Kelsall D C, Shallop J K, Burnelli T
Denver Ear Associates, Englewood, CO 80110, USA.
Am J Otol. 1995 Sep;16(5):609-15.
The purpose of this study was to compare the audiologic and surgical results of elderly patients receiving cochlear implants with other adult patients, and to evaluate the benefit of cochlear implantation in the geriatric population. Twenty-eight patients, aged 60 to 80 years, who received the Nucleus 22 channel cochlear implant were studied retrospectively. Mean audiologic test scores increased significantly after implantation. Postoperative audiologic test scores of this elderly population are comparable to those of a matched group of younger adult patients. The surgical procedure was well tolerated in all elderly patients, and there were two postoperative complications requiring revision procedures. A questionnaire was used to assess implant use and the impact of cochlear implantation on the quality of life in this elderly population. Average implant use per day was 13.8 hours, and 65% of patients were able to recognize voices over the telephone. More than 80% of patients believed that their quality of life had improved significantly, that their self-confidence had increased, and that their decision regarding implantation was correct. The results of this study indicate that elderly patients with bilateral, profound, sensorineural hearing loss should not be denied consideration for cochlear implantation based on age alone.
本研究的目的是比较接受人工耳蜗植入的老年患者与其他成年患者的听力学和手术结果，并评估人工耳蜗植入对老年人群的益处。对28例年龄在60至80岁之间接受Nucleus 22通道人工耳蜗植入的患者进行了回顾性研究。植入后平均听力学测试分数显著提高。该老年人群的术后听力学测试分数与一组匹配的年轻成年患者相当。所有老年患者对手术过程耐受性良好，有两例术后并发症需要进行修复手术。使用问卷调查来评估人工耳蜗的使用情况以及人工耳蜗植入对该老年人群生活质量的影响。每天平均使用人工耳蜗的时间为13.8小时，65%的患者能够通过电话识别声音。超过80%的患者认为他们的生活质量有显著改善，自信心增强，并且他们关于植入的决定是正确的。本研究结果表明，双侧重度感音神经性听力损失的老年患者不应仅基于年龄而被拒绝考虑人工耳蜗植入。
