JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2017, Vol. 31 ›› Issue (5): 10-15.doi: 10.6040/j.issn.1673-3770.0.2017.035

Previous Articles     Next Articles

Preliminary study of cochlear implantation in elderly individuals with severe-profound sensorineural hearing loss.

LIU Jun1, JI Fei1, LI Wanxin2   

  1. Department of Otorhinolaryngology Head and Neck Surgery, 1. General Hospital of Chinese PLA, Beijing 100853;2. First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu, China
  • Received:2017-09-08 Online:2017-10-16 Published:2017-10-16

Abstract: Deafness is one of the most common conditions affecting elderly individuals. Cochlear implantation(CI)is the most effective method to improve hearing and promote language rehabilitation among elderly individuals with severe-profound sensorineural hearing loss who cannot benefit from hearing aids. However, CI in elderly individuals is not as common as that in infants and children, and deafness in elderly individuals is unique in etiology, audiological findings, and hearing rehabilitation. This article discusses aspects of deafness in elderly individuals with respect to the following: incidence, common etiology, audiological features, indications for CI, current situation, effect of CI, and future perspectives.

Key words: Cochlear implantation, Elderly, Hearing loss, Intervention

CLC Number: 

  • R764
[1] Li-Korotky HS. Age-related hearing loss: quality of care for quality of life[J]. Gerontologist, 2012, 52(2):265-271.
[2] 于丽玫, 孙喜斌, 魏志云, 等.全国老年听力残疾人群现状调查研究[J].中国听力语言康复科学杂志,2008,6(3):63-65. YU Limei, SUN Xibin, WEI Zhiyun, et al. A study on the status quo of aged population with hearing loss in China[J]. Chin Sci J Hearing Speech Rehab, 2008, 6(3):63-65.
[3] 郭思荃, 戴春富. 老年性聋的发病原因及其机制[J]. 中国眼耳鼻喉科杂志,2013,13(5):334-336.
[4] Yamasoba T, Lin FR, Someya S, et al. Current concepts in age-related hearing loss: epidemiology and mechanistic pathways[J]. Hear Res, 2013, 303(1):30-38.
[5] 王秋菊, 冀飞. 中国老年性耳聋的研究与干预进展[J]. 中华老年多器官疾病杂志,2015,14(28):100-102. WANG Qiuju, JI Fei. Trends in presbycusis in China[J]. Chin J Multi Organ Dis Elderly, 2015, 14(28):100-102.
[6] 郭敏,韦焘,纳玉萍, 等.老年性聋相关研究热点Pubmed的文献计量学分析[J]. 听力学及言语疾病杂志,2015,23(5):527-533. GUO Min, WEI Tao, NA Yuping, et al. The Pubmed bibliometric analysis of trend in the research on age-related hearing loss[J]. J Audiol Speech Pathol, 2015, 23(5):527-533.
[7] Welsh LW, Welsh JJ, Healy MP. Central presbycusis[J]. Laryngoscope, 1985, 95(2):128-136.
[8] Brant LJ, Fozard JL. Age changes in pure tone hearing thresholds in a longitudinal study of normal human aging[J]. J Acoust Soc Am,1990, 88(2):813.
[9] Gates GA, Mills JH. Presbycusis[J]. Lancet, 2005, 366(9491):1111-1120.
[10] Gates GA, Feeney MP, Higdon RJ. Words cognition and the articulation index in older listeners with probable age-related auditory neuropathy[J]. J Am Acad Audiol, 2005, 14(10):574-581.
[11] Espmark AK, Rosenhall U, Erlandsson S, et al. The two faces of presbyacusis:hearing impairment and psychosocial consequences[J]. Int J Audiol, 2002, 41(2):125-135.
[12] 汪国庆, 李朝军. 老年性聋的早期诊断与干预研究进展[J]. 重庆医学,2014,43(15):1946-1948.
[13] 曹克利.老年性聋与人工耳蜗[J].中老年保健,2004,4(1):39-40.
[14] 刘军, 李万鑫. 人工耳蜗植入的残余听力保留技术[J]. 中国听力语言康复科学杂志,2017,15(1):1-5. LIU Jun, LI Wanxin. The technique of preservation of residual hearing after cochlear implantation[J]. Chin Sci J Hearing Speech Rehab, 2017, 15(1):1-5.
[15] 张山山, 李万鑫, 刘军,等. 海南省人工耳蜗植入捐赠项目术前筛查结果分析[J]. 中国听力语言康复科学杂志,2016,14(1):76-80. ZHANG Shanshan, LI Wanxin, LIU Jun, et al. Analysis of preoperative screening results of cochlear implantation donation project in hainan province[J]. Chin Sci J Hearing Speech Rehab, 2016, 14(1):76-80.
[16] 刘军, 李万鑫. 遗传性耳聋的人工耳蜗康复植入[J]. 中国听力语言康复科学杂志,2016,14(1):1-6. LIU Jun, LI Wanxin. The effects of genetic background on rehabilitation outcomes after cochlear implantation[J]. Chin Sci J Hearing Speech Rehab, 2016, 14(1):1-6.
[17] 刘军. 什么类型的耳聋患者需要植入人工耳蜗?[J]. 中国听力言语康复科学杂志,2016(S1):10-12.
[18] 杨仕明, 刘军, 李佳楠. 方兴未艾的国产人工耳蜗——诺尔康人工耳蜗[J]. 中国医学文摘耳鼻咽喉科学,2013,28(5):237-239.
[19] 刘军,张宇丽,陈星睿, 等. 人工耳蜗植入术后发生面瘫的预防及处理[J]. 中国听力语言康复科学杂志,2012,10(5):337-339.
[20] 刘军, 于飞, 戴朴, 等. 人工耳蜗植入患者GJB2基因突变检测及耳蜗植入疗效分析[J].中华医学杂志,2009,89(7):433-437. LIU Jun, YU Fei, DAI Pu, et al. Mutation of Gap junction protein beta 2 gene and treatment outcome of cochlear implantation in cochlear implantation recipients[J]. Natl Med J Chin, 2009, 89(7):433-437.
[21] 刘军, 戴朴, 红梦迪, 等. 人工耳蜗植入手术知情同意书填写情况分析[J]. 中华耳科杂志,2008,6(4):420-423. LIU Jun, DAI Pu, HONG Mengdi, et al. Complications following cochlear implant procedures compared to those listed on informed consents[J]. Chin J Otol, 2008, 6(4):420-423.
[22] 刘军, 戴朴, 冀飞, 等. 人工耳蜗植入脑脊液井喷原因及处理[J]. 中华耳科杂志,2008,6(2):176-179. LIU Jun, DAI Pu, JI Fei, et al. Analysis and management of cerebrospinal fluid leakage during cochlear implantation[J]. Chin J Otol, 2008, 6(2):176-179.
[23] 刘军, 戴朴, 韩东一, 等. 人工耳蜗植入患者的缝隙连接蛋白相关基因(GJB2)突变分析[J]. 中国听力语言康复科学杂志,2008,6(3):16-19. LIU Jun, DAI Pu, HAN Dongyi, et al. Analysis of GJB2 mutation of cochlear implant recipients[J]. Chin Sci J Hearing Speech Rehab, 2008, 6(3):16-19.
[24] 刘军, 戴朴, 洪梦迪, 等. 259例人工耳蜗植入的并发症分析和处理[J]. 中国听力语言康复科学杂志,2007,5(3):21-23.
[25] 刘军, 戴朴, 韩东一. 人工耳蜗植入的效果评估[J]. 中华耳科学杂志,2007,5(1):21-25. LIU Jun, DAI Pu, HAN Dong-yi. Evaluation of efficacy of cochlear implantation[J]. Chin J Otol, 2007, 5(1):21-25.
[26] 杨仕明, 李佳楠, 于丽玫, 等. 推动老年性聋人工耳蜗植入在中国的开展[J]. 中国听力语言康复科学杂志,2009,7(1):34-38. YANG Shiming, LI Jianan, YU Limei, et al. Promotion of the development of cochlear implantation in the elderly in China[J]. Chin Sci J Hearing Speech Rehab, 2009, 7(1):34-38.
[27] 杨仕明, 李佳楠, 冀飞, 等. 老年及老年前期人工耳蜗植入的临床初步研究[J]. 中华耳鼻咽喉头颈外科杂志,2010,45(10):812-817. YANG Shiming, LI Jianan, JI Fei, et al. Preliminary clinical research of cochlear implantation in elderly and pre-elderly patients with profound hearing loss[J]. Chin J Otorhinolaryngol Head Neck Surg, 2010, 45(10):812-817.
[28] 刘颖, 汪宏, 韩东旭, 等. 老年性耳聋患者人工耳蜗植入术后效果评估[J]. 中国听力语言康复科学杂志,2015,13(1):27-29. LIU Ying, WANG Hong, HAN Dongxu, et al. The outcome measures of the cochlear implantation in presbycusis[J]. Chin Sci J Hearing Speech Rehab, 2015, 13(1):27-29.
[29] 王力福, 沈美勤, 赵金花. 老年语后聋患者人工耳蜗植入效果评价[J]. 西部医学,2015,27(11):702-704. WANG Lifu, SHEN Meiqin, ZHAO Jinhua. Evaluation of cochlear implants of elderly postlingually deaf patients[J]. Med J W Chin, 2015, 27(11):702-704.
[30] Nadol JB Jr, Young YS, Glynn RJ. Survival of spiral ganglion cells inprofound sensorineural hearing loss:implantation. [J]. Ann Otol Rhinol Laryngol, 1989, 98(6):411-416.
[31] 中华医学会耳鼻咽喉头颈外科学分会, 中华医学会耳鼻咽喉科杂志编辑委员会, 中国残疾人康复协会听力语言康复专业委员会. 人工耳蜗植入工作指南(2013)[J]. 中华耳鼻咽喉头颈外科杂志,2014,49(2):89-95. Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery; Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association; Hearing and Speech Rehabilitation Committee of China Association of Rehabilitation of Disabled Persons. Guideline of cochlear implant(2013)[J].Chin J Otorhinolaryngol Head Neck Surg, 2014, 49(2):89-95.
[32] 杨仕明, 李佳楠, 于丽玫, 等. 推动老年性聋人工耳蜗植入在中国的开展[J]. 中国听力语言康复科学杂志,2009,7(1):34-38. YANG Shiming, LI Jianan, YU Limei, et al. Promotion of the development of cochlear implantation in the elderly in China[J]. Chin Sci J Hearing Speech Rehab, 2009, 7(1):34-38.
[33] 周其友, 冀飞. 老年性聋的听力干预及相关研究[J]. 中华耳科学杂志,2012,10(3):321-324.
[34] 韩国英, 接惠群. 老年性聋防治的研究进展[J]. 听力学及言语疾病杂志,2014,22(5):464-467.
[35] 朱玉华, 戴朴. 老年性聋的诊治进展[J]. 实用老年医学,2014,28(5):356-360.
[36] 任红苗,任基浩. 老年性聋的防治现状[J]. 中国老年学杂志,2015,35:555-557.
[1] WANG Min, LIU Hao, JIANG Luhan, TAN Liyue, LI Wen, FU Xiaolong. Packaging of AAV-ie-Tnfaip8l2 and its effect on improving auditory function in Tnfaip8l2-/- mice [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(3): 7-15.
[2] XU Juan, CUI Biao, HUANG Jianping, CHEN Yibiao, SHI Jianfei, WANG Yanwen, LIU Zanhua, ZHANG Jianwei. Clinical application of FEES-based swallowing function assessment in elderly patients with pulmonary infections [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(3): 74-79.
[3] WANG Menghui, LI Ao, WEI Hao, JIANG Yue, WU Xingguang, LI Luxi, QIAN Xiaoyun. Multiple mechanisms and clinical warning signs of deafness caused by hepatitis B virus [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(3): 110-114.
[4] WANG Kaijian, WANG Wei, CHEN Xuesheng, FAN Chunsun, HE Yingying, HUANG Dongling, QIAN Cunhui, DING Shujun. Correlation between neutrophil-to-lymphocyte ratio with hearing loss and audiometric thresholds in adults: a cross-sectional study based on NHANES [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(2): 18-28.
[5] TAO Duoduo, SHI Bin, ZHAO Yunshu, LI Yonggang, LIU Jisheng. Preliminary study on neurotransmitter levels in the anterior cingulate cortex and their relationship with hearing levels in patients with age-related hearing loss [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(6): 31-39.
[6] ZHENG Zehao, WEI Jiali, LIU Jiatao, ZHOU Yuqi, SUN Wenting, LI Yuxuan, BAI Peng. Evaluation of the efficacy and safety of site-specific acupuncture for the treatment of sudden hearing loss: a systematic review and network Meta-analysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(4): 114-127.
[7] LI Jie, SU Weina, LIN Qian, ZHANG Qishu, HOU Cheng, YANG Zhenjiao, XIANG Lili. Genetic analysis of MARVELD2 gene variants in two deafness cases [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(4): 128-134.
[8] DONG Lingkang, YU Dongzhen. Trends and projections of the burden of age-related hearing loss in China from 1990 to 2021 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(3): 61-69.
[9] ZHANG Lixia, LI Lin. Research on screening the key genes of age-related hearing loss by GEO database [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(3): 104-114.
[10] LIN Yushan, LU Biaoqing. Personalized use of batroxobin in the treatment of sudden sensorineural hearing loss with full frequency decline [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(3): 115-121.
[11] WANG Xin, YUAN Jingjing, HAO Pengpeng, YAN Zhanfeng, LIU Jianhua, ZHONG Liqun, LIU Siming, WU Wei, ZHAO Xiaoyang, ZHANG Ying. Protective effect of Chinese herbal medicine on sudden sensorineural hearing loss: a retrospective analysis and network pharmacology [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(2): 6-17.
[12] LI Hui, ZHAO Yongqiang, HE Zhen, YANG Huimin, ZHAO Ye, TIAN Xiujuan, CHEN Jianqiu. Safety of bedside percutaneous dilational tracheotomy for elderly patients with mandibular lift in the supine position [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(2): 87-93.
[13] WANG Xiaoqing, WANG Yuyu, QIU Jinwei, XU Jinxia, ZHU Mei. The effect of orofacial muscle functional training on snoring indicators and sleep quality in patients with snoring [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(2): 101-107.
[14] PAN Jiayu, ZHANG Chunlin. Research advances on the etiology and pathogenesis of acute low-frequency sensorineural hearing loss [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(2): 126-131.
[15] GUO Xiang, MA Yongqiang, YI Haijin. Current status and advances in magnetic resonance imaging in sudden deafness [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(2): 140-144.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!