Classification

Based on the pathological changes that occur. Schuknecht et al classify presbycusis into 4 types:

1. Sensory (11.9%)
Lesions limited to the cochlea. Corti organ atrophy, the number of hair cells and supporting cells
is reduced.
2. Neural (30.7%)
Neurons in the cochlea and auditory pathways is reduced
3. Metabolic / strial presbycusis (34.6%)
Vaskularis stria atrophy, decreased mikrofonik potential. Cell function and balance biochemistry
/ bioelectrical cochlear reduced.
4. Mechanical / cochlear presbycusis (22.8%)
There were changes in the mechanical movement cochlear duct. Atrophy of the spiral ligament.
Basilar membrane more rigid.