80歳以上で人工内耳手術を受けた症例の検討

野波 尚子; 河野 淳; 冨澤 文子; 芥野 由美子; 鮎澤 詠美; 南雲 麻衣; 西山 信宏; 河口 幸江; 白井 杏湖; 鈴木 衞; 齋藤 友介; 池谷 淳

doi:10.5112/jjlp.55.320

Originals

Cochlear Implantation in Patients over 80

Naoko Nonami, Atsushi Kawano, Ayako Tomizawa, Yumiko Keshino, Emi Ayusawa, Mai Nagumo, Nobuhiro Nishiyama, Sachie Kawaguchi, Kyoko Shirai, Mamoru Suzuki, Yusuke Saito, Jun Ikeya

Author information

Naoko Nonami
Otolaryngology of Medicine, Tokyo Medical University
Auditory and Cochlear Implant Center of Tokyo Medical University
Atsushi Kawano
Otolaryngology of Medicine, Tokyo Medical University
Auditory and Cochlear Implant Center of Tokyo Medical University
Ayako Tomizawa
Otolaryngology of Medicine, Tokyo Medical University
Auditory and Cochlear Implant Center of Tokyo Medical University
Yumiko Keshino
Otolaryngology of Medicine, Tokyo Medical University
Auditory and Cochlear Implant Center of Tokyo Medical University
Emi Ayusawa
Otolaryngology of Medicine, Tokyo Medical University
Auditory and Cochlear Implant Center of Tokyo Medical University
Mai Nagumo
Otolaryngology of Medicine, Tokyo Medical University
Auditory and Cochlear Implant Center of Tokyo Medical University
Nobuhiro Nishiyama
Otolaryngology of Medicine, Tokyo Medical University
Sachie Kawaguchi
Otolaryngology of Medicine, Tokyo Medical University
Kyoko Shirai
Otolaryngology of Medicine, Tokyo Medical University
Mamoru Suzuki
Otolaryngology of Medicine, Tokyo Medical University
Yusuke Saito
Auditory and Cochlear Implant Center of Tokyo Medical University
Department of Education, Daito Bunka University
Jun Ikeya
Auditory and Cochlear Implant Center of Tokyo Medical University
Otorhinolaryngological Clinic, Azabu Hospital

Keywords: cochlear implantation, elderly people, QOL (quality of life), IADL (instrumental activities of daily living)

JOURNAL FREE ACCESS

2014 Volume 55 Issue 4 Pages 320-325

DOI https://doi.org/10.5112/jjlp.55.320

Details

Abstract

The aim of this case review was to determine the benefits or problems of cochlear implantation in elderly people with severe hearing loss, for application in their rehabilitation.
Retrospective reviews of 4 cases older than 80 years at the time of cochlea implantation indicated that all cases improved in hearing threshold and speech recognition after implantation. Cochlea implantation in elderly people brought improvement in auditory performance, psychological changes such as less aggressiveness, and better daily activities. These results demonstrated that cochlear implantation is a successful treatment for improving quality of life in deaf elderly people with severe hearing loss.
However, although no problems were in evidence concerning ADL (activities of daily living), all subjects had problems managing and operating their device in abnormal situations. These results indicate that skill in management and operation of their device is necessary. Carefully informed consent for patients and their families is needed before implantation, and cooperation should be requested from families or close relatives who know where to contact in times of emergency.

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