Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-05T04:22:07.808Z Has data issue: false hasContentIssue false
  • English
  • Français

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: [email protected]
Get access Rights & Permissions [Opens in a new window]

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 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

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

References

1 Agrawal, Y, Platz, EA, Niparko, JK. Prevalence of hearing loss and differences by demographic characteristics among US adults: data from the National Health and Nutrition Examination Survey, 1999–2004. Arch Intern Med 2008;168:1522–30CrossRefGoogle ScholarPubMed
2 Lin, FR, Niparko, JK, Ferrucci, L. Hearing loss prevalence in the United States. Arch Intern Med 2011;171:1851–2Google Scholar
3 Lin, FR, Yaffe, K, Xia, J, Xue, QL, Harris, TB, Purchase-Helzner, E et al. Hearing loss and cognitive decline in older adults. JAMA Intern Med 2013;173:293–9CrossRefGoogle ScholarPubMed
4 Lin, FR. Hearing loss and cognition among older adults in the United States. J Gerontol A Biol Sci Med Sci 2011;66:1131–6CrossRefGoogle ScholarPubMed
5 Lin, FR, Ferrucci, L, Metter, EJ, An, Y, Zonderman, AB, Resnick, SM. Hearing loss and cognition in the Baltimore Longitudinal Study of Aging. Neuropsychology 2011;25:763–70CrossRefGoogle ScholarPubMed
6 Tay, T, Wang, JJ, Kifley, A, Lindley, R, Newall, P, Mitchell, P. Sensory and cognitive association in older persons: findings from an older Australian population. Gerontology 2006;52:386–94Google Scholar
7 Valentijn, SA, van Boxtel, MP, van Hooren, SA, Bosma, H, Beckers, HJ, Ponds, RW et al. Change in sensory functioning predicts change in cognitive functioning: results from a 6-year follow-up in the maastricht aging study. J Am Geriatr Soc 2005;53:374–80Google Scholar
8 Lin, FR, Metter, EJ, O'Brien, RJ, Resnick, SM, Zonderman, AB, Ferrucci, L. Hearing loss and incident dementia. Arch Neurol 2011;68:214–20Google Scholar
9 Shin, YJ, Fraysse, B, Deguine, O, Valès, O, Laborde, ML, Bouccara, D et al. Benefits of cochlear implantation in elderly patients. Otolaryngol Head Neck Surg 2000;122:602–6Google ScholarPubMed
10 Labadie, RF, Carrasco, VN, Gilmer, CH, Pillsbury, HC 3rd. Cochlear implant performance in senior citizens. Otolaryngol Head Neck Surg 2000;123:419–24CrossRefGoogle ScholarPubMed
11 Buchman, CA, Fucci, MJ, Luxford, WM. Cochlear implants in the geriatric population: benefits outweigh risks. Ear Nose Throat J 1999;78:489–94Google Scholar
12 Pasanisi, E, Bacciu, A, Vincenti, V, Guida, M, Barbot, A, Berghenti, MT et al. Speech recognition in elderly cochlear implant recipients. Clin Otolaryngol Allied Sci 2003;28:154–7CrossRefGoogle ScholarPubMed
13 Sterkers, O, Mosnier, I, Ambert-Dahan, E, Herelle-Dupuy, E, Bozorg-Grayeli, A, Bouccara, D. Cochlear implants in elderly people: preliminary results. Acta Otolaryngol Suppl 2004; 552:64–7Google Scholar
14 Carlson, ML, Breen, JT, Gifford, RH, Driscoll, CL, Neff, BA, Beatty, CW et al. Cochlear implantation in the octogenarian and nonagenarian. Otol Neurotol 2010;31:1343–9CrossRefGoogle ScholarPubMed
15 Park, E, Shipp, DB, Chen, JM, Nedzelski, JM, Lin, VY. Postlingually deaf adults of all ages derive equal benefits from unilateral multichannel cochlear implant. J Am Acad Audiol 2011;22:637–43Google Scholar
16 Mahmoud, AF, Ruckenstein, MJ. Speech perception performance as a function of age at implantation among postlingually deaf adult cochlear implant recipients. Otol Neurotol 2014;35:e286–91Google Scholar
17 Vermeire, K, Brokx, JP, Wuyts, FL, Cochet, E, Hofkens, A, Van de Heyning, PH. Quality-of-life benefit from cochlear implantation in the elderly. Otol Neurotol 2005;26:188–95Google Scholar
18 Chatelin, V, Kim, EJ, Driscoll, C, Larky, J, Polite, C, Price, L et al. Cochlear implant outcomes in the elderly. Otol Neurotol 2004;25:298–301 Google Scholar
19 Friedland, DR, Runge-Samuelson, C, Baig, H, Jensen, J. Case-control analysis of cochlear implant performance in elderly patients. Arch Otolaryngol Head Neck Surg 2010;136:432–8Google Scholar
20 Budenz, CL, Cosetti, MK, Coelho, DH, Birenbaum, B, Babb, J, Waltzman, SB et al. The effects of cochlear implantation on speech perception in older adults. J Am Geriatr Soc 2011;59:446–53Google Scholar
21 Roberts, DS, Lin, HW, Herrmann, BS, Lee, DJ. Differential cochlear implant outcomes in older adults. Laryngoscope 2013;123:1952–6CrossRefGoogle ScholarPubMed
22 Kelsall, DC, Shallop, JK, Burnelli, T. Cochlear implantation in the elderly. Am J Otol 1995;16:609–15Google Scholar
23 Haensel, J, Ilgner, J, Chen, YS, Thuermer, C, Westhofen, M. Speech perception in elderly patients following cochlear implantation. Acta Otolaryngol 2005;125:1272–6CrossRefGoogle ScholarPubMed
24 Sanchez-Cuadrado, I, Lassaletta, L, Perez-Mora, RM, Zernotti, M, Di Gregorio, MF, Boccio, C et al. Is there an age limit for cochlear implantation? Ann Otol Rhinol Laryngol 2013;122:222–8Google Scholar
25 Orabi, AA, Mawman, D, Al-Zoubi, F, Saeed, SR, Ramsden, RT. Cochlear implant outcomes and quality of life in the elderly: Manchester experience over 13 years. Clin Otolaryngol 2006;31:116–22Google Scholar
26 Spitzer, JB, Cellum, IP, Bosworth, C. Stability of audiometric measures and challenges in long-term management of the elderly cochlear implant patient. Otol Neurotol 2013;34:1636–41Google Scholar
27 Ruffin, CV, Tyler, RS, Witt, SA, Dunn, CC, Gantz, BJ, Rubinstein, JT. Long-term performance of Clarion 1.0 cochlear implant users. Laryngoscope 2007;117:1183–90CrossRefGoogle ScholarPubMed
28 Dillon, MT, Buss, E, Adunka, MC, King, ER, Pillsbury, HC 3rd, Adunka, OF et al. Long-term speech perception in elderly cochlear implant users. JAMA Otolaryngol Head Neck Surg 2013;139:279–83Google Scholar
29 Choi, JS, Contrera, KJ, Betz, JF, Blake, CR, Niparko, JK, Lin, FR. Long-term use of cochlear implants in older adults: results from a large consecutive case series. Otol Neurotol 2014;35:815–20Google Scholar
30 Meister, H, Schreitmüller, S, Grugel, L, Beutner, D, Walger, M, Meister, I. Examining speech perception in noise and cognitive functions in the elderly. Am J Audiol 2013;22:310–12CrossRefGoogle ScholarPubMed
31 Anderson, Gosselin P, Gagné, JP. Older adults expend more listening effort than young adults recognizing speech in noise. J Speech Lang Hear Res 2011;54:944–58Google Scholar
32 Zekveld, AA, Kramer, SE, Festen, JM. Cognitive load during speech perception in noise: the influence of age, hearing loss, and cognition on the pupil response. Ear Hear 2011;32:498–510 Google Scholar
33 Goŕdon-Salant, S, Fitzgibbons, PJ. Temporal factors and speech recognition performance in young and elderly listeners. J Speech Hear Res 1993;36:1276–85Google Scholar
34 Yamasoba, T, Lin, FR, Someya, S, Kashio, A, Sakamoto, T, Kondo, K. Current concepts in age-related hearing loss: epidemiology and mechanistic pathways. Hear Res 2013;303:30–8Google Scholar