Is age a limiting factor for adaptation to cochlear implant?

被引：14
作者：
Hiel, Anne-Lise [1 ,2 ]
Gerard, Jean-Marc [3 ]
Decat, Monique [1 ,2 ]
Deggouj, Naima [1 ,2 ]
机构：
[1] UcL, St Lucs Univ Hosp, ENT Dept, Ave Hippocrate 10, B-1200 Brussels, Belgium
[2] UcL, St Lucs Univ Hosp, Audiophonol Ctr, Brussels, Belgium
[3] Cleveland Clin, Otol, Abu Dhabi, U Arab Emirates
来源：
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY | 2016年 / 273卷 / 09期
关键词：
Cochlear implant; Age effect; Auditory deprivation; Elderly; Performance; QUALITY-OF-LIFE; SPEECH-PERCEPTION; NEURAL REPRESENTATION; DEAF ADULTS; PERFORMANCE; OUTCOMES;
D O I：
10.1007/s00405-015-3849-5
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
The influence of age on adaptation to cochlear implant (CI) is still being contested in the literature. The aim of this study was twofold. First, hearing outcomes in quiet conditions were compared between CI users implanted over and under the age of 70 years. Second, the effect of the duration of auditory deprivation was investigated. The study design is a retrospective review and the setting is in academic tertiary referral center. One hundred and twenty-one postlingually deafened implanted adults participated in this study. Hearing outcomes were compared between 121 postlingually deafened adults implanted under 40, between 40 and 70, and over 70 years of age. Speech audiometry measurements were taken at 1, 3, 6, 12, 24 and 60 months post-cochlear implantation (pCI), in quiet conditions only. Hearing outcomes were significantly better only at 1 year pCI in the youngest group compared to the two older groups. No significant difference was observed between the middle-aged and eldest subjects at any time. The influence of the severe-to-profound hearing loss (SPHL) duration was investigated and found to be equally distributed among the different age groups. Good hearing outcomes in elderly patients are not secondary to a difference in SPHL duration. Age should not be a limiting factor for cochlear implantation decision.
引用
收藏
页码：2495 / 2502
页数：8
相关论文
共 34 条
[1]  
Blamey P, 1996, Audiol Neurootol, V1, P293
[2]   Factors Affecting Auditory Performance of Postlinguistically Deaf Adults Using Cochlear Implants: An Update with 2251 Patients [J].
Blamey, Peter ;
Artieres, Franoise ;
Baskent, Deniz ;
Bergeron, Francois ;
Beynon, Andy ;
Burke, Elaine ;
Dillier, Norbert ;
Dowell, Richard ;
Fraysse, Bernard ;
Gallego, Stephane ;
Govaerts, Paul J. ;
Green, Kevin ;
Huber, Alexander M. ;
Kleine-Punte, Andrea ;
Maat, Bert ;
Marx, Mathieu ;
Mawman, Deborah ;
Mosnier, Isabelle ;
O'Connor, Alec Fitzgerald ;
O'Leary, Stephen ;
Rousset, Alexandra ;
Schauwers, Karen ;
Skarzynski, Henryk ;
Skarzynski, Piotr H. ;
Sterkers, Olivier ;
Terranti, Assia ;
Truy, Eric ;
Van de Heyning, Paul ;
Venail, Frederic ;
Vincent, Christophe ;
Lazard, Diane S. .
AUDIOLOGY AND NEURO-OTOLOGY, 2013, 18 (01) :36-47
[3]   A comparison of postcochlear implantation speech scores in an adult population [J].
Bodmer, Daniel ;
Shipp, David B. ;
Ostroff, Jodi M. ;
Ng, Amy H. C. ;
Stewart, Suzanne ;
Chen, Joseph M. ;
Nedzelski, Julian M. .
LARYNGOSCOPE, 2007, 117 (08) :1408-1411
[4]  
Buchman C A, 1999, Ear Nose Throat J, V78, P489
[5]   The Effects of Cochlear Implantation on Speech Perception in Older Adults [J].
Budenz, Cameron L. ;
Cosetti, Maura K. ;
Coelho, Daniel H. ;
Birenbaum, Brad ;
Babb, James ;
Waltzman, Susan B. ;
Roehm, Pamela C. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2011, 59 (03) :446-453
[6]  
Chen DS, 2013, OTOL NEUROTOL, V34, P1272, DOI 10.1097/MAO.0b013e3182936bb2
[7]   Cochlear Implant Rehabilitation in Older Adults: Literature Review and Proposal of a Conceptual Framework [J].
Clark, James H. ;
Yeagle, Jennifer ;
Arbaje, Alicia I. ;
Lin, Frank R. ;
Niparko, John K. ;
Francis, Howard W. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2012, 60 (10) :1936-1945
[8]   The effects of cochlear implantation on quality of life in the elderly [J].
Di Nardo, W. ;
Anzivino, R. ;
Giannantonio, S. ;
Schinaia, L. ;
Paludetti, G. .
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2014, 271 (01) :65-73
[9]   Case-Control Analysis of Cochlear Implant Performance in Elderly Patients [J].
Friedland, David R. ;
Runge-Samuelson, Christina ;
Baig, Humera ;
Jensen, Jamie .
ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2010, 136 (05) :432-438
[10]   Speech recognition in noise and presbycusis: Relations to possible neural mechanisms [J].
Frisina, DR ;
Frisina, RD .
HEARING RESEARCH, 1997, 106 (1-2) :95-104
1234