[Some aspects of adjustment of a speech processor of the cochlear implants Combi-40/40+ and Tempo+]

The author describes how to perform the first switching on the speech processors (SP) and subsequent adjustment of cochlear implant SP. These SP Combi-40/40+ and Tempo+ were adjusted in 25 patients aged 2 to 27 years who lost hearing at the age 0-26 years. By problems arising at the first switching on and adjustment, all the implanted patients can be divided into three groups: postlingual--those who lost hearing after speech establishment; perilingual--those who lost hearing step by step starting from hypoacusis; prelingual--those who had lost hearing before they could speak. How to adjust SP in each group of the above patients is described.