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. 2024 Dec 14;11(1):e41203. doi: 10.1016/j.heliyon.2024.e41203

Table 1.

Classification and characteristics of presbycusis.

Classification Pathologic characteristics Characteristics of hearing impairment
Sensory presbycusis Atrophy and degeneration of HCs [20]. An abrupt high-tone hearing loss [22].
Metabolic presbycusis Speckle-like atrophy and cystic changes of SVs [23]. A flat audiogram and almost normal word discrimination [24].
Neural presbycusis Regressive deterioration of SGNs [25,26]. The decline in word discrimination was disproportionate to the increase in pure-tone hearing thresholds [21].
Mechanical presbycusis Conduction disorders in the inner ear, without cochlear pathological damage [27]. A slowly descending audiogram is mainly characterized by high-frequency hearing loss [8].
Mixed presbycusis A combination of two or more pathological types mentioned above [21]. No specific audiogram pattern was observed [28].
Other presbycusis Indeterminate presbycusis No correlation was observed between audiometric patterns and cochlear pathological changes [29].
Central presbycusis The auditory segment of the central nervous system exhibits age-related modifications [30].