Resultados audiológicos do implante coclear em idosos

Abstract

Accordi ng to data from the Brazilian Institute of Geography and Statistics, the elderly population grew 47.8% in the last decade in Brazil. A portion of this population has severe and/or profound hearing loss and do not benefit from conventional hearing aids. Thus, the use of cochlear implant is required. Aim:To analyze the benefits of cochlear implants in the elderly based on the comparison of primary auditory thresholds before and after the operation, discrimination of sentences in speech and in talking on the telephone. Methodology:Retrospective cohort study, analyzing medical records from patients aged over 60 years, users of cochlear implant for at least 1 year.Results: Fourteen medical records were analyzed. Mean age of patients was 63.07 years. The mean pure tone thresholds between 500Hz, 1kHz, 2kHz and 4kHz before the implantation was 113dBHL. None of the patients, before operation, could discriminate sentences in open sets and only 3 scored 17% in closed sets sentence recognition. After one year of implantation, the mean sound field thresholds reached 34dBHL, and open set sentences recognition of 93.57%, while 71% of the patients had become able to have a conversation on the telephone. Conclusion:The elderly users of cochlear implant showed important outcomes, with significant improvement in understanding in the open set and in using the telephone. ORIGINAL ARTICLEBraz J Otorhinolaryngol.

Temporal processing in postlingual adult users of cochlear implant

“…Postlingual adult users of CI have excellent results with the device, and are able to reach the maximum score in tests of speech recognition in silence. 2 , 3 However, these patients still persist with alterations in central hearing abilities, making speech understanding difficult in some situations. Among the affected hearing abilities, temporal processing is one of the most affected aspects.…”

Evolução audiométrica em usuários de implante coclear multicanal

“…Ana Cristina Hiromi Hoshino (1) , Dorilan Rodriguez da Cruz (2) , Maria Valéria Schmidt Goffi-Gomez (3) , Débora Maria Befi-Lopes (4) , Carla Gentile Matas (5) , Talita M. Fortunato-Tavares (6) , Robinson Koji Tsuji (7) RESUMO Objetivo: analisar em quanto tempo após a ativação é possível alcançar os limiares auditivos desejados nos indivíduos usuários de implante coclear (IC) multicanal de diferentes faixas etárias. Método: estudo seccional retrospectivo a partir de banco de dados, aprovado pelo CEP/HCFMUSP, sob número 779/06.…”

“…Oyanguren et al (2010) 7 analisaram os benefícios do implante coclear nos idosos com relação à audibilidade, ao reconhecimento de fala e ao uso do telefone. Após um ano de uso de implante, a média dos limiares em campo passou a ser de 34 dBNA, a discriminação de frases em contexto aberto de 93,57% e 71% dos pacientes já conseguiam estabelecer uma conversa ao telefone.…”

Do Patients Aged 85 Years and above Benefit from Their Cochlear Implants?

“…Some studies consider those over 65 years to be elderly [12]. Other studies define patients above 60 years as being elderly [13,14]. We have many patients aged 85 and older who are enrolled at our clinic, and we saw the need for a thorough investigation and analysis of this group.…”