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BackTable / ENT / Podcast / Episode #261

Cochlear Implants in the Elderly: Challenges & Solutions

with Dr. Cameron Wick

Only 7–10% of patients who qualify for cochlear implants actually receive one. Why are so many older adults missing out on life-changing hearing care? In this episode of the BackTable ENT Podcast, guest hosts Dr. Joe Walter Kutz and Dr. Brandon Isaacson are joined by Dr. Cameron Wick of University Hospitals Cleveland Medical Center to discuss cochlear implantation in the elderly population.

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Cochlear Implants in the Elderly: Challenges & Solutions with Dr. Cameron Wick on the BackTable ENT Podcast
Ep 261 Cochlear Implants in the Elderly: Challenges & Solutions with Dr. Cameron Wick
00:00 / 01:04

BackTable, LLC (Producer). (2026, February 17). Ep. 261 – Cochlear Implants in the Elderly: Challenges & Solutions [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Brandon Isaacson on the BackTable ENT Podcast

Dr. Brandon Isaacson is a Professor in the Department of Otolaryngology - Head and Neck Surgery at UT Southwestern Medical Center.

Dr. Joe Walter Kutz on the BackTable ENT Podcast

Dr. Joe Walter Kutz is a neurotologist and Professor of Otolaryngology and Neurosurgery at the University of Texas Southwestern Medical Center in Dallas, TX.

Dr. Cameron Wick on the BackTable ENT Podcast

Dr. Cameron Wick is an otolaryngologist practicing at University Hospitals Cleveland Medical Center in Cleveland, Ohio.

Synopsis

The doctors explore common barriers to cochlear implantation, persistently low referral rates, and the substantial benefits these devices can offer older adults. Dr. Wick shares insights from his recent study on patients in their 80s and 90s, highlighting meaningful improvements in speech perception and overall quality of life. The conversation also addresses surgical considerations, postoperative care, the importance of timely intervention, and updated Medicare guidelines.

Timestamps

00:00 - Introduction
02:52 - Risks and Benefits of CI in Older Adults
11:57 - Handling Anticoagulation During CI Surgery
13:59 - Post-Surgery Expectations and Balance Issues
16:35 - Next Day Activation and Surgical Considerations
19:17 - Assessing Patient Suitability for Cochlear Implants
22:45 - Setting Patient Expectations for Cochlear Implants
23:39 - Barriers to Cochlear Implant Access
28:07 - Importance of Early Identification and Referral
31:47 - Postoperative Rehabilitation and Patient Support
39:30 - Concluding Thoughts and Acknowledgements

Resources

The Materials available on BackTable are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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Topics

Cochlear Implant Podcasts
Hearing Loss Podcasts
Otology Podcasts
Sensorineural Hearing Loss (SNHL) Podcasts

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