Sterkers Olivier, Mosnier Isabelle, Ambert-Dahan Emmanuelle, Herelle-Dupuy Evelyne, Bozorg-Grayeli Alexis, Bouccara Didier
Service d'ORL, Hôpital Beaujon, AP-HP, Clichy, France.
Acta Otolaryngol Suppl. 2004 May(552):64-7.
The objective of this study was to evaluate the benefit of cochlear implantation in adults aged 60 years and over. Twenty-eight patients, older than 60 years and with profound bilateral sensorineural hearing loss, received a cochlear implant between 1991 and 2001. The mean age was 66 years and the median follow-up was 22.5 months. Speech perception scores before and after implantation were analyzed retrospectively in order to evaluate the benefit of cochlear implantation. There was a significant improvement of the disyllabic words and sentences scores after implantation. The patients who were over 70 years performed as well as those who were younger. The surgical procedure was well tolerated in all patients. One patient developed a postoperative vertigo due to a perilymphatic fistula. In conclusion, cochlear implantation offers improvement in speech perception to the elderly population, as in the younger population. A careful assessment of the physical status of these patients remains essential in order to evaluate the risk-benefit of this procedure.
本研究的目的是评估60岁及以上成年人人工耳蜗植入的益处。28名年龄超过60岁且患有双侧重度感音神经性听力损失的患者在1991年至2001年间接受了人工耳蜗植入。平均年龄为66岁，中位随访时间为22.5个月。为了评估人工耳蜗植入的益处，对植入前后的言语感知分数进行了回顾性分析。植入后双音节词和句子分数有显著提高。70岁以上的患者表现与年轻患者一样好。所有患者对手术过程耐受性良好。一名患者因外淋巴瘘出现术后眩晕。总之，与年轻人群一样，人工耳蜗植入能改善老年人群的言语感知。为了评估该手术的风险效益，对这些患者的身体状况进行仔细评估仍然至关重要。
