Benefits of cochlear implantation in elderly patients

Cochlear implantation in elderly patients is a questionable subject. The purpose of this study was to evaluate the procedure and its outcome, the postoperative course, and the audiologic and social benefits of cochlear implantation in this population. Twenty-seven patients older than 60 years were c...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2000-04, Vol.122 (4), p.602-606
Main Authors: SHIN, YOUNG-JE, FRAYSSE, BERNARD, DEGUINE, OLIVIER, VALÈS, OLIVIER, LABORDE, MARIE-LAURENCE, BOUCCARA, DIDIER, STERKERS, OLIVIER, UZIEL, ALAIN
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Audiometry
Cochlear Implantation
Humans
Middle Aged
Quality of Life
Retrospective Studies
Surveys and Questionnaires
Treatment Outcome
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Summary:Cochlear implantation in elderly patients is a questionable subject. The purpose of this study was to evaluate the procedure and its outcome, the postoperative course, and the audiologic and social benefits of cochlear implantation in this population. Twenty-seven patients older than 60 years were compared with a control group of 15 adult patients. This retrospective study analyzed data concerning the outcome of the procedure, postoperative course, postoperative orthophonic test results, and answers of a questionnaire assessing the changes in communication, perception, and social outcomes. The procedure was uneventful in both groups. Minor complications were not more frequent in elderly patients. Orthophonic test results were comparable in both groups. At 12 months, 83% of the elderly patients had an open-set speech discrimination score above 60%. The benefits of cochlear implantation in terms of the quality of life are not statistically different with younger patients. Cost-utility analysis might support these findings. (Otolaryngol Head Neck Surg 2000;122:602-6.)
ISSN:0194-5998
1097-6817
DOI:10.1016/S0194-5998(00)70112-4