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Bimodal cochlear implantation in elderly patients.

Patrizia Mancini1, Hilal Dincer D'Alessandro1,2, Ginevra Portanova1

  • 1Department of Sense Organs, Sapienza University of Rome, Rome, Italy.

International Journal of Audiology
|November 11, 2020
PubMed
Summary

Bimodal cochlear implant (CI) stimulation improves hearing in adults with asymmetric hearing loss. Elderly CI users showed significant benefits in speech perception, indicating effective acoustic and electric signal integration.

Keywords:
Older adultsadaptive testbimodal hearingcochlear implantspeech perception

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Area of Science:

  • Audiology
  • Neuroscience
  • Gerontology

Background:

  • Bimodal stimulation (cochlear implant and hearing aid) is standard for asymmetric hearing loss.
  • Concerns exist about central auditory processing in elderly individuals with bimodal stimulation.

Purpose of the Study:

  • To evaluate speech perception benefits of bimodal stimulation in elderly cochlear implant users.
  • To investigate the integration of acoustic and electric signals in older adults.

Main Methods:

  • Retrospective clinical study analyzing outcomes of 17 bimodal cochlear implant users.
  • Speech audiometry tests (STARR and Matrix) were conducted in quiet and noise.

Main Results:

  • Bimodal stimulation significantly improved hearing (PTA) and speech perception compared to unilateral devices.
  • Age impacted STARR outcomes, but bimodal STARR scores improved over the 'Better Ear' condition.
  • Elderly participants showed significant improvement, indicating good acoustic-electric integration.

Conclusions:

  • Bimodal stimulation offers significant speech perception benefits for elderly cochlear implant users.
  • Effective integration of acoustic and electric hearing is evident in this population.
  • Speech test modality influences bimodal outcomes in elderly listeners.