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Early management of presbycusis: recommendations from the French Society of Otorhinolaryngology and Head and Neck Surgery, the French Society of Audiology, and the French Society of Geriatrics and Gerontology Volume 21, issue 1, Mars 2023

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Tables

Authors
Le Réseau Français Presbyacousie
1 Service d’audiologie et d’explorations otoneurologiques, CHU de Lyon, Hôpital Édouard Herriot, Lyon, France
2 Université Lyon 1
3 Institut de l’audition, Institut Pasteur, Inserm, Paris, France
4 APHP-Sorbonne Université, GH Pitié-Salpêtrière, service ORL, unité fonctionnelle implants auditifs, Paris, France
5 Société Française d’Audiologie, Paris, France
6 Service ORL, CHU de Tours, Inserm UMR 1253 I-Brain, Université François-Rabelais, Tours, France
7 AP-HP, Hôpitaux universitaires Pitie-Salpêtrière-Charles Foix, Service de Gériatrie à orientation Cardiologique et Neurologique, F-94200 Ivry-sur-Seine, Sorbonne Université, Paris, France
8 Service ORL, CHU de Bordeaux, Hôpital Pellegrin, Bordeaux, France
9 Institut des Neurosciences de Montpellier - Inserm U1298, Centre de Recherche et de Formation en Audioprothèse - Montpellier, France
10 Ecole d’Audioprothèse, Université de Bordeaux, Bordeaux, France
11 Service ORL, CHU d’Estaing, Clermont-Ferrand, France
12 SONUP - Montpellier, France
13 Service ORL, Centre Mémoire Ressources et Recherche. CHU de Nice, Institut Claude Pompidou, Nice, France
14 Coordinatrice d’étude en audioprothèse, Marcq en Baroeul, France
15 Service de gériatrie, Hospices civils de Lyon, France
16 Service ORL, CHU de Brest, Laboratoire de Neurobiologie UA 4685, France
17 Service d’Otologie, Otoneurologie et ORL pédiatrique, Hôpital Pierre-Paul Riquet, CHU Toulouse Purpan, Toulouse, France
18 Service ORL, CHU-Hôpital Central, Nancy, France
19 Laboratoire d’Audiologie Clinique, Narbonne, France
20 Service d’Otologie et d’Otoneurologie, Hôpital Salengro, CHU Lille, Université de Lille, Lille, France
21 Service ORL, Hôpital de la Timone et de la Conception, Marseille, France
22 Société Française d’Otorhinolaryngologie et de Chirurgie de la Face et du Cou, Paris, France
23 Unité Otologie et Otoneurologie, Service ORL, CHU Gui de Chauliac, Montpellier, France
* Correspondance : H. Thai-Van

Introduction. Presbycusis is the physiological decrease in hearing due to advancing age and begins well before the sixth decade. These recommendations recall the principles of early diagnosis of presbycusis and the means of optimal rehabilitation as soon as the first symptoms appear. Material and methods. The recommendations are based on a systematic analysis of the literature carried out by a multidisciplinary group of doctors and audioprosthetists from all over France. They are graded A, B, C or expert opinion according to decreasing level of scientific evidence. Results. The diagnosis of presbycusis is more difficult at the beginning of its evolution but a certain number of tools are available for its early diagnosis and its management in face-to-face or even distance learning. Conclusion. In case of a clinical profile suggestive of presbycusis in a young subject, especially if there are several family cases, it is recommended to propose a genetic investigation. It is recommended to perform free-field speech audiometry in noise to measure intelligibility in an environment as close as possible to reality. Questionnaires can be used in addition to audiometry to best assess the patient’s disability. It is recommended that hearing rehabilitation with a hearing aid or cochlear implant may slow or prevent cognitive decline. Combined auditory and cognitive rehabilitation should be offered regardless of the time elapsed since the fitting. It is recommended to integrate programs accessible via smartphones, tablets or the Internet, integrating different training domains in addition to face-to-face sessions.