Case-Control Analysis of Cochlear Implant Performance in Elderly Patients

Friedland, David R.; Runge-Samuelson, Christina L.; Baig, Humera; Jensen, Jamie

doi:10.1001/archoto.2010.57

Cited by 102 publications

(90 citation statements)

References 22 publications

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“…As suggested in previously reported retrospective research, our multivariate analysis confirms that advanced age is associated with poorer speech perception scores, but only in very difficult noisy conditions, such as 0 dB SNR [Budenz et al, 2011;Carlson et al, 2010;Friedland et al, 2010;Gaylor et al, 2013;Lazard et al, 2012;Leung et al, 2005;Mahmoud and Ruckenstein, 2014;Roberts et al, 2013]. Shorter duration of hearing deprivation, residual hearing and preimplant hearing aid use in the future implanted ear positively influence cochlear implant outcomes in elderly patients and is supported by research in younger adult populations [Lazard et al, 2012;Holden et al, 2013].…”

Section: Discussionsupporting

confidence: 87%

“…The literature provides evidence that cochlear implantation in the elderly improves speech perception ability in quiet and noise and in the quality of life, even in patients aged 80 years and older, with a durable benefit over time [Budenz et al, 2011;Carlson et al, 2010;Clark et al, 2012;Cloutier et al, 2014;Dillon et al, 2013;Friedland et al, 2010;Lenarz et al, 2012;Leung et al, 2005;Mahmoud and Ruckenstein, 2014; Mosnier et al, in press;Olze et al, 2012;Roberts et al, 2013;Williamson et al, 2009]. Most of these retrospective studies compare speech perception scores between the elderly and a cohort of younger patients, and show that advanced age is correlated negatively with cochlear implant outcome, especially for tests in noise.…”

Section: Introductionmentioning

confidence: 99%

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Predictive Factors of Cochlear Implant Outcomes in the Elderly

Mosnier¹,

Bébéar

Marx

et al. 2014

Audiol Neurotol

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Objective: To analyze predictive factors of cochlear implant outcomes and postoperative complications in the elderly. Study Design: Prospective, longitudinal study performed in 10 tertiary referral centers. Methods: Ninety-four patients aged 65-85 years with a profound, postlingual hearing loss were evaluated before implantation, at time of activation, and 6 and 12 months after cochlear implantation. Speech perception and lipreading were measured using disyllabic word recognition in quiet and noise, and lipreading using disyllabic words and sentences. The influence of preoperative factors on speech perception in quiet and noise at 12 months was tested in a multivariate analysis. Complications, presence of tinnitus and of vestibular symptoms were collected at each evaluation. Results: The effect of age was observed only in difficult noisy conditions at SNR 0 dB. Lipreading ability for words and sentences was negatively correlated with speech perception in quiet and noise. Better speech perception scores were observed in patients with shorter duration of hearing deprivation, persistence of residual hearing for the low frequencies, the use of a hearing aid before implantation, the absence of cardiovascular risk factors, and in those with implantation in the right ear. General and surgical complications were very rare, and the percentage of vestibular symptoms remained stable over time. Conclusion:This study demonstrates that cochlear implantation in the elderly is a well-tolerated procedure and an effective method to improve communication ability. Advanced age has a low effect on cochlear implant outcome. Analyses of predictive factors in this population provide a convincing argument to recommend treatment with cochlear implantation as early as possible in elderly patients with confirmed diagnosis of a severe-to-profound hearing loss and with only limited benefit from hearing aid use in one ear.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Predictive Factors of Cochlear Implant Outcomes in the Elderly

Mosnier¹,

Bébéar

Marx

et al. 2014

Audiol Neurotol

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“…Fur- 228 thermore, the postoperative performance of older adults in this study is generally on par with previously published speech recognition scores of 70-77, 38-50, and 68%, for HINT, CNC-W, and CNC-P, respectively [Budenz et al, 2011;Friedland et al, 2010;Zwolan et al, 2014].…”

Section: Discussionsupporting

confidence: 82%

Effects of Age and Implanted Ear on Speech Recognition in Adults with Unilateral Cochlear Implants

Sharpe

Camposeo²,

Muzaffar³

et al. 2016

Audiol Neurotol

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The objective of this study was to examine how age and implanted ear contribute to functional outcomes with cochlear implantation (CI). A retrospective review was performed on 96 adults who underwent unilateral CI. Older adults with right-ear implants had higher Hearing in Noise Test (HINT) scores at 1 year by 10.3% (p = 0.06). When adjusted to rationalized arcsine units (rau), right-ear HINT scores in older adults were higher by 12.1 rau (p = 0.04). Older adults had an 8.9% advantage on the right side compared to the left in post- versus preimplant scores for consonant-vowel nucleus-consonant words (p = 0.05). No significant differences were observed for younger adults. In conclusion, although adults of all ages experience improvements in speech perception following CI, there might be a subtle but consistent right-ear advantage in older adults.

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“…However, there were no other significant differences, especially regarding age at implantation, duration of deafness, and preoperative speech perception, factors known to influence speech perception after cochlear implantation (18,19). Furthermore, the CI electrode used, the surgical approach, and the preoperative PTA showed no significant association with the postoperative word perception score after 18 or more months.…”

Section: Discussionmentioning

confidence: 75%