Hearing amplification in adults
- Peter C Weber, MD, FACS
Peter C Weber, MD, FACS
- Professor and Head, Department of Otolaryngology
- University of Massachusetts Medical Center
Devices that amplify sound are integral to the management of hearing impairment. These include hearing aids, amplified telephones, and portable devices that can be used to amplify the sound coming from electronic systems at public events. Implantable hearing devices (eg, cochlear implants, osseointegrated implants, and electrically driven middle ear implants) are integral in providing hearing for adults in whom traditional hearing amplification devices do not provide adequate hearing.
Hearing amplification devices for adults are discussed here. Hearing amplification devices for children and the differential diagnosis of hearing loss are discussed separately. The evaluation of hearing loss is also discussed separately. (See "Hearing impairment in children: Treatment" and "Etiology of hearing loss in adults" and "Evaluation of hearing loss in adults".)
Most hearing impairments can be helped with a modern hearing aid. Young, middle-aged, and independent older adults who have hearing difficulties that interfere with work and social interactions, and who are highly motivated to improve their hearing, make excellent candidates for hearing amplification .
Identifying appropriate candidates — The first step in providing hearing amplification is for the audiologist, referring clinician, and patient to agree that the patient needs and is likely to benefit from a hearing aid. This mutual decision is based upon:
- Klein AJ, Weber PC. Hearing aids. Med Clin North Am 1999; 83:139.
- Chang WH, Tseng HC, Chao TK, et al. Measurement of hearing aid outcome in the elderly: comparison between young and old elderly. Otolaryngol Head Neck Surg 2008; 138:730.
- Jerger J, Darling R, Florin E. Efficacy of the cued-listening task in the evaluation of binaural hearing aids. J Am Acad Audiol 1994; 5:279.
- Kimberley BP, Dymond R, Gamer A. Bilateral digital hearing aids for binaural hearing. Ear Nose Throat J 1994; 73:176.
- Kollmeir, B, Peissing, J, Hohmann, V. Binaural noise reduction hearing aid scheme with real-time processing in the frequency domain. Scand Audiol 1984; 38 Suppl:28.
- Cook JA, Hawkins DB. Hearing loss and hearing aid treatment options. Mayo Clin Proc 2006; 81:234.
- Jackler RK. A 73-year-old man with hearing loss. JAMA 2003; 289:1557.
- Smeeth L, Fletcher AE, Ng ES, et al. Reduced hearing, ownership, and use of hearing aids in elderly people in the UK--the MRC Trial of the Assessment and Management of Older People in the Community: a cross-sectional survey. Lancet 2002; 359:1466.
- Lin FR, Thorpe R, Gordon-Salant S, Ferrucci L. Hearing loss prevalence and risk factors among older adults in the United States. J Gerontol A Biol Sci Med Sci 2011; 66:582.
- Kricos PB, Erdman S, Bratt GW, Williams DW. Psychosocial correlates of hearing aid adjustment. J Am Acad Audiol 2007; 18:304.
- Chien W, Lin FR. Prevalence of hearing aid use among older adults in the United States. Arch Intern Med 2012; 172:292.
- McCormack A, Fortnum H. Why do people fitted with hearing aids not wear them? Int J Audiol 2013; 52:360.
- Barker F, Mackenzie E, Elliott L, et al. Interventions to improve hearing aid use in adult auditory rehabilitation. Cochrane Database Syst Rev 2014; :CD010342.
- Choi JS, Betz J, Li L, et al. Association of Using Hearing Aids or Cochlear Implants With Changes in Depressive Symptoms in Older Adults. JAMA Otolaryngol Head Neck Surg 2016; 142:652.
- Yuen HW, Bodmer D, Smilsky K, et al. Management of single-sided deafness with the bone-anchored hearing aid. Otolaryngol Head Neck Surg 2009; 141:16.
- Lee CE, Christensen L, Richter GT, Dornhoffer JL. Arkansas BAHA experience: transcalvarial fixture placement using osseointegration surgical hardware. Otol Neurotol 2011; 32:444.
- Edwards B. The future of hearing aid technology. Trends Amplif 2007; 11:31.
- Kim HH, Barrs DM. Hearing aids: a review of what's new. Otolaryngol Head Neck Surg 2006; 134:1043.
- Barbara M, Biagini M, Monini S. The totally implantable middle ear device 'Esteem' for rehabilitation of severe sensorineural hearing loss. Acta Otolaryngol 2011; 131:399.
- Backous DD, Duke W. Implantable middle ear hearing devices: current state of technology and market challenges. Curr Opin Otolaryngol Head Neck Surg 2006; 14:314.
- Gerard JM, Thill MP, Chantrain G, et al. Esteem 2 middle ear implant: our experience. Audiol Neurootol 2012; 17:267.
- Gaylor JM, Raman G, Chung M, et al. Cochlear implantation in adults: a systematic review and meta-analysis. JAMA Otolaryngol Head Neck Surg 2013; 139:265.
- Cosetti MK, Lalwani AK. Is cochlear implantation safe and effective in the elderly? Laryngoscope 2015; 125:1279.
- Terry B, Kelt RE, Jeyakumar A. Delayed Complications After Cochlear Implantation. JAMA Otolaryngol Head Neck Surg 2015; 141:1012.
- Basura GJ, Eapen R, Buchman CA. Bilateral cochlear implantation: current concepts, indications, and results. Laryngoscope 2009; 119:2395.
- Bichey BG, Miyamoto RT. Outcomes in bilateral cochlear implantation. Otolaryngol Head Neck Surg 2008; 138:655.
- Smulders YE, van Zon A, Stegeman I, et al. Comparison of Bilateral and Unilateral Cochlear Implantation in Adults: A Randomized Clinical Trial. JAMA Otolaryngol Head Neck Surg 2016; 142:249.