, Savvas E: Cochlear implantation in the elderly: Does age matter? Otol Neurotol 2017; 38: 54\u20139","DOI":"10.1097\/MAO.0000000000001262"},{"key":"10.3238\/arztebl.2020.0690_ref37","doi-asserted-by":"crossref","unstructured":"Amin N, Wong G, Nunn T, Jiang D, Pai I: The outcomes of cochlear implantation in elderly patients: a single united kingdom center experience. Ear Nose Throat J 2020; 145561320910662 (online ahead of print)","DOI":"10.1177\/0145561320910662"},{"key":"10.3238\/arztebl.2020.0690_ref38","doi-asserted-by":"crossref","unstructured":"Gaylor JM, Raman G, Chung M, et al.: Cochlear implantation in adults: a systematic review and meta-analysis. JAMA Otolaryngol Head Neck Surg 2013; 139: 265\u201372","DOI":"10.1001\/jamaoto.2013.1744"},{"key":"10.3238\/arztebl.2020.0690_ref39","doi-asserted-by":"crossref","unstructured":"Raths S, Lenarz T, Lesinski-Schiedat A, Flessa S: Kostenanalyse der unilateralen Cochlea-Implantatversorgung bei Erwachsenen. Laryngorhinootologie 2016; 95: 251\u20137","DOI":"10.1055\/s-0035-1555936"},{"key":"10.3238\/arztebl.2020.0690_ref40","doi-asserted-by":"crossref","unstructured":"Schulze-Gattermann H, Illg A, Lesinski-Schiedat A, Schoenermark M, Bertram B, Lenarz T: Kosten-Nutzen-Analyse der Cochlea-Implantation bei Kindern. Laryngorhinootologie 2003; 82: 322\u20139","DOI":"10.1055\/s-2003-39725"},{"key":"10.3238\/arztebl.2020.0690_ref41","unstructured":"Leitlinie Periphere H\u00f6rst\u00f6rungen im Kindesalter 2013, Langfassung, in \u00dcberarbeitung: www.awmf.org\/leitlinien\/detail\/ll\/049-010.html (last accessed on 23 February 2020)."},{"key":"10.3238\/arztebl.2020.0690_ref42","doi-asserted-by":"crossref","unstructured":"Lin FR, Ferrucci L: Hearing loss and falls among older adults in the United States. Arch Intern Med 2012;172: 369\u201371","DOI":"10.1001\/archinternmed.2011.728"},{"key":"10.3238\/arztebl.2020.0690_ref43","doi-asserted-by":"crossref","unstructured":"M\u00fcller A, Hocke T, Mir-Salim P: Intraoperative findings on ECAP-measurement: normal or special case? Int J Audiol 2015; 54: 257\u201364","DOI":"10.3109\/14992027.2014.969410"},{"key":"10.3238\/arztebl.2020.0690_ref44","doi-asserted-by":"crossref","unstructured":"Carlson ML: Cochlear implantation in adults. N Engl J Med 2020; 382: 1531\u201342","DOI":"10.1056\/NEJMra1904407"},{"key":"10.3238\/arztebl.2020.0690_ref45","doi-asserted-by":"crossref","unstructured":"Hoppe U, Hocke T, Hast A, Iro H: Maximum preimplantation monosyllabic score as predictor of cochlear implant outcome. HNO 2019; 67: 62\u20138","DOI":"10.1007\/s00106-019-0648-0"},{"key":"10.3238\/arztebl.2020.0690_ref46","doi-asserted-by":"crossref","unstructured":"H\u00e4u\u00dfler SM, Knopke S, Dudka S, Gr\u00e4bel S, Ketterer MC, Battmer RD, Ernst A, Olze H. Improvement in tinnitus distress, health-related quality of life and psychological comorbidities by cochlear implantation in single-sided deaf patients. HNO. 2019; 67: 863\u201373","DOI":"10.1007\/s00106-019-0706-7"},{"key":"10.3238\/arztebl.2020.0690_ref47","doi-asserted-by":"crossref","unstructured":"Laske RD, Dreyfuss M, Stulman A, Veraguth D, Huber AM, R\u00f6\u00f6sli C: Age dependent cost-effectiveness of cochlear implantation in adults. Is there an age related cut-off? Otol Neurotol 2019; 40: 892\u20139","DOI":"10.1097\/MAO.0000000000002275"},{"key":"10.3238\/arztebl.2020.0690_ref48","doi-asserted-by":"crossref","unstructured":"Illg A, Haack M, Lesinski-Schiedat A, B\u00fcchner A, Lenarz T: Long-term outcomes, education, and occupational level in cochlear implant recipients who were implanted in childhood. Ear Hear 2017; 38: 577\u201387","DOI":"10.1097\/AUD.0000000000000423"},{"key":"10.3238\/arztebl.2020.0690_ref49","doi-asserted-by":"crossref","unstructured":"Geers AE, Davidson LS, Uchanski RM, Nicholas JG: Interdependence of linguistic and indexical speech perception skills in school-age children with early cochlear implantation. Ear Hear 2013; 34: 562\u201374","DOI":"10.1097\/AUD.0b013e31828d2bd6"},{"key":"10.3238\/arztebl.2020.0690_ref50","doi-asserted-by":"crossref","unstructured":"Karltorp E, Ekl\u00f6f M, \u00d6stlund E, Asp F, Tideholm B, L\u00f6fkvist U: Cochlear implants before 9 months of age led to more natural spoken language development without increased surgical risks. Acta Paediatr 2020; 109: 332\u201341","DOI":"10.1111\/apa.14954"},{"key":"10.3238\/arztebl.2020.0690_ref51","doi-asserted-by":"crossref","unstructured":"Terry B, Kelt RE, Jeyakumar A: Delayed complications after cochlear implantation. JAMA Otolaryngol Head Neck Surg 2015; 141: 1012\u20137","DOI":"10.1001\/jamaoto.2015.2154"}],"container-title":["Deutsches \u00c4rzteblatt international"],"original-title":[],"link":[{"URL":"https:\/\/www.aerzteblatt.de\/10.3238\/arztebl.2020.0690","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,6]],"date-time":"2021-12-06T05:26:57Z","timestamp":1638768417000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.aerzteblatt.de\/10.3238\/arztebl.2020.0690"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,9]]},"references-count":51,"URL":"https:\/\/doi.org\/10.3238\/arztebl.2020.0690","relation":{},"ISSN":["1866-0452"],"issn-type":[{"value":"1866-0452","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,9]]}}}