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Comprehensive Management of Presbycusis: Central and Peripheral
Journal article   Open access   Peer reviewed

Comprehensive Management of Presbycusis: Central and Peripheral

Kourosh Parham, Frank R. Lin, Daniel H. Coelho, Robert T. Sataloff and George A. Gates
Otolaryngology-head and neck surgery, v 148(4), pp 537-539
01 Apr 2013
PMID: 23396589
url
https://europepmc.org/articles/pmc3860740View
Accepted (AM) Open

Abstract

Life Sciences & Biomedicine Otorhinolaryngology Science & Technology Surgery
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 "old old" 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.

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44 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Otorhinolaryngology
Surgery
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