{"id":25017,"date":"2023-12-19T11:28:57","date_gmt":"2023-12-19T10:28:57","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=25017"},"modified":"2025-04-17T04:35:25","modified_gmt":"2025-04-17T04:35:25","slug":"vernost-zvuku-s-kochlearnim-implantatem-i-pro-xl-usi","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/cs\/vernost-zvuku-s-kochlearnim-implantatem-i-pro-xl-usi\/","title":{"rendered":"V\u011brnost zvuku s kochle\u00e1rn\u00edm implant\u00e1tem \u2013 i pro XL u\u0161i!"},"content":{"rendered":"

Personalizovan\u00e1 medic\u00edna: vhodn\u00e9 CI elektrody pro ka\u017ed\u00e9ho!<\/h1><\/div>

Pokud je elektroda kochle\u00e1rn\u00edho implant\u00e1tu p\u0159\u00edli\u0161 kr\u00e1tk\u00e1, m\u016f\u017ee trvat a\u017e t\u0159i roky, ne\u017e u\u017eivatel\u00e9 implant\u00e1tu za\u010dnou spr\u00e1vn\u011b vn\u00edmat v\u00fd\u0161ku t\u00f3nu \u2013 nebo ji v\u016fbec za\u010dnou vn\u00edmat! Pouze MED-EL umo\u017e\u0148uje v\u011brn\u00e9 sly\u0161en\u00ed od sam\u00e9ho za\u010d\u00e1tku: s elektrodami CI na m\u00edru, stejn\u011b jako s pl\u00e1nov\u00e1n\u00edm elektrod a anatomicky spr\u00e1vn\u00fdm nasazen\u00edm pomoc\u00ed OTOPLAN.<\/strong><\/p>\n<\/div>

<\/span><\/div><\/div><\/div><\/div><\/div>

N\u011bkdy sl\u00fdch\u00e1me od jednotliv\u00fdch u\u017eivatel\u016f CI, \u017ee jejich kochle\u00e1rn\u00ed implant\u00e1t zn\u00ed \"plechov\u011b\", \"jako robot\", \"dozvukov\u011b\" nebo \"kovov\u011b\". Jedn\u00e1 se o typick\u00e9 zkreslen\u00ed zvukov\u00e9ho obrazu, pokud elektroda pokr\u00fdv\u00e1 pouze \u010d\u00e1st hlem\u00fd\u017ed\u011b; pokud je pou\u017eit\u00e1 elektroda p\u0159\u00edli\u0161 kr\u00e1tk\u00e1 pro jednotliv\u00e9 hlem\u00fd\u017ed\u011b.<\/p>\n

P\u0159i p\u0159irozen\u00e9m sly\u0161en\u00ed je vjem v\u00fd\u0161ky t\u00f3nu rozlo\u017een po cel\u00e9 d\u00e9lce hlem\u00fd\u017ed\u011b. Kochle\u00e1rn\u00ed implant\u00e1ty vyu\u017e\u00edvaj\u00ed toto tonotopick\u00e9 uspo\u0159\u00e1d\u00e1n\u00ed: pro n\u00edzkofrekven\u010dn\u00ed zvuk stimuluje neuron\u00e1ln\u00ed strukturu kontakt na \u0161pi\u010dce elektrody; pro vysokofrekven\u010dn\u00ed zvuk kontakt na vstupu do hlem\u00fd\u017ed\u011b.<\/p>\n

Na d\u00e9lce elektrody z\u00e1le\u017e\u00ed!<\/h2>\n

Kr\u00e1tk\u00e1 CI elektroda nem\u016f\u017ee pokr\u00fdt dva z\u00e1vity nebo 720 stup\u0148\u016f typick\u00e9ho hlem\u00fd\u017ed\u011b. V tomto p\u0159\u00edpad\u011b ani kontakt, kter\u00fd je nejd\u00e1le v hrotu hlem\u00fd\u017ed\u011b, nedos\u00e1hne do oblasti pro n\u00edzkofrekven\u010dn\u00ed zvuky v hrotu hlem\u00fd\u017ed\u011b. N\u00edzk\u00e9 t\u00f3ny jsou pak stimulov\u00e1ny nap\u0159\u00edklad v m\u00edst\u011b pro vn\u00edm\u00e1n\u00ed st\u0159edn\u00edch v\u00fd\u0161ek. V\u011brnost zvuku t\u00edmto zp\u016fsobem nen\u00ed mo\u017en\u00e1: v\u0161e zn\u00ed sp\u00ed\u0161e jako \"Mickey Mouse\" nebo \"robot\".<\/p>\n

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Personalizovan\u00e1 medic\u00edna v ORL - s MED-EL a OTOPLAN \u00a9MED-EL<\/p><\/div>\n

MED-EL nab\u00edz\u00ed jedin\u00e9 elektrody, kter\u00e9 jsou dostate\u010dn\u011b dlouh\u00e9 pro typick\u00fd hlem\u00fd\u017e\u010f: elektrody Standard a Flex-Soft. Novinkou je elektroda Flex34 pro kandid\u00e1ty CI s extra velk\u00fdm hlem\u00fd\u017ed\u011bm. Chirurg m\u016f\u017ee pomoc\u00ed pl\u00e1novac\u00edho softwaru OTOPLAN p\u0159ed zah\u00e1jen\u00edm operace zjistit, kter\u00e1 z t\u011bchto elektrod je pot\u0159ebn\u00e1 - a technik CI nebo logoped m\u016f\u017ee pomoc\u00ed softwaru zjistit, kter\u00e1 zvukov\u00e1 oblast m\u00e1 b\u00fdt stimulov\u00e1na prost\u0159ednictv\u00edm kter\u00e9ho kontaktu.<\/p>\n

Unik\u00e1tn\u00ed konstrukce elektrod pro tonotopickou shodu<\/h2>\n

Kdybyste typick\u00fd lidsk\u00fd hlem\u00fd\u017e\u010f rozvinuli do roviny, byl by dlouh\u00fd 32 milimetr\u016f. Individu\u00e1ln\u011b se tato d\u00e9lka m\u016f\u017ee li\u0161it a\u017e o 50 procent - mezi 25 a 36 milimetry! Mnoho v\u00fdrobc\u016f CI nab\u00edz\u00ed elektrody r\u016fzn\u00fdch d\u00e9lek. Nicm\u00e9n\u011b i ty nejdel\u0161\u00ed elektrody od v\u011bt\u0161iny v\u00fdrobc\u016f mohou pokr\u00fdt pouze prvn\u00ed obrat hlem\u00fd\u017ed\u011b. U t\u011bchto typ\u016f elektrod m\u016f\u017ee trvat roky, ne\u017e si u\u017eivatel\u00e9 zvyknou na souvisej\u00edc\u00ed zvuk - pokud v\u016fbec.<\/p>\n

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\u00dapln\u00e9 pokryt\u00ed pr\u016fm\u011brn\u011b velk\u00e9ho hlem\u00fd\u017ed\u011b elektrodou Flex-Soft \u00a9MED-EL<\/p><\/div>\n

To je nep\u0159\u00edjemn\u00e9 zejm\u00e9na pro u\u017eivatele, kte\u0159\u00ed na druh\u00e9 ucho sly\u0161\u00ed norm\u00e1ln\u011b nebo sly\u0161\u00ed prost\u0159ednictv\u00edm b\u011b\u017en\u00e9ho naslouch\u00e1tka. V\u00fdsledky ned\u00e1vn\u00e9 studie<\/a> s jednostrann\u011b nesly\u0161\u00edc\u00edmi u\u017eivateli CI v USA uk\u00e1zaly, \u017ee toto nep\u0159irozen\u011b vysok\u00e9 vn\u00edm\u00e1n\u00ed zvuku m\u016f\u017ee p\u0159etrv\u00e1vat i n\u011bkolik let po aktivaci CI.<\/p>\n

Studie tak\u00e9 potvrzuje star\u0161\u00ed studie, kter\u00e9 uk\u00e1zaly, \u017ee rozd\u011blen\u00ed v\u00fd\u0161ek t\u00f3n\u016f v hlem\u00fd\u017edi se lze nau\u010dit b\u011bhem mnoha let pou\u017e\u00edv\u00e1n\u00ed CI - toto znovunau\u010den\u00ed v\u0161ak nefunguje v\u017edy stejn\u011b dob\u0159e.<\/p>\n

P\u0159irozen\u00fd zvuk pro v\u0161echny velikosti kochle\u00e1rn\u00edho apar\u00e1tu!<\/h2>\n

Rakousk\u00e1 spole\u010dnost MED-EL je jedin\u00fdm v\u00fdrobcem CI, kter\u00fd nab\u00edz\u00ed skute\u010dn\u011b dlouh\u00e9 a z\u00e1rove\u0148 ohebn\u00e9 elektrody. Pokr\u00fdvaj\u00ed a\u017e dva pln\u00e9 z\u00e1vity hlem\u00fd\u017ed\u011b a sahaj\u00ed a\u017e ke \u0161pi\u010dce hlem\u00fd\u017ed\u011b. Spole\u010dnost MED-EL nab\u00edz\u00ed elektrody o d\u00e9lce 32 milimetr\u016f ji\u017e od roku 1994!<\/p>\n

To umo\u017e\u0148uje spr\u00e1vn\u011b tonotopicky stimulovat typicky dlouh\u00fd hlem\u00fd\u017e\u010f. Pro kandid\u00e1ty na kochle\u00e1rn\u00ed implantaci s men\u0161\u00edm hlem\u00fd\u017ed\u011bm je k dispozici v\u00fdb\u011br krat\u0161\u00edch elektrod. Ji\u017e v\u00edce ne\u017e 25 let tak spole\u010dnost MED-EL poskytuje 95 procent\u016fm kandid\u00e1t\u016f CI elektrody pro t\u00e9m\u011b\u0159 p\u0159irozen\u00e9 vn\u00edm\u00e1n\u00ed v\u00fd\u0161ky t\u00f3nu. V ka\u017edodenn\u00edm \u017eivot\u011b to znamen\u00e1 lep\u0161\u00ed sly\u0161en\u00ed a optim\u00e1ln\u00ed sluchov\u00fd vjem s CI.<\/p>\n

Elektrody pro hlem\u00fd\u017ed\u011b velikosti XL<\/h2>\n

Na za\u010d\u00e1tku roku 2023 p\u0159edstavila spole\u010dnost MED-EL je\u0161t\u011b del\u0161\u00ed elektrodu pro zb\u00fdvaj\u00edc\u00edch 5,1 % kandid\u00e1t\u016f na CI: FLEX 34! S d\u00e9lkou 34 milimetr\u016f poskytuje d\u00e9lku nav\u00edc, kter\u00e1 umo\u017e\u0148uje spr\u00e1vnou tonotopickou stimulaci i v hlem\u00fd\u017edi velikosti XL. \u0160est elektrod FLEX v d\u00e9lk\u00e1ch od 20 do 34 milimetr\u016f<\/a> umo\u017e\u0148uje chirurg\u016fm, kte\u0159\u00ed prov\u00e1d\u011bj\u00ed CI, vybrat optim\u00e1ln\u00ed d\u00e9lku elektrody pro ka\u017ed\u00e9ho kandid\u00e1ta na kochle\u00e1rn\u00ed implantaci. Chirurg\u016fm p\u0159i tom pom\u00e1h\u00e1 pl\u00e1novac\u00ed software OTOPLAN.<\/p>\n

\"\"

M\u011bkk\u00e9 tk\u00e1n\u011b z deseti hlem\u00fd\u017e\u010f\u016f v ortografick\u00e9m 3D zobrazen\u00ed. Frekven\u010dn\u00ed mapy bazil\u00e1rn\u00ed membr\u00e1ny podle Greenwooda (1961)<\/p><\/div>\n

P\u0159izp\u016fsobte implant\u00e1t pacientovi, ne pacienta implant\u00e1tu!<\/h2>\n

OTOPLAN<\/a> je prohl\u00ed\u017ee\u010d DICOM a z\u00e1rove\u0148 software pro pl\u00e1nov\u00e1n\u00ed chirurgick\u00fdch z\u00e1krok\u016f pro implant\u00e1ty CI a BONEBRIDGE. Poch\u00e1z\u00ed od \u0161v\u00fdcarsk\u00e9ho v\u00fdrobce CASCINATION. Prohl\u00ed\u017ee\u010d DICOM je program, kter\u00fd dok\u00e1\u017ee zobrazit radiologick\u00e9 pr\u016f\u0159ezov\u00e9 sn\u00edmky po\u010d\u00edta\u010dov\u00e9 tomografie CT nebo magnetick\u00e9 poln\u00ed tomografie MRI v p\u0159\u00ed\u010dn\u00fdch pohledech a jako trojrozm\u011brn\u00e9 zobrazen\u00ed.<\/p>\n

OTOPLAN dok\u00e1\u017ee kombinovat datov\u00e9 sady n\u011bkolika takov\u00fdch sn\u00edmk\u016f MR a CT v jednom zobrazen\u00ed. V pl\u00e1novac\u00ed oblasti syst\u00e9mu OTOPLAN byly implementov\u00e1ny speci\u00e1ln\u00ed funkce pro kochle\u00e1rn\u00ed implantace: D\u00edky tomu m\u016f\u017ee chirurg p\u0159ed zah\u00e1jen\u00edm operace ur\u010dit nejv\u00fdhodn\u011bj\u0161\u00ed polohu implant\u00e1tu a optim\u00e1ln\u00ed d\u00e9lku elektrod.<\/p>\n

Personalizace i p\u0159i aktivaci syst\u00e9mu CI<\/h2>\n

Pokud je po implantaci znovu provedeno CT nebo MR vy\u0161et\u0159en\u00ed, m\u016f\u017ee syst\u00e9m OTOPLAN automaticky rozpoznat polohu kontakt\u016f elektrod. Tyto informace m\u016f\u017ee tak\u00e9 automaticky p\u0159en\u00e9st do softwaru pro p\u0159izp\u016fsoben\u00ed syst\u00e9mu CI, aby byly hroty stimulov\u00e1ny na spr\u00e1vn\u00e9m m\u00edst\u011b pro ka\u017ed\u00e9ho jednotliv\u00e9ho u\u017eivatele.<\/p>\n

Optim\u00e1ln\u011b zvolen\u00e1 elektroda v kombinaci s anatomick\u00fdm p\u0159izp\u016fsoben\u00edm umo\u017e\u0148uje u\u017eivatel\u016fm kochle\u00e1rn\u00edch implant\u00e1t\u016f MED-EL p\u0159irozen\u011bj\u0161\u00ed frekven\u010dn\u00ed odezvu a p\u0159irozen\u011bj\u0161\u00ed zvukov\u00fd obraz.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

Personalizovan\u00e1 medic\u00edna: vhodn\u00e9 CI elektrody pro ka\u017ed\u00e9ho! Pokud je elektroda kochle\u00e1rn\u00edho implant\u00e1tu p\u0159\u00edli\u0161<\/p>\n","protected":false},"author":2,"featured_media":31789,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[470],"tags":[],"class_list":["post-25017","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-veda"],"yoast_head":"\nV\u011brnost zvuku s kochle\u00e1rn\u00edm implant\u00e1tem \u2013 i pro XL u\u0161i! - Czech<\/title>\n<meta name=\"description\" content=\"Pokud je elektroda kochle\u00e1rn\u00edho implant\u00e1tu p\u0159\u00edli\u0161 kr\u00e1tk\u00e1, m\u016f\u017ee trvat a\u017e t\u0159i roky, ne\u017e u\u017eivatel\u00e9 implant\u00e1tu za\u010dnou spr\u00e1vn\u011b vn\u00edmat v\u00fd\u0161ku t\u00f3nu - nebo ji v\u016fbec za\u010dnou vn\u00edmat!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lifelonghearing.com\/cs\/vernost-zvuku-s-kochlearnim-implantatem-i-pro-xl-usi\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"V\u011brnost zvuku s kochle\u00e1rn\u00edm implant\u00e1tem \u2013 i pro XL u\u0161i! 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