Cochlear implantation in the elderly: outcomes, long-term evolution, and predictive factors
| Autor: | Ane Ugarte, Mercedes Fernandez, Leire García-Iza, Zuriñe Martínez, Xabier Altuna |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Hearing loss Hearing Loss Sensorineural medicine.medical_treatment Audiology Cohort Studies 03 medical and health sciences Hearing Aids 0302 clinical medicine Cochlear implant Humans Medicine Young adult 030223 otorhinolaryngology Aged Retrospective Studies medicine.diagnostic_test business.industry Age Factors Auditory Threshold Retrospective cohort study General Medicine Middle Aged Cochlear Implantation Otorhinolaryngology Linear Models Speech Perception Audiometry Pure-Tone Female Neurosurgery Audiometry medicine.symptom business 030217 neurology & neurosurgery Cohort study |
| Zdroj: | European Archives of Oto-Rhino-Laryngology. 275:913-922 |
| ISSN: | 1434-4726 0937-4477 |
| Popis: | Our goal in this study is to find out the outcomes of cochlear implantation in elderly (> 60 years) and check if this improvement is similar to that of their younger counterparts in short- and long-term evolution. In addition, we have attempted to ascertain the predictive factors that might affect the verbal comprehension results of older patients. Retrospective cohort study. Ninety-four patients older than 40 years, divided into two groups. 40–60 years n = 55 and > 60 years n = 39. A pure-tone audiometry, a disyllabic word test, and the test of phonetically balanced sentences of Navarra were made in silence to each patient. These measurements were made pre-implantation and 1, 5, and 10 year post-implantation. Peri- and postoperative complications were registered. The hypothetic predictive factors of post-implanted performance were evaluated in the elderly. Our study shows no significant difference between young and old adult´s outcomes in short- and long-term evolutions, nor in the complication rate. Furthermore, we proved the significant influence of the side of implantation, use of hearing aids, and duration of hearing loss in the short- and long-term results in the elderly. This study shows that cochlear implantation in the elderly is as safe, useful, and worthwhile as in young adults. Age has a low influence in cochlear implant outcomes; however, we have found the significant influence of the side of implantation, the use of hearing aids, and the duration of hearing loss in the short- and long-term results. |
| Databáze: | OpenAIRE |
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