ENT - Presbycusis Flashcards

1
Q

Type of hearing loss in presbycusis

Presentation of presbycusis

A

Sensorineural hearing loss

Gradual onset

Tends to affect high-pitched sounds first - female voices may be harder to understand

Tinnitus may be present

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2
Q

Mechanism of the hearing loss in presbycusis

A

There are several different mechanisms, including loss of the hair cells in the cochlea, loss of neurones in the cochlea, atrophy of the stria vascularis and reduced endolymphatic potential.

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3
Q

Risk factors for presbycusis

A
Age
Male gender
Family history
Loud noise exposure
Diabetes
Hypertension
Ototoxic medications
Smoking
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4
Q

Presbycusis diagnosis is made with

A

Audiometry - this will show sensorineural problem with near-normal hearing at lower frequencies and worsening hearing loss at higher frequencies

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5
Q

Management of presbycusis

A

Optimising environment - reducing ambient noise during conversations

Hearing aids

Cochlear implants - where hearing aids arent sufficient

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