AP-HP Sorbonne Université, Groupe hospitalier Pitié-Salpêtrière, Unité Fonctionnelle Implants auditifs et explorations fonctionnelles, Service ORL, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France.
AP-HP Sorbonne Université, Groupe hospitalier Pitié-Salpêtrière, Unité Fonctionnelle Implants auditifs et explorations fonctionnelles, Service ORL, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2020 Sep;137 Suppl 1:S19-S25. doi: 10.1016/j.anorl.2020.07.011. Epub 2020 Aug 6.
To analyze the performance of cochlear implants in French patients aged 65 and over, implanted between 2012 and 2016, using data from the French national registry for cochlear implants (EPIIC).
The French national registry incorporates patient data from before implantation and for three years after implantation, stratified in different age groups (18-39, 40-64years, 65-74years and>75years). Here, we assessed the latter two categories. Hearing was assessed using mono- and disyllabic words in a silent background. The Category of Auditory Performance (CAP) scale was also implemented and subjects took the Abbreviated Profile of Hearing Aid Benefit (Aphab) questionnaire.
The population aged over 65 accounted for 38% (n=1193) of the 3178 adult implanted patients. The performance for mono- and disyllabic words in silence, the CAP scores and the APHAB questionnaire answers for ease of communication, background noise and reverberation were dramatically improved at one year post-implantation (P<0.0001 for each score) and remained stable between one and three years thereafter. The percentage improvement was similar across all age groups. The scores for loud-noise intolerance did not change after cochlear implantation in any age group.
Cochlear implants improve hearing and communication in subjects aged 65 and over, with comparable efficiency to that achieved in younger subjects. Cochlear implantation should thus be proposed whenever hearing aids provide only limited benefit. However, between 2012 and 2016, cochlear implantation was given to less than 1% of the French population aged 65 and over with profound deafness.
使用法国人工耳蜗植入登记系统（EPIIC）的数据，分析 2012 年至 2016 年间植入的 65 岁及以上法国患者的人工耳蜗植入效果。
法国国家登记系统纳入了植入前和植入后 3 年的患者数据，分为不同年龄组（18-39 岁、40-64 岁、65-74 岁和>75 岁）。在此，我们评估了后两个年龄组。听力使用单音节和双音节词在安静背景下进行评估。还实施了听觉绩效类别（CAP）量表，受试者填写了简化听力助听效果问卷（Aphab）。
65 岁以上人群占 3178 名成年植入患者的 38%（n=1193）。植入后 1 年，单音节和双音节词在安静环境下的听力、CAP 评分和 Aphab 问卷对交流、背景噪声和混响的评分均显著提高（每个评分 P<0.0001），此后 1 至 3 年保持稳定。所有年龄组的改善百分比相似。在任何年龄组，植入后对大声噪声不耐受的评分均无变化。
人工耳蜗植入可改善 65 岁及以上患者的听力和交流能力，其效果与年轻患者相当。因此，只要助听器的效果有限，就应建议进行人工耳蜗植入。然而，在 2012 年至 2016 年间，只有不到 1%的法国 65 岁及以上、极重度耳聋患者接受了人工耳蜗植入。
