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Revista de otorrinolaringología y cirugía de cabeza y cuello

 ISSN 0718-4816

GOYCOOLEA V., Marcos et al. The return of sounds at almost 100 years of age. Which will be the limit?. Rev. Otorrinolaringol. Cir. Cabeza Cuello []. 2020, 80, 4, pp.497-501. ISSN 0718-4816.  http://dx.doi.org/10.4067/S0718-48162020000400497.

Cochlear implant (IC) is the standard treatment for profound deafness in children and adults. In the elderly this indication is becoming more common every day. An approach to cochlear implants in the elderly is described, using as a common thread the case of a 98 years and 9 months old woman with severe bilateral gradually progressive sensorineural hearing loss who did not benefit from her hearing aids. She underwent comprehensive multispecialty medical evaluation including otolaryngology, neurology, cardiology and anesthesiology. She underwent cochlear implantation under local anesthesia and sedation. No intra or postoperative complications occurred. Recovery was quick and she was discharged on the second postoperative day. The device was activated at 1-month post-surgery and all electrodes were active. Free field thresholds for pure tones were 25 dB HL and discrimination in silence with IC in left ear and hearing aid in right ear for sentences were 76% and for familiar words 100%. Cochlear implantation resulted in an adequate alternative for this elderly patient, possibly the oldest implanted individual in the world. Cochlear implantation should be considered a reasonable alternative for elderly patients with profound hearing loss. The surgical decision should focus more on the general health conditions than on the chronological age.

: Cochlear implantation; hearing loss in the elderly; cochlear implants in the elderly; oldest person with cochlear implant; anesthesia for the elderly; aging and hearing loss.

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