The characteristic of conventional and extended high-frequency audiometry in older adults - a community-based investigation in South China
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Updated: Jun 13, 2025

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Qiyang Sun1, Mengqi Zhao1, Xiaomei Sun1
1Department of Otolaryngology Head & Neck Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Objectives:
To define extended high-frequency hearing threshold ranges in normal hearing elderly (aged 55 years and above) and identify associated risk factors for extended high-frequency hearing loss.
Methods:
Pure-tone thresholds (0.25-16 kHz) and word recognition scores were measured using portable audiometric equipment. Lifestyle and medical histories were collected, and generalised linear models analysed risk factors for extended high-frequency hearing (10-12 kHz).
Results:
In normal hearing elderly (28 ears, 18 subjects), 95 per cent confidence intervals for 10 and 12 kHz were 34.770-49.301 and 56.976-65.809, respectively. Among 342 ears (200 subjects), hypertension emerged as a leading risk factor for extended high-frequency hearing loss, while lipid-lowering medications showed potential protective effects.
Conclusion:
Preliminary extended high-frequency hearing thresholds were established, with hypertension identified as a key risk factor and lipid-lowering medications as a potential protective factor.
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