Abstract
Age-related hearing loss (presbycusis) is a multifactorial process that affects nearly all people in their senior years. Most cases are due to a loss of cochlear hair cell function and are well mediated by communication courtesy and modern amplification technology. Severe hearing loss is generally due to cochlear problems or age-related diseases and may require speech reading, assistive listening devices, and cochlear implants, depending on the degree of loss. Presbycusis may seriously impair communication and contribute to isolation, depression, and possibly dementia. Accurate diagnosis and prompt remediation are widely available but are frequently underused. Geriatric health care and well-being is enhanced by the detection and remediation of communication disorders.
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Selected References
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- Brownell W. E., Bader C. R., Bertrand D., de Ribaupierre Y. Evoked mechanical responses of isolated cochlear outer hair cells. Science. 1985 Jan 11;227(4683):194–196. doi: 10.1126/science.3966153. [DOI] [PubMed] [Google Scholar]
- Gates G. A., Cobb J. L., D'Agostino R. B., Wolf P. A. The relation of hearing in the elderly to the presence of cardiovascular disease and cardiovascular risk factors. Arch Otolaryngol Head Neck Surg. 1993 Feb;119(2):156–161. doi: 10.1001/archotol.1993.01880140038006. [DOI] [PubMed] [Google Scholar]
- Gates G. A., Cobb J. L., Linn R. T., Rees T., Wolf P. A., D'Agostino R. B. Central auditory dysfunction, cognitive dysfunction, and dementia in older people. Arch Otolaryngol Head Neck Surg. 1996 Feb;122(2):161–167. doi: 10.1001/archotol.1996.01890140047010. [DOI] [PubMed] [Google Scholar]
- Gates G. A., Cooper J. C. Incidence of hearing decline in the elderly. Acta Otolaryngol. 1991;111(2):240–248. doi: 10.3109/00016489109137382. [DOI] [PubMed] [Google Scholar]
- Gates G. A., Popelka G. R. Neural presbycusis: a diagnostic dilemma. Am J Otol. 1992 Jul;13(4):313–317. [PubMed] [Google Scholar]
- Goycoolea M. V., Goycoolea H. G., Farfan C. R., Rodriguez L. G., Martinez G. C., Vidal R. Effect of life in industrialized societies on hearing in natives of Easter Island. Laryngoscope. 1986 Dec;96(12):1391–1396. doi: 10.1288/00005537-198612000-00015. [DOI] [PubMed] [Google Scholar]
- Mills J. H., Schmiedt R. A., Kulish L. F. Age-related changes in auditory potentials of Mongolian gerbil. Hear Res. 1990 Jul;46(3):201–210. doi: 10.1016/0378-5955(90)90002-7. [DOI] [PubMed] [Google Scholar]
- Mulrow C. D., Aguilar C., Endicott J. E., Tuley M. R., Velez R., Charlip W. S., Rhodes M. C., Hill J. A., DeNino L. A. Quality-of-life changes and hearing impairment. A randomized trial. Ann Intern Med. 1990 Aug 1;113(3):188–194. doi: 10.7326/0003-4819-113-3-188. [DOI] [PubMed] [Google Scholar]
- SCHUKNECHT H. F. FURTHER OBSERVATIONS ON THE PATHOLOGY OF PRESBYCUSIS. Arch Otolaryngol. 1964 Oct;80:369–382. doi: 10.1001/archotol.1964.00750040381003. [DOI] [PubMed] [Google Scholar]
- Shelton C., Harnsberger H. R., Allen R., King B. Fast spin echo magnetic resonance imaging: clinical application in screening for acoustic neuroma. Otolaryngol Head Neck Surg. 1996 Jan;114(1):71–76. doi: 10.1016/S0194-59989670286-3. [DOI] [PubMed] [Google Scholar]
- Sinha U. K., Hollen K. M., Rodriguez R., Miller C. A. Auditory system degeneration in Alzheimer's disease. Neurology. 1993 Apr;43(4):779–785. doi: 10.1212/wnl.43.4.779. [DOI] [PubMed] [Google Scholar]
- Uhlmann R. F., Larson E. B., Koepsell T. D. Hearing impairment and cognitive decline in senile dementia of the Alzheimer's type. J Am Geriatr Soc. 1986 Mar;34(3):207–210. doi: 10.1111/j.1532-5415.1986.tb04204.x. [DOI] [PubMed] [Google Scholar]
- Weinstein B. E. Age-related hearing loss: how to screen for it, and when to intervene. Geriatrics. 1994 Aug;49(8):40–47. [PubMed] [Google Scholar]