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Presbycusis

Ronald L. Cook, DO, MBA and Joshua McGuire, Doctor of Medicine Reviewed 06/2022
 


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

  • 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: programmable; ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • During follow-up visits, check for compliance of HA use as 25–40% of adults will either stop wearing them or use them only occasionally.

  • Assess p...

REFERENCES

1
Deal JA, Sharrett AR, Albert MS, et al. Hearing impairment and cognitive decline: a pilot study conducted within the atherosclerosis risk in communities neurocognitive study. Am J Epidemio...

CODES

ICD10

  • H91.10 Presbycusis, unspecified ear

  • H91.13 Presbycusis, bilateral

  • H91.11 Presbycusis, right ear

  • H91.12 Presbycusis, left ear

SNOMED

  • 49526009 Presbycusis (finding)

  • 129629004 Metabolic presbycusis

  • 1...

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 noisy...

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