{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T04:47:22Z","timestamp":1771303642703,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,2,8]],"date-time":"2013-02-08T00:00:00Z","timestamp":1360281600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:p>The prevailing otolaryngologic approach to treatment of age\u2010related 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\u00a0in 5 of whom is expected to consist of the \u201cold old\u201d 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\u2010related 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\u2010in\u2010noise testing. Treatment should include not only appropriate means of peripheral compensation but also auditory rehabilitative training and counseling.<\/jats:p>","DOI":"10.1177\/0194599813477596","type":"journal-article","created":{"date-parts":[[2013,2,8]],"date-time":"2013-02-08T21:56:34Z","timestamp":1360360594000},"page":"537-539","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Comprehensive Management of Presbycusis: Central and Peripheral"],"prefix":"10.1002","volume":"148","author":[{"given":"Kourosh","family":"Parham","sequence":"first","affiliation":[{"name":"Department of Surgery Division of Otolaryngology\u2013Head &amp; Neck Surgery University of Connecticut Health Center Farmington Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank R.","family":"Lin","sequence":"additional","affiliation":[{"name":"Departments of Otolaryngology\u2013Head &amp; Neck Surgery and Epidemiology Johns Hopkins University School of Medicine and Bloomberg School of Public Health Baltimore Maryland USA"},{"name":"Center on Aging and Health Johns Hopkins Medical Institutions Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel H.","family":"Coelho","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; 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