Predictive factors of cochlear implant outcomes in the elderly.

Audiology & Neuro-otology
I MosnierO Sterkers

Abstract

To analyze predictive factors of cochlear implant outcomes and postoperative complications in the elderly. Prospective, longitudinal study performed in 10 tertiary referral centers. 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. 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. Gene...Continue Reading

Citations

Apr 20, 2016·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Aarno DietzHeikki Löppönen
Aug 15, 2017·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Maria Del Mar MedinaIgnacio Cobeta
Jun 2, 2020·Cochlear Implants International·Leo De RaeveTricia Kemp
Sep 26, 2017·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·V J C KraaijengaA L Smit
Feb 27, 2018·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Leire Garcia-IzaXabier Altuna
Aug 10, 2018·Journal of the American Geriatrics Society·Isabelle MosnierJoël Belmin
Nov 12, 2020·International Journal of Audiology·Patrizia ManciniDaniele De Seta
Sep 27, 2019·Ageing Research Reviews·Zahra JafariMajid H Mohajerani
Feb 11, 2020·European Annals of Otorhinolaryngology, Head and Neck Diseases·S BorelE Ferrary
Aug 11, 2020·European Annals of Otorhinolaryngology, Head and Neck Diseases·I MosnierO Sterkers

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