How Old Is Too Old for Cochlear Implant Reimplantation?
MD – HCP Live
Jeannette Y. Wick, RPh, MBA, FASCP
Feb 19, 2015
For people with severe to profound hearing loss, cochlear implants can restore hearing and improve quality of life. Initially FDA-approved in 1985, only individuals with bilateral profound sensorineural hearing loss with no open set speech recognition (in other words, some ability to understand speech without visual clues) were considered viable candidates for cochlear implants. The criteria have become less rigid over time, and more people are eligible including those with more profound residual hearing and pre-implant speech recognition scores. Occasionally, devices fail or medical complications create a need for revision surgery and reimplantation. The incidence of revision surgery is low, but outcomes are variable.
Some studies have suggested that advanced age may be associated with poor post-revision outcomes. Investigators from the University of North Carolina at Chapel Hill have completed a study that asks whether advanced age should be a contraindication for revision cochlear implantation.