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KMID : 0361020080510060513
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Korean Journal of Otolaryngology - Head and Neck Surgery
2008 Volume.51 No. 6 p.513 ~ p.517
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Outcome Analsis of Coehlear Implantation in Elderly Patients
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Jang Jeong-Hun
Kim Young-Ho
Suh Myung-Whan
Park Min-Hyun
Kim Chong-Sun
Chang Sun-O
Oh Seung-Ha
Kim Hyoung-Mi
Lee Jun-Ho
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Abstract
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Background & Objectives: Surgical indications and effect of auditory rehabilitation have not been established in elderly deaf patients who received cochlear implant (CI). The aim of this study is to analyze the outcomes of CI with respect to auditory performance and surgical complication in elderly deaf patients.
Subjects & Method: Nineteen postlingually deafened patients who were 60 years and older at the time of implantation were included in the study from April 1992 to October 2006. They were compared to a group of 53 younger patients (<60 years) at the time of implantation. Surgical complications were identified and speech performance was evaluated preoperatively and postoperatively at 1 month, 3 months, 6 months, 1 year and 2 years.
Results: In the etiology, progressive hearing loss was most common in both groups. Perioperative complications such as temporary dizziness, wound problem, tinnitus, and temporary facial weakness showed no significant differences between elderly and control groups despite higher incidence of underlying disease in elderly patients. Preoperative speech performance (audiologic K-CID) was significantly better in control group than in elderly group, but there were no significant differences in postoperative period.
Conclusions: The outcomes of CI in the elderly patients have been comparable with those of younger adults. Advanced age alone could not preclude anyone from being candidates of CI.
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KEYWORD
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Cochlear implantation, Elderly, Deafness
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