Is cochlear implantation a good treatment method for profoundly deafened elderly?

Magdalena Lachowska, Agnieszka Pastuszka, Paulina Glinka, Kazimierz Niemczyk Department of Otolaryngology, Hearing Implant Center, Medical University of Warsaw, Warsaw, Poland Purpose: To assess the benefits of cochlear implantation in the elderly. Patients and methods: A retrospective analysis of...

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Autores principales:	Lachowska M, Pastuszka A, Glinka P, Niemczyk K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	cochlear implantation elderly audiometry speech perception speech recognition hearing loss hearing aid Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/a863222052b1406383747fa4d879b7f7
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id	oai:doaj.org-article:a863222052b1406383747fa4d879b7f7
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spelling	oai:doaj.org-article:a863222052b1406383747fa4d879b7f72021-12-02T06:51:16ZIs cochlear implantation a good treatment method for profoundly deafened elderly?1178-1998https://doaj.org/article/a863222052b1406383747fa4d879b7f72013-10-01T00:00:00Zhttps://www.dovepress.com/is-cochlear-implantation-a-good-treatment-method-for-profoundly-deafen-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Magdalena Lachowska, Agnieszka Pastuszka, Paulina Glinka, Kazimierz Niemczyk Department of Otolaryngology, Hearing Implant Center, Medical University of Warsaw, Warsaw, Poland Purpose: To assess the benefits of cochlear implantation in the elderly. Patients and methods: A retrospective analysis of 31 postlingually deafened elderly (≥60 years of age) with unilateral cochlear implants was conducted. Audiological testing included preoperative and postoperative pure-tone audiometry and a monosyllabic word recognition test presented from recorded material in free field. Speech perception tests included Ling's six sound test (sound detection, discrimination, and identification), syllable discrimination, and monosyllabic and multisyllabic word recognition (open set) without lip-reading. Everyday life benefits from cochlear implantation were also evaluated. Results: The mean age at the time of cochlear implantation was 72.4 years old. The mean post-implantation follow-up time was 2.34 years. All patients significantly improved their audiological and speech understanding performances. The preoperative mean pure-tone average threshold for 500 Hz, 1,000 Hz, 2,000 Hz, and 4,000 Hz was 110.17 dB HL. Before cochlear implantation, all patients scored 0% on the monosyllabic word recognition test in free field at 70 dB SPL intensity level. The postoperative pure-tone average was 37.14 dB HL (the best mean threshold was 17.50 dB HL, the worst was 58.75 dB HL). After the surgery, mean monosyllabic word recognition reached 47.25%. Speech perception tests showed statistically significant improvement in speech recognition. Conclusion: The results of this study showed that cochlear implantation is indeed a successful treatment for improving speech recognition and offers a great help in everyday life to deafened elderly patients. Therefore, they can be good candidates for cochlear implantation and their age alone should not be a relevant or excluding factor when choosing candidates for cochlear implantation. Keywords: cochlear implantation, elderly, audiometry, speech perception, speech recognition, hearing loss, hearing aidLachowska MPastuszka AGlinka PNiemczyk KDove Medical Pressarticlecochlear implantationelderlyaudiometryspeech perceptionspeech recognitionhearing losshearing aidGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 1339-1346 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	cochlear implantation elderly audiometry speech perception speech recognition hearing loss hearing aid Geriatrics RC952-954.6
spellingShingle	cochlear implantation elderly audiometry speech perception speech recognition hearing loss hearing aid Geriatrics RC952-954.6 Lachowska M Pastuszka A Glinka P Niemczyk K Is cochlear implantation a good treatment method for profoundly deafened elderly?
description	Magdalena Lachowska, Agnieszka Pastuszka, Paulina Glinka, Kazimierz Niemczyk Department of Otolaryngology, Hearing Implant Center, Medical University of Warsaw, Warsaw, Poland Purpose: To assess the benefits of cochlear implantation in the elderly. Patients and methods: A retrospective analysis of 31 postlingually deafened elderly (≥60 years of age) with unilateral cochlear implants was conducted. Audiological testing included preoperative and postoperative pure-tone audiometry and a monosyllabic word recognition test presented from recorded material in free field. Speech perception tests included Ling's six sound test (sound detection, discrimination, and identification), syllable discrimination, and monosyllabic and multisyllabic word recognition (open set) without lip-reading. Everyday life benefits from cochlear implantation were also evaluated. Results: The mean age at the time of cochlear implantation was 72.4 years old. The mean post-implantation follow-up time was 2.34 years. All patients significantly improved their audiological and speech understanding performances. The preoperative mean pure-tone average threshold for 500 Hz, 1,000 Hz, 2,000 Hz, and 4,000 Hz was 110.17 dB HL. Before cochlear implantation, all patients scored 0% on the monosyllabic word recognition test in free field at 70 dB SPL intensity level. The postoperative pure-tone average was 37.14 dB HL (the best mean threshold was 17.50 dB HL, the worst was 58.75 dB HL). After the surgery, mean monosyllabic word recognition reached 47.25%. Speech perception tests showed statistically significant improvement in speech recognition. Conclusion: The results of this study showed that cochlear implantation is indeed a successful treatment for improving speech recognition and offers a great help in everyday life to deafened elderly patients. Therefore, they can be good candidates for cochlear implantation and their age alone should not be a relevant or excluding factor when choosing candidates for cochlear implantation. Keywords: cochlear implantation, elderly, audiometry, speech perception, speech recognition, hearing loss, hearing aid
format	article
author	Lachowska M Pastuszka A Glinka P Niemczyk K
author_facet	Lachowska M Pastuszka A Glinka P Niemczyk K
author_sort	Lachowska M
title	Is cochlear implantation a good treatment method for profoundly deafened elderly?
title_short	Is cochlear implantation a good treatment method for profoundly deafened elderly?
title_full	Is cochlear implantation a good treatment method for profoundly deafened elderly?
title_fullStr	Is cochlear implantation a good treatment method for profoundly deafened elderly?
title_full_unstemmed	Is cochlear implantation a good treatment method for profoundly deafened elderly?
title_sort	is cochlear implantation a good treatment method for profoundly deafened elderly?
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/a863222052b1406383747fa4d879b7f7
work_keys_str_mv	AT lachowskam iscochlearimplantationagoodtreatmentmethodforprofoundlydeafenedelderly AT pastuszkaa iscochlearimplantationagoodtreatmentmethodforprofoundlydeafenedelderly AT glinkap iscochlearimplantationagoodtreatmentmethodforprofoundlydeafenedelderly AT niemczykk iscochlearimplantationagoodtreatmentmethodforprofoundlydeafenedelderly
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Is cochlear implantation a good treatment method for profoundly deafened elderly?

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