Presbycusis is sensorineural bilateral symmetrical, progressive hearing loss, caused by the advance
of age. It involves mainly the higher frequencies and associated with tinnitus. Presbycusis the most
frequent form of sensorineural hearing loss of the adult, characterized by the progressive difficulty following
the conversation, especially in noisy environments. It is caused by reduction in the number of
Corti cells, induced by genetic and environmental factors. In the elderly communication disorders generate
isolation and depression, thereby causing a significant reduction of life quality. An observational
study at our hospital in 2010, using questionnaires on verbal-acoustic communication (Self Assessment
of Communication), found that older people have a poor perception of disability related to hearing
loss. For presbycusis to be diagnosed, tone audiometry and speech and sovraliminary tests have to be
carried out and must be integrated with the evaluation of extremely high frequencies (EHFs). In the
majority of cases, rehabilitation involves conventional hearing aids. The most commonly used are retroauricular
hearing aids, when these are contraindicated partially or totally implantable hearing device
scan be used. Careful follow up of the patient is also fundamental, using benefit questionnaires to find
the optimal fitting and therefore the best result
