ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2026
Improvements in Perceived Abilities and Speech Recognition in Quiet and Noise for Older Adults With Single-sided Deafness or Asymmetric Hearing Loss: A Multi-center Investigation.
Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Influence of hearing in the non-implanted ear and age on long-term speech recognition benefit for adult cochlear implant users with asymmetric hearing loss.Frontiers in neuroscience · 2026Article
- The Role of Patient Motivation in Single-Sided Deafness: Patterns in Treatment Selection and Cochlear Implant Outcomes.Journal of clinical medicine · 2025Article
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Authors and funding
7 authors.
Funding
Abstract
objectiveCochlear implantation is an effective treatment option for individuals with single-sided deafness (SSD) and asymmetric hearing loss (AHL). Most data are from young and middle-aged adults. This study assessed the outcomes of cochlear implant (CI) use for older adults. STUDY
designMulti-center, prospective, repeated-measures.
settingFive academic centers. PATIENTS: A total of 39 older adult (60 yr or older) CI users with SSD or AHL.
interventionCochlear implantation.
main outcome measuresProcedures were completed preoperatively with a rerouting device and 3, 6, and 12 months postactivation with the CI. Speech recognition for the affected ear was assessed with CNC words. Speech recognition in noise was assessed with the AzBio sentences. The target was presented from the front loudspeaker and the masker was co-located with the target, 90 degrees toward the better hearing ear, or 90 degrees toward the affected ear. Perceived abilities were assessed with the Speech, Spatial, and Qualities of hearing scale.
resultsParticipants demonstrated significant improvements over time on all measures ( p <0.001). There was no significant effect of age on CNC scores ( p =0.493) or perceived abilities ( p =0.314). Age ( p =0.031) and contralateral hearing level ( p <0.001) significantly influenced speech recognition in noise. The majority of participants experienced similar or improved performance in noise compared with their own preoperative abilities.
conclusionsOlder adults with SSD and AHL demonstrate significant benefit from cochlear implantation, supporting its effectiveness for Centers for Medicare and Medicaid Services beneficiaries. Candidates should be counseled on how age and hearing level in the better hearing ear may affect outcomes, particularly in noisy environments.
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