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[Hearing in the elderly and hearing aids].

J C Lafon1, I Clavier, L Dornier

  • 1Faculté de Médecine et Pharmacie de Besançon, Département ORL, France.

Revue De Laryngologie - Otologie - Rhinologie
|January 1, 1990
PubMed
Summary

Distinguishing pathological hearing loss from age-related hearing loss (presbycusis) is crucial. Better baseline hearing improves outcomes, while significant deterioration worsens them, affecting all frequencies.

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Area of Science:

  • Audiology
  • Gerontology
  • Pathology

Context:

  • Age-related hearing loss (presbycusis) presents distinct characteristics.
  • Pathological auditory impairments require differentiation from natural aging processes.
  • Genetic factors influence the onset and progression of hearing impairment.

Purpose:

  • To statistically differentiate pathological hearing loss from presbycusis.
  • To analyze the relationship between baseline hearing acuity and hearing maintenance in aging.
  • To evaluate the impact of presbycusis on different hearing frequencies and patient perception.

Summary:

  • Statistical audiometric studies reveal that individuals with better initial hearing are more likely to maintain it as they age.
  • Conversely, significant pre-existing hearing deterioration correlates with poorer outcomes despite the effects of presbycusis.
  • Presbycusis impacts hearing across all frequencies, though elderly patients may perceive speech better than audiometric tests suggest, barring central auditory processing disorders.

Impact:

  • Informs clinical audiology practice for accurate diagnosis and management of hearing loss in the elderly.
  • Highlights the importance of considering both aging and underlying pathologies in auditory health.
  • Provides insights into the subjective social value of hearing versus objective audiometric measures.

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