Comprehensive management of presbycusis: Central and peripheral

Kourosh Parham, Frank R. Lin, Daniel H. Coelho, Robert T. Sataloff, George A. Gates

Research output: Contribution to journalReview articlepeer-review

31 Scopus citations


The prevailing otolaryngologic approach to treatment of age-related hearing loss (ARHL), presbycusis, emphasizes compensation of peripheral functional deficits (ie, hearing aids and cochlear implants). This approach does not address adequately the needs of the geriatric population, 1 in 5 of whom is expected to consist of the "old old'' in the coming decades. Aging affects both the peripheral and central auditory systems, and disorders of executive function become more prevalent with advancing age. Growing evidence supports an association between age-related hearing loss and cognitive decline. Thus, to facilitate optimal functional capacity in our geriatric patients, a more comprehensive management strategy of ARHL is needed. Diagnostic evaluation should go beyond standard audiometric testing and include measures of central auditory function, including dichotic tasks and speech-in-noise testing. Treatment should include not only appropriate means of peripheral compensation but also auditory rehabilitative training and counseling.

Original languageEnglish (US)
Pages (from-to)537-539
Number of pages3
JournalOtolaryngology - Head and Neck Surgery (United States)
Issue number4
StatePublished - Apr 2013


  • Age-related hearing loss
  • Aging
  • Alzheimer disease
  • Auditory neurotology
  • Auditory rehabilitation
  • Cochlear implant
  • Cognitive decline
  • Cognitive function
  • Dichotic tasks
  • Executive function
  • Geriatric
  • Hearing aid
  • Presbycusis
  • Speech-innoise testing

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


Dive into the research topics of 'Comprehensive management of presbycusis: Central and peripheral'. Together they form a unique fingerprint.

Cite this