Logo image
Cochlear Implantation and Single Sided Deafness
Journal article   Open access

Cochlear Implantation and Single Sided Deafness

Joshua Tokita, Camille Dunn and Marlan R Hansen
Current opinion in otolaryngology & head and neck surgery, Vol.22(5), pp.353-358
10/2014
DOI: 10.1097/MOO.0000000000000080
PMCID: PMC4185341
PMID: 25050566
url
https://doi.org/10.1097/MOO.0000000000000080View
Published (Version of record) Open Access

Abstract

Purpose of review: Recently, more patients with single-sided deafness (SSD) have been undergoing cochlear implantation. We review recent studies and case reports to provide an overview of the efficacy of cochlear implants to rehabilitate patients with SSD with regards to sound localization, speech discrimination, and tinnitus suppression. Recent findings: There are a growing number of studies evaluating the effect of cochlear implantation for rehabilitation of the deficits associated with SSD over the past several years as more centers offer this treatment modality to patients with SSD. Although individual studies have few patients and are underpowered, the vast majority report improvement in sound localization, speech understanding in quiet and noise, and tinnitus. In some cases, the outcomes with cochlear implant appear superior to those achieved with other devices, including contralateral routing of sound devices and osseointegrated implants. Summary: Although cochlear implant is not a Food and Drug Administration-approved treatment for SSD, several recent studies show improvements in speech understanding, sound localization, and tinnitus. Because of the low number of cases, it is difficult to conclusively compare outcomes achieved with cochlear implants and those provided by other devices. However, on the basis of encouraging early results and the unique ability to restore binaural sound processing, a growing number of centers offer cochlear implants as treatment for SSD. Forthcoming studies will help define outcome expectations in different populations.
single-sided deafness contralateral routing of sound Bone anchored hearing aid cochlear implant sound localization unilateral hearing loss speech discrimination osseointegrated implant

Details

Metrics

Logo image