Currently, one in three older adults will die with a diagnosis of dementia. With an aging population, otolaryngologists have a unique role to play in the care of patients with cognitive impairment. Otolaryngologic issues, including hearing loss, vestibular dysfunction, presbylaryngis, and dysphagia are among the most common co-morbidities in patients with dementia. As otolaryngologists caring for patients across the life course, this session will discuss the otologic, vestibular, laryngologic, and surgical care of patients with cognitive impairment. The presentation will cover the current understanding of the potential connections between sensory loss and cognition, the epidemiology of these common issues, and care recommendations. The presenters will also discuss pre-operative decision making and post-operative care for patients with dementia, utilizing cochlear implantation under local anesthesia as a key example. Geriatric otolaryngology is a growing part of daily practice, and this session aims to serve as a primer for providers in the care of patients with cognitive impairment and leverage the latest research and techniques.