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Cochlear implantation in patients with asymmetric hearing loss: reporting and discussing the benefits in speech perception, speech reception threshold, squelch abilities, and patients’ reported outcomes

Published online by Cambridge University Press:  07 January 2022

F Forli ,
S Berrettini ,
L Bruschini ,
R Canelli  and
F Lazzerini Open the ORCID record for F Lazzerini [Opens in a new window]
F Forli*
Affiliation:
Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, Italy
S Berrettini
Affiliation:
Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, Italy Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden
L Bruschini
Affiliation:
Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, Italy
R Canelli
Affiliation:
Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, Italy
F Lazzerini
Affiliation:
Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, Italy
*
Author for correspondence: Dr Francesca Forli, ENT, Audiology and Phoniatrics Unit, Pisa University Hospital, Via Paradisa 2, 56120Pisa, Italy E-mail: francesca.forli@gmail.com
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Abstract

Objectives

This study presents the results obtained in a group of patients with asymmetric hearing loss undergoing cochlear implantation at our institution. Prognostic factors are discussed in relation to different rehabilitative approaches for asymmetric hearing loss remediation. The current literature is also discussed.

Methods

Nineteen adult patients with post-verbal asymmetric hearing loss were enrolled. The results were assessed by means of a speech perception test, completed in silence and with background noise, and a speech reception threshold test (Oldenburg Sentence Test). The subjectively perceived benefits were assessed using the Speech, Spatial and Qualities of Hearing Scale.

Results

Statistically significant improvements were achieved by all patients in terms of speech perception and speech reception threshold, and in subjective benefits.

Conclusion

The results confirm the literature findings which suggest that patients with asymmetric hearing loss generally gain substantial benefit from cochlear implantation because of the binaural input, with significant improvement in speech perception abilities in noise, speech reception threshold, and squelch abilities.

Keywords

Cochlear ImplantsHearing DisordersHearing Loss
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 10 , October 2022 , pp. 964 - 969
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr F Forli takes responsibility for the integrity of the content of the paper

References

Firszt, JB, Reeder, RM, Holden, LK, Dwyer, NY; Asymmetric Hearing Study Team. Results in adult cochlear implant recipients with varied asymmetric hearing: a prospective longitudinal study of speech recognition, localization, and participant report. Ear Hear 2018;39:845–62CrossRefGoogle ScholarPubMed
Hoppe, U, Hocke, T, Digeser, F. Bimodal benefit for cochlear implant listeners with different grades of hearing loss in the opposite ear. Acta Otolaryngol 2018;138:713–21CrossRefGoogle ScholarPubMed
Noble, W, Gatehouse, S. Interaural asymmetry of hearing loss, Speech, Spatial and Qualities of Hearing Scale (SSQ) disabilities, and handicap. Int J Audiol 2004;43:100–14CrossRefGoogle ScholarPubMed
Wie, OB, Pripp, AH, Tvete, O. Unilateral deafness in adults: effects on communication and social interaction. Ann Otol Rhinol Laryngol 2010;119:772–81Google ScholarPubMed
Dwyer, NY, Firszt, JB, Reeder, RM. Effects of unilateral input and mode of hearing in the better ear: self-reported performance using the Speech, Spatial and Qualities of Hearing Scale. Ear Hear 2014;35:126–36CrossRefGoogle ScholarPubMed
Bronkhorst, AW, Plomp, R. The effect of head-induced interaural time and level differences on speech intelligibility in noise. J Acoust Soc Am 1988;83:1508–16CrossRefGoogle ScholarPubMed
Bronkhorst, AW, Plomp, R. Binaural speech intelligibility in noise for hearing-impaired listeners. J Acoust Soc Am 1989;86:1374–83CrossRefGoogle ScholarPubMed
Colburn, HS. Binaural interaction and localization with various hearing impairments. Scand Audiol Suppl 1982;15:27–45Google ScholarPubMed
Arndt, S, Laszig, R, Aschendorff, A, Hassepass, F, Beck, R, Wesarg, T. Cochlear implant treatment of patients with single-sided deafness or asymmetric hearing loss. HNO 2017;65:98–108CrossRefGoogle ScholarPubMed
Tyler, RS, Parkinson, AJ, Wilson, BS, Witt, S, Preece, JP, Noble, W. Patients utilizing a hearing aid and a cochlear implant: speech perception and localization. Ear Hear 2002;23:98–105CrossRefGoogle Scholar
Ching, TY, Incerti, P, Hill, M. Binaural benefits for adults who use hearing aids and cochlear implants in opposite ears. Ear Hear 2004;25:9–21CrossRefGoogle ScholarPubMed
Potts, LG, Skinner, MW, Litovsky, RA, Strube, MJ, Kuk, F. Recognition and localization of speech by adult cochlear implant recipients wearing a digital hearing aid in the nonimplanted ear (bimodal hearing). J Am Acad Audiol 2009;20:353–73Google Scholar
Vincent, C, Arndt, S, Firszt, JB, Fraysse, B, Kitterick, PT, Papsin, BC et al. Identification and evaluation of cochlear implant candidates with asymmetrical hearing loss. Audiol Neurootol 2015;20:87–9CrossRefGoogle ScholarPubMed
Burdo, S, Amigoni, E, Barbot, A, Bossi, R, Cornacchia, L, De Filippis, A et al. Common Protocol for the Evaluation of Outcomes in Rehabilitation Audiology [in Italian]. Florence: Edizioni CRO, 1997Google Scholar
Arndt, S, Laszig, R, Aschendorff, A, Beck, R, Schild, C, Hassepass, F et al. Unilateral deafness and cochlear implantation: audiological diagnostic evaluation and outcomes [in German]. HNO 2011;59:437–46CrossRefGoogle Scholar
van Loon, MC, Smits, C, Smit, CF, Hensen, EF, Merkus, P. Cochlear implantation in adults with asymmetric hearing loss: benefits of bimodal stimulation. Otol Neurotol 2017;38:e100–6CrossRefGoogle ScholarPubMed
Sladen, DP, Carlson, ML, Dowling, BP, Olund, AP, DeJong, MD, Breneman, A et al. Cochlear implantation in adults with asymmetric hearing loss: speech recognition in quiet and in noise, and health related quality of life. Otol Neurotol 2018;39:576–81CrossRefGoogle ScholarPubMed
Ellsperman, SE, Zwolan, TA, Telian, SA. Rehabilitation for unilateral deafness - narrative review comparing a novel bone conduction solution with existing options. Am J Otolaryngol 2021;42:103060CrossRefGoogle ScholarPubMed
Jakob, TF, Speck, I, Rauch, AK, Hassepass, F, Ketterer, MC, Beck, R et al. Bone-anchored hearing system, contralateral routing of signals hearing aid or cochlear implant: what is best in single-sided deafness? Eur Arch Otorhinolaryngol 2022;279:149–58CrossRefGoogle ScholarPubMed
Deep, NL, Spitzer, ER, Shapiro, WH, Waltzman, SB, Roland, JT Jr, Friedmann, DR. Cochlear implantation in adults with single-sided deafness: outcomes and device use. Otol Neurotol 2021;42:414–23CrossRefGoogle ScholarPubMed
Plant, K, Babic, L. Utility of bilateral acoustic hearing in combination with electrical stimulation provided by the cochlear implant. Int J Audiol 2016;55(suppl 2):S31–8CrossRefGoogle ScholarPubMed
Boisvert, I, McMahon, CM, Dowell, RC, Lyxell, B. Long-term asymmetric hearing affects cochlear implantation outcomes differently in adults with pre- and postlingual hearing loss. PLoS One 2015;10:e0129167CrossRefGoogle ScholarPubMed
Thompson, NJ, Dillon, MT, Buss, E, Rooth, MA, King, ER, Bucker, AL et al. Subjective benefits of bimodal listening in cochlear implant recipients with asymmetric hearing loss. Otolaryngol Head Neck Surg 2020;162:933–41CrossRefGoogle ScholarPubMed
Ketterer, MC, Knopke, S, Haussler, SM, Hildenbrand, T, Becker, C, Grabel, S et al. Asymmetric hearing loss and the benefit of cochlear implantation regarding speech perception, tinnitus burden and psychological comorbidities: a prospective follow-up study. Eur Arch Otorhinolaryngol 2018;275:2683–93CrossRefGoogle ScholarPubMed
Tavora-Vieira, D, Acharya, A, Rajan, GP. What can we learn from adult cochlear implant recipients with single-sided deafness who became elective non-users? Cochlear Implants Int 2020;21:220–7CrossRefGoogle ScholarPubMed