Estimation of auditory threshold in an extended frequency range in elderly people
Objectives – to study hearing thresholds at high frequencies in elderly and senile patients, taking into account the age norm and the presence of comorbid diseases.
Material and methods. 111 patients aged from 50 to 97 years (mean age 70.5 ± 2.1) were examined, their age, auditory function, and concomitant diseases were also registered.
Results. The measured average auditory thresholds at high frequencies, if compared to the age-related standards for auditory sensitivity, have revealed an underestimated hearing loss in 12.6% of patients. The presence of concomitant diseases has a significant impact on the development of chronic sensorineural hearing loss in each age group.
Conclusion. Audiometry in an extended frequency range in elderly patients with concurrent diseases can improve the hearing examination algorithm.
Conflict of Interest: nothing to disclose.
1. Fact sheet on deafness and hearing loss. World Health Organization. Deafness and hearing loss (online) 2019. Available at: https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss
2. Fischer N., Weber B., Riechelmann H. Presbycusis - Age Related Hearing Loss. Laryngorhinootologie. 2016;95(7):497-510. doi: 10.1055/s-0042-106918
3. Golovanova LE, Boboshko MYu, Kvasov EA, Lapteva ES. Hearing disorders in patients of older age groups. Advances in Gerontology. 2019; 32(1-2): 166-173. (In Russ.).
4. Kunelskaya NL, Levina YuV, Garov EV, et al. Presbyacusis – current problem of the ageing population. Bulletin of Otorinolaringology. 2019;84(4):67-71. (In Russ.). doi: 10.17116/otorino20198404167
5. Löhler J, Cebulla M., Shehata-Dieler W. Hearing Impairment in Old Age. Dtsch Arztebl Int. 2019;116(17):301-310. doi: 10.3238/arztebl.2019.0301
6. Stenklev NC., Laukli E. Presbyacusis-hearing thresholds and the ISO 7029. Int J Audiol. 2004;43(5):295-306.doi:10.1080/14992020400050039
7. Rodríguez Valiente A, Roldán Fidalgo A, Villarreal IM, García Berrocal JR. Extended high-frequency audiometry (9000-20000 Hz). Usefulness in audiological diagnosis. Acta Otorrinolaringol Esp. 2016;67(1):40-4. doi: 10.1016/j.otorri.2015.02.002
8. Polku H, Mikkola T, Rantakokko M, et al. Hearing and Quality of Life Among Community-Dwelling Older Adults. J Gerontol B Psychol Sci Soc Sci. 2018;73(3),543-552. doi: 10.1093/geronb/gbw045
9. Rolim LP, Samelli AG, Moreira RR, Matas CG. Effects of diabetes mellitus and systemic arterial hypertension on elderly patients' hearing. Braz J Otorhinolaryngol. 2018;84(6):754-763. doi: 10.1016/j.bjorl.2017.08.014
10. Putilina MV. Comorbidity in elderly patients. S.S. Korsakov Journal of Neurology and Psychiatry. 2016; 116(5):106-111. (In Russ.). doi: 10.17116/jnevro201611651106-111
11. Jilek M, Suta D, Syka J. Reference hearingthresholds in an extended frequency range as a function of age. J Acoust Soc Am. 2014;136(4):1821-30. doi: 10.1121/1.4894719
12. Espino Guarch , Font-Llitjós M, Murillo-Cuesta S, et al. Mutations in L-type amino acid transporter-2 support SLC7A8 as a novel gene involved in age-related hearing loss. Elife. 2018;7. pii: e31511. doi: 10.7554/eLife.31511
13. Vuckovic D, Mezzavilla M, Cocca M, et al. Whole-genome sequencing reveals new insights into age-related hearing loss: cumulative effects, pleiotropy and the role of selection. Eur J Hum Genet. 2018;26(8):1167-1179. doi: 10.1038/s41431-018-0126-2
Aizenshtadt LV, Vladimirova TYu, Kurenkov AV, Kashapova AM. Estimation of auditory threshold in an extended frequency range in elderly people. Science & Innovations in Medicine. 2019;4(4):4-7. doi: 10.35693/2500-1388-2019-4-4-4-7
Send an online application form to the publicationSend