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Chapter 40 - Geriatric otolaryngology

from Section III - Care of the elderly by organ system

Published online by Cambridge University Press:  05 June 2016

Jan Busby-Whitehead
Affiliation:
University of North Carolina
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Samuel C. Durso
Affiliation:
The Johns Hopkins University School of Medicine
Daniel Swagerty
Affiliation:
University of Kansas
Laura Mosqueda
Affiliation:
University of Southern California
Maria Fiatarone Singh
Affiliation:
University of Sydney
William Reichel
Affiliation:
Georgetown University, Washington DC
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Summary

There are many conditions of the aging population that lead older adults to the otolaryngologist. Hearing loss, vertigo, tinnitus, swallowing difficulty, and changes in voice are only a few of the leading reasons. The diagnosis, management, and treatment of many otolaryngology complaints can be addressed in an internist or geriatrician’s office. However, more serious pathologies should be referred to an otolaryngologist. Examples are sudden sensorineural hearing loss; suspected malignancies; and cholesteatomas, which are benign but can lead to significant morbidity. For older adults who no longer obtain significant benefit from hearing aids, cochlear implants are an option. Referral should be made to an otolaryngologist who performs implantation.
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Chapter
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Reichel's Care of the Elderly
Clinical Aspects of Aging
, pp. 577 - 586
Publisher: Cambridge University Press
Print publication year: 2016

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