Lally John W, Adams Jason K, Wilkerson Brent J
Department of Otolaryngology.
Division of Otology, Neurotology, and Lateral Skull Base Surgery, Brooke Army Medical Center.
Curr Opin Otolaryngol Head Neck Surg. 2019 Oct;27(5):387-391. doi: 10.1097/MOO.0000000000000569.
To evaluate the impact of cochlear implantation on hearing outcomes, quality of life, complications, and cognitive function in elderly patients.
Nine articles published between 2014 and 2019 pertain to cochlear implantation in the elderly population. The findings conclude that cochlear implantation improves autonomy and overall quality of life in the elderly.
Design: a pubmed search was employed with title search terms 'cochlear implant,' AND 'elderly' or 'aged.' Twenty-one articles were generated. Of the 21, articles without evidence-based findings were excluded and those published more than 5 years ago were excluded, yielding a final number of nine articles for review.
nine articles published on the use of cochlear implantation in the elderly were identified through the literature search between the years 2014-2019. Outcomes included quality of life, speech recognition improvement, improvement in cognitive function as defined by geriatric validated scales, outcomes of hearing rehabilitation, improvement in verbal comprehension, surgical complications, and the ability to manage the external components of the device.
cochlear implantation improves autonomy and the quality of life in the elderly. Age should not be a factor limiting surgical decision-making, and cochlear implantation can be utilized as a well tolerated, efficient treatment option for severe-to-profound hearing loss in the elderly population.
评估人工耳蜗植入对老年患者听力结果、生活质量、并发症及认知功能的影响。
2014年至2019年间发表的9篇文章涉及老年人群的人工耳蜗植入。研究结果表明,人工耳蜗植入可提高老年人的自主性和整体生活质量。
设计:使用PubMed进行检索,检索词为“人工耳蜗”以及“老年人”或“ aged”。共生成21篇文章。在这21篇文章中,排除无循证结果的文章以及发表时间超过5年的文章,最终纳入9篇文章进行综述。
通过2014 - 2019年间的文献检索,确定了9篇关于老年人群人工耳蜗植入应用的文章。结果包括生活质量、言语识别改善、老年有效量表定义的认知功能改善、听力康复结果、言语理解改善、手术并发症以及管理设备外部组件的能力。
人工耳蜗植入可提高老年人的自主性和生活质量。年龄不应成为限制手术决策的因素,人工耳蜗植入可作为老年人群中重度至极重度听力损失的一种耐受性良好、有效的治疗选择。