Comprehensive Management of Presbycusis: Central and Peripheral

作者：Parham Kourosh^*; Lin Frank R; Coelho Daniel H; Sataloff Robert T; Gates George A

来源：Otolaryngology - Head and Neck Surgery, 2013, 148(4): 537-539.

DOI：10.1177/0194599813477596

• presbycusis
• age-related hearing loss
• aging
• geriatric
• executive function
• cognitive function
• dichotic tasks
• speech-in-noise testing
• auditory rehabilitation
• cognitive decline
• hearing aid
• cochlear implant
• Alzheimer disease
• auditory neurotology

The prevailing otolaryngologic approach to treatment of age-related hearing loss (ARHL), presbycusis, emphasizes compensation of peripheral functional deficits (ie, hearing aids and cochlear implants). This approach does not address adequately the needs of the geriatric population, 1 in 5 of whom is expected to consist of the %26quot;old old%26quot; in the coming decades. Aging affects both the peripheral and central auditory systems, and disorders of executive function become more prevalent with advancing age. Growing evidence supports an association between age-related hearing loss and cognitive decline. Thus, to facilitate optimal functional capacity in our geriatric patients, a more comprehensive management strategy of ARHL is needed. Diagnostic evaluation should go beyond standard audiometric testing and include measures of central auditory function, including dichotic tasks and speech-in-noise testing. Treatment should include not only appropriate means of peripheral compensation but also auditory rehabilitative training and counseling.

• 出版日期2013-4