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Presbycusis

Ronald L. Cook, DO, MBA, FAAFP, FACOFP and Kimberly C. Nelson, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Presbycusis is an age-related hearing loss (HL), showing increased incidence with age. It often presents as difficulty communicating in noisy conditions.

  • May be divided into central a...

DIAGNOSIS

HISTORY

  • Reduced hearing sensitivity and speech understanding in noisy/public environments

  • Impaired localization of sound sources

  • Increased difficulty understanding conversations, especially wit...

TREATMENT

  • HAs

    • Types

      • Analog HA: picks up sound waves through a microphone; converts them into electrical signals; amplifies and sends them through the ear canal to the tympanic membrane

      • Digital HA: pr...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

  • During follow-up visits, check for compliance of HA use.

    • 25–40% of adults will either stop wearing them or use them only occasionally.

  • Assess pe...

REFERENCES

1
Yamasoba T, Lin FR, Someya S, et al. Current concepts in age-related hearing loss: epidemiology and mechanistic pathways. Hear Res.  2013;303:30–38. [View Abstract on OvidMedline]
2
Yu...

ADDITIONAL READING

  • Bagai A, Thavendiranathan P, Detsky AS. Does this patient have hearing impairment? JAMA.  2006;295(4):416–428. [View Abstract on OvidMedline]

  • Cruickshanks KJ, Nondahl DM, Tweed...

CODES

ICD10

  • H91.10 Presbycusis, unspecified ear

  • H91.13 Presbycusis, bilateral

  • H91.11 Presbycusis, right ear

  • H91.12 Presbycusis, left ear

ICD9

388.01 Presbyacusis 

SNOMED

  • 49526009 Presbycusis (finding)

  • 12962900...

CLINICAL PEARLS

  • Presbycusis is an age-related HL, showing increased incidence with age. It is often bilateral and initially begins as high-frequency HL. It presents as difficulty communicating in nois...

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