Presbycusis Flashcards
Presbycusis
Age-related hearing loss
Affects high-pitched sounds first
What type of hearing loss is presbycusis
Sensorineural hearing loss
Presentation of presbycusis
Gradual and symmetrical hearing loss
Pathophysiology of presbycusis
Loss of the hair cells in the cochlea
Loss of neurones in the cochlea
Atrophy of the stria vascularis
Reduced endolymphatic potential
Risk factors of presbycusis
Age Male gender Family history Loud noise exposure Diabetes Hypertension Ototoxic medications Smoking
Associated symptoms of presbycusis
Tinnitus
How to diagnose presbycusis
Audiometry - sensorineural hearing loss worse at high pitch
Management of presbycusis
Optimising the environment - reducing the ambient noise during conversations
Hearing aids
Cochlear implants (in patients where hearing aids are not sufficient)