Orabi A A, Mawman D, Al-Zoubi F, Saeed S R, Ramsden R T
University Department of Otolaryngology-Head and Neck Surgery, Manchester Royal Infirmary, UK.
Clin Otolaryngol. 2006 Apr;31(2):116-22. doi: 10.1111/j.1749-4486.2006.01156.x.
To objectively evaluate the clinical and functional outcomes of cochlear implantation in an elderly population.
Retrospective comparative study.
Neurotology unit at Manchester Royal Infirmary, a supraregional tertiary referral centre in collaboration with Adult Cochlear Implant Programme at The University of Manchester.
All cochlear implant procedures (38) undertaken on post-lingually deafened elderly patients (age range at the time of implantation 65-80 years, n = 34) in the period from 1989 to 2002.
Medical and surgical outcomes. Audiological performance outcomes for isolated words, words in sentences in quiet and noise. Functional outcome measures used are self-reported measures of the social, psychological and emotional aspects of quality of life, and the differences between expectations for functional outcomes and the realization of functional outcomes. They included expectation profiles, Glasgow Benefit inventory (GBI) and Glasgow Health Status Inventory Questionnaire (GHSI).
There was statistically significant improvement post-implantation of both open and closed set test scores (P < 0.01). Eighty-two percentage of patients were completely satisfied with their cochlear implants. Patients judged that implantation restored half the loss of quality of life that they had experienced as a result of severe-profound deafness with a highly significant (P < 0.001) improvement in overall quality of life after implantation. The commonest post-operative observation was transient mild pyrexia.
The age of a cochlear implant candidate should not be a factor in the candidacy decision-making process. The quality of life of our elderly recipients was significantly improved after cochlear implant.
客观评估老年人群人工耳蜗植入的临床和功能结局。
回顾性比较研究。
曼彻斯特皇家医院神经耳科学科，这是一家区域三级转诊中心，与曼彻斯特大学成人人工耳蜗植入项目合作。
1989年至2002年期间对语后聋老年患者（植入时年龄范围为65 - 80岁，n = 34）进行的所有人工耳蜗植入手术（38例）。
医学和手术结局。孤立单词、安静和噪声环境下句子中单词的听力学性能结局。使用的功能结局指标是生活质量社会、心理和情感方面的自我报告指标，以及功能结局期望与功能结局实现之间的差异。它们包括期望概况、格拉斯哥获益量表（GBI）和格拉斯哥健康状况量表问卷（GHSI）。
开放集和封闭集测试分数在植入后均有统计学显著改善（P < 0.01）。82%的患者对其人工耳蜗完全满意。患者认为植入恢复了因重度至极重度耳聋而损失的一半生活质量，植入后总体生活质量有极显著改善（P < 0.001）。最常见的术后观察结果是短暂轻度发热。
人工耳蜗植入候选者的年龄不应成为候选决策过程中的一个因素。我们的老年接受者在人工耳蜗植入后生活质量显著改善。
