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INTRODUCTION
Association between advanced age and high
tone deafness was first discovered by
ZWAARDEMAKER in 1899.
Presbycusis is the most common
otolaryngologic problem of elderly.
It involves bilateral high frequency hearing
loss associated with difficulty in speech
discrimination and central auditory processing of
information.
DEFNITION
Presbycusis is a sensorineural hearing
disorder. It is most commonly caused by
gradual changes in the inner ear.
The cumulative effects of repeated
exposure to daily traffic sounds or
construction work, noisy offices, equipment
that produces noise and loud music can
cause sensorineural hearing loss.
TYPES OF
PRESBYCUSIS
Sensory
Neural
Strial
Cochlear conductive
Mixed presbycusis
Intermediate presbycusis
CLINICAL FEATURES
Insiduous onset
Symmetric SNHL
Progressive loss with age
No other otologic diseases
Normal ear examination
IMPACT OF PRESBYCUSIS
No visible infirmity
Those interacting with him/her may not
take helpful measures
Forces him to continuously ask for help
Fosters a sense of disability
Voluntarily remain
In isolation at parties
May eventually withdraw from social
situations
CAUSES
Atherosclerosis
Diet and metabolism
Accumulated exposure to noise
Drug and environmental chemical
exposure
Genetics
stress
PREVENTION AND
TREATMENT
Prevention:
Counseling
Periodic otologic examination
Annual audiograms in high risk patterns
Career or life style change
Treatment:
No effective surgical or medical treatment
ALTERNATIVE
MEDICINE
30% dietary caloric restriction
Antioxidant therapy- vitamin
A supplements
Control
diabetes/hyperlipidemia
PROGNOSIS
Majority:
Slow deterioration
Neural presbycusis:
Worsen more rapidly
REHABILITATION
Precise hearing aid fitting
Hearing assistive devices
Lip reading classes
Possible cohlear implantation
Austin Aging Research

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