Abstract
Cochlear implantation has become an accepted treatment for adults with advanced presbycusis or the continued progression of early-onset sensorineural hearing loss. Older adults (ie, those ≥ 65 years) make up greater than 12% of the current US population, and this number is expected to double in the next 20 years.1 As such, the number of older cochlear implant candidates is expected to increase, as well as their mean age at presentation. Issues associated with cochlear implantation in elderly patients include surgical safety, quality-of-life and cost-utility concerns, and postimplantation performance.

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