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J Korean Med Assoc > Volume 54(9); 2011 > Article
Lee: Cochlear implantation in the elderly

Abstract

Auditory rehabilitation is fast gaining importance in the elderly because hearing loss in the elderly is common and the population of the elderly is increasing due to prolonged life expectancy. Hearing aids have been proven to be effective for mild to moderate hearing loss but, for the patients with severe to profound hearing loss, cochlear implantation is the most suitable among the auditory rehabilitation options. It has been recently accepted that cochlear implantation improves auditory performance and quality of life, and is well tolerated in the elderly aged 60 and older at the time of implantation even though the elderly have poorer auditory performance as compared to a younger control group. Medical records of 43 postlingually deafened patients who were 60 years and older at the time of implantation were retrospectively analyzed from April 1992 to June 2010. They had an average age of 67 years at the time of cochlear implantation and a mean duration of deafness of 85.2 months. Seventy-nine percent of the patients were deaf for less than 10 years. The most common postoperative complication was dizziness, which was successfully treated conservatively. Speech performance improved from the time of postoperative 3 months compared to the preoperative result and showed no difference as compared to the younger control group. Therefore, based on the literature and our results, it is recommended that cochlear implantation be considered in the elderly with severe to profound hearing loss.

References

1. Ching TY, Dillon H, Byrne D. Speech recognition of hearing-impaired listeners: predictions from audibility and the limited role of high-frequency amplification. J Acoust Soc Am 1998;103:1128-1140.

2. Chatelin V, Kim EJ, Driscoll C, Larky J, Polite C, Price L, Lalwani AK. Cochlear implant outcomes in the elderly. Otol Neurotol 2004;25:298-301.

3. Kelsall DC, Shallop JK, Burnelli T. Cochlear implantation in the elderly. Am J Otol 1995;16:609-615.

4. Migirov L, Taitelbaum-Swead R, Drendel M, Hildesheimer M, Kronenberg J. Cochlear implantation in elderly patients: surgical and audiological outcome. Gerontology 2010;56:123-128.

5. Leung J, Wang NY, Yeagle JD, Chinnici J, Bowditch S, Francis HW, Niparko JK. Predictive models for cochlear implantation in elderly candidates. Arch Otolaryngol Head Neck Surg 2005;131:1049-1054.

6. Orabi AA, Mawman D, Al-Zoubi F, Saeed SR, Ramsden RT. Cochlear implant outcomes and quality of life in the elderly: Manchester experience over 13 years. Clin Otolaryngol 2006;31:116-122.

7. Jang JH, Kim HM, Suh MW, Park MH, Kim YH, Lee JH, Oh SH, Chang SO, Kim CS. Outcome analysis of cochlear implantation in elderly patients. Korean J Otorhinolaryngol-Head Neck Surg 2008;51:513-517.

8. Francis HW, Yeagle JD, Bowditch S, Niparko JK. Cochlear implant outcome is not influenced by the choice of ear. Ear Hear 2005;26:4 Suppl. 7S-16S.

9. Buchman CA, Fucci MJ, Luxford WM. Cochlear implants in the geriatric population: benefits outweigh risks. Ear Nose Throat J 1999;78:489-494.

10. Yeagle JD, Ceh KM, Francis HW. Geriatric cochlear implantation. Oper Tech Otolaryngol-Head Neck Surg 2010;21:266-271.

11. Sprinzl GM, Riechelmann H. Current trends in treating hearing loss in elderly people: a review of the technology and treatment options - a mini-review. Gerontology 2010;56:351-358.

12. Connell SS, Balkany TJ. Cochlear implants. Clin Geriatr Med 2006;22:677-686.

13. Wei BP, Robins-Browne RM, Shepherd RK, Clark GM, O'Leary SJ. Can we prevent cochlear implant recipients from developing pneumococcal meningitis? Clin Infect Dis 2008;46:e1-e7.

14. Budenz CL, Cosetti MK, Coelho DH, Birenbaum B, Babb J, Waltzman SB, Roehm PC. The effects of cochlear implantation on speech perception in older adults. J Am Geriatr Soc 2011;59:446-453.

15. Gupta A, Epstein JB, Sroussi H. Hyposalivation in elderly patients. J Can Dent Assoc 2006;72:841-846.

16. Schiffman SS. Effects of aging on the human taste system. Ann N Y Acad Sci 2009;1170:725-729.

17. Steenerson RL, Cronin GW, Gary LB. Vertigo after cochlear implantation. Otol Neurotol 2001;22:842-843.

18. Thai-Van H, Veuillet E, Norena A, Guiraud J, Collet L. Plasticity of tonotopic maps in humans: influence of hearing loss, hearing aids and cochlear implants. Acta Otolaryngol 2010;130:333-337.

19. Francis HW, Chee N, Yeagle J, Cheng A, Niparko JK. Impact of cochlear implants on the functional health status of older adults. Laryngoscope 2002;112(8 Pt 1):1482-1488.

20. Vermeire K, Brokx JP, Wuyts FL, Cochet E, Hofkens A, Van de Heyning PH. Quality-of-life benefit from cochlear implantation in the elderly. Otol Neurotol 2005;26:188-195.

21. Poissant SF, Beaudoin F, Huang J, Brodsky J, Lee DJ. Impact of cochlear implantation on speech understanding, depression, and loneliness in the elderly. J Otolaryngol Head Neck Surg 2008;37:488-494.

22. Dalton DS, Cruickshanks KJ, Klein BE, Klein R, Wiley TL, Nondahl DM. The impact of hearing loss on quality of life in older adults. Gerontologist 2003;43:661-668.

23. Noble W, Tyler RS, Dunn CC, Bhullar N. Younger- and older-age adults with unilateral and bilateral cochlear implants: speech and spatial hearing self-ratings and performance. Otol Neurotol 2009;30:921-929.

Figure 1
Duration of deaf of the elderly and control groups.
jkma-54-925-g001-l.jpg
Figure 2
Comorbidities of the elderly and control groups. DM, diabetes mellitus; HTN, hypertension; ESRD, end-stage renal disease; CVA, cerebrovascular accident.
jkma-54-925-g002-l.jpg
Figure 3
Postoperative complication.
jkma-54-925-g003-l.jpg
Figure 4
Postoperative (postop) Audiologic Korean version of Central Institute for the Deaf (K-CID[A]) and depression score of Minnesota Multiphasic Personality Inventory (MMPI) at postop 3 months, 6 months, 1 year and 2 years.
jkma-54-925-g004-l.jpg
Table 1
Etiology of deafness
jkma-54-925-i001-l.jpg

COM, chronic otitis media; SSNHL, sudden sensoryneural hearing loss.

Table 2
Audiologic Korean version of Central Institute for the Deaf of the elderly and control groups
jkma-54-925-i002-l.jpg

CI, cochlear implantation.



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