Opinions on Cochlear Implant Use in Senior MED-EL Patients

Anderson, Ilona; D’Haese, Patrick; Pitterl, Markus

doi:10.1159/000093380

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…The marvel of the vestibular system is its ability, more than other sensory systems, to readjust to changing conditions and environment. Disequilibrium was reported as a frequent minor post-CI complication [1,3,20,21] . However, postoperative vestibular problems in elderly CI recipients should be specially addressed since they may result in decreased quality of life associated with falling.…”

Section: Discussionmentioning

confidence: 99%

Cochlear Implantation in Elderly Patients: Surgical and Audiological Outcome

Migirov¹,

Taitelbaum-Swead²,

Drendel³

et al. 2009

Gerontology

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Background: Deteriorated hearing affects speech perception and speech production, and negatively impacts on social interaction, employment, income, and, as a result, the quality of life of the elderly population. Lack of satisfaction with conventional hearing aids motivated part of them to turn to more sophisticated cochlear device systems. Objective: To investigate the outcome of cochlear implantation (CI) among elderly cochlear implant recipients. Methods: The medical records of 20 postlingual patients aged >65 years at the time of CI, who were followed up for a period of at least 12 months were retrospectively reviewed for age at the time of CI, the cause and duration of deafness, hearing aid experience, comorbidities, complications of the procedure and audiological outcome. Pre- and post-CI speech perception performance was tested using a battery of speech perception tests. Results: In addition to bilateral severe to profound hearing loss, all 20 patients had some comorbidities and 13 had more than 2 pathologies that are associated with hearing impairment. Major complications such as facial nerve paralysis and foreign body reaction were rare (n = 2). Minor complications such as disequilibrium (n = 5) and wound problems (n = 5) resolved spontaneously or were successfully managed conservatively. There were no complications associated with general anesthesia used during the CI procedure. Statistical analysis using the Wilcoxon Signed Rank Test showed significant differences (p < 0.01) between the pre- and postspeech perception categories. No significant correlations were found between the background data: unaided thresholds, aided thresholds, duration of profound deafness, duration of hearing aid use prior to CI, speech perception before CI and speech perception performance after CI using Pearson correlations. Conclusion: CI was found to be associated with significant hearing benefit in elderly candidates. However, every CI candidate must be informed about possible complications associated with the procedure, especially related to the vestibular system. At the same time, it should be made clear that life-threatening conditions are rare and that the surgery is usually safe.

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Section: Discussionmentioning

confidence: 99%

Cochlear Implantation in Elderly Patients: Surgical and Audiological Outcome

Migirov¹,

Taitelbaum-Swead²,

Drendel³

et al. 2009

Gerontology

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“…Waltzman et al [33] had similar findings in their group of 20 patients aged 65-85 years implanted with Nucleus CIs. A more recent study by Anderson et al [43] surveyed 91 MED-EL CI recipients using a 30-item questionnaire based on the 26-item Cochlear Implant Questionnaire of Horn et al [31] . They then compared their group's results with older results of Horn et al [31] and Kelsall et al [32] and found significantly better outcomes in several areas for the newer technology including the ability to distinguish between a man's and a woman's voice, use of the telephone without a code, and overall increase in social activity since implantation.…”

Section: Cis and Qolmentioning

confidence: 99%

Current Trends in Treating Hearing Loss in Elderly People: A Review of the Technology and Treatment Options – A Mini-Review

2010

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Background: According to the World Health Organization (WHO), by 2025 there will be approximately 1.2 billion people in the world over the age of 60, which marks a shift in world population to a greater proportion of older people. An estimated 70–80% of adults between 65 and 75 years of age suffer from presbycusis, or age-related, bilateral sensorineural hearing loss (HL) in the high frequencies. Presbycusis is correlated with decreased quality of life (QoL) and depression and according to WHO, is a leading cause of years lived with disability in the adult years. Objective: The purpose of the current study was to review the body of literature on treatment options and considerations for the elderly population, as there is a variety of audio-technology available today to treat presbycusis. Methods: A PubMed literature search was conducted using the keywords ‘presbycusis/presbyacusis/geriatric AND hearing aids/cochlear implants/electric acoustic stimulation/middle ear implants’ and ‘elderly AND cochlear implants’. References were also mined from papers found. Results: 431 articles were considered in this review of treatment options for elderly patients suffering from presbycusis. Conclusion: Hearing aids and cochlear implants (CIs) are the most commonly used devices for treating mild-severe presbycusis. Reported outcomes with hearing aids indicate they are an effective method for treating mild-moderate HL in cases where the patient is appropriately fitted and is willing, motivated, and able to use the device. Depending on the type and severity of the HL and the specific needs of the patient, electric-acoustic stimulation and active middle ear implants may also be appropriate solutions for treating presbycusis. Finally, very positive QoL and speech perception outcomes have been documented in treating severe-profound presbycusis with CIs. In some studies, QoL outcomes have even exceeded expectations of elderly patients.

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“…However, the majority of studies conclude that elderly patients exhibit improved hearing results after CI. [12][13][14] The purpose of this study was to review the audiological outcomes and the QOL in elderly patients who underwent CI in 3 institutions, as well as to compare these results to those achieved by younger adults under similar conditions.…”

Section: Introductionmentioning

confidence: 99%