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Cochlear implantation in elderly patients: stability of outcome over time

Published online by Cambridge University Press:  13 June 2016

O Hilly ,
E Hwang ,
L Smith ,
D Shipp ,
J M Nedzelski ,
J M Chen  and
V W Y Lin
O Hilly*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Rabin Medical Center, Tel Aviv University, Petach Tikva, Israel
E Hwang
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Canada
L Smith
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Canada
D Shipp
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Canada
J M Nedzelski
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Canada
J M Chen
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Canada
V W Y Lin
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Canada
*
Address for correspondence: Dr Ohad Hilly, Department of Otolaryngology Head and Neck Surgery, Rabin Medical Center, Tel Aviv University, Petach Tikva, Tel Aviv, Israel Fax: +1 416 480 5761 E-mail: ohadhilly@yahoo.com
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Abstract

Background:

Cochlear implantation is the standard of care for treating severe to profound hearing loss in all age groups. There is limited data on long-term results in elderly implantees and the effect of ageing on outcomes. This study compared the stability of cochlear implantation outcome in elderly and younger patients.

Methods:

A retrospective chart review of cochlear implant patients with a minimum follow up of five years was conducted.

Results:

The study included 87 patients with a mean follow up of 6.8 years. Of these, 22 patients were older than 70 years at the time of implantation. Hearing in Noise Test scores at one year after implantation were worse in the elderly: 85.3 (aged under 61 years), 80.5 (61–70 years) and 73.6 (aged over 70 years; p = 0.039). The respective scores at the last follow up were 84.8, 85.1 and 76.5 (p = 0.054). Most patients had a stable outcome during follow up. Of the elderly patients, 13.6 per cent improved and none had a reduction in score of more than 20 per cent. Similar to younger patients, elderly patients had improved Short Form 36 Health Survey scores during follow up.

Conclusion:

Cochlear implantation improves both audiometric outcome and quality of life in elderly patients. These benefits are stable over time.

Keywords

Cochlear ImplantsAgedTreatment Outcome
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 8 , August 2016 , pp. 706 - 711
Copyright
Copyright © JLO (1984) Limited 2016 

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Footnotes

Presented as a poster at the Triological Society Combined Sections Meeting, 22–24 January 2016, San Diego, California, USA.

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