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CROS or hearing aid? Selecting the ideal solution for unilateral CI patients with limited aidable hearing in the contralateral ear.
Lively, Sarah; Agrawal, Smita; Stewart, Matthew; Dwyer, Robert T; Strobel, Laura; Marcinkevich, Paula; Hetlinger, Chris; Croce, Julia.
Afiliación
  • Lively S; Department of Otolaryngology, Thomas Jefferson University Hospital, Philadelphia, PA, United States of America.
  • Agrawal S; Collaborative Research Group, Clinical Research, Advanced Bionics, Valencia, CA, United States of America.
  • Stewart M; Department of Otolaryngology, Thomas Jefferson University Hospital, Philadelphia, PA, United States of America.
  • Dwyer RT; Collaborative Research Group, Clinical Research, Advanced Bionics, Valencia, CA, United States of America.
  • Strobel L; Department of Otolaryngology, Thomas Jefferson University Hospital, Philadelphia, PA, United States of America.
  • Marcinkevich P; Department of Otolaryngology, Thomas Jefferson University Hospital, Philadelphia, PA, United States of America.
  • Hetlinger C; Research and Technology Group, Advanced Bionics, Valencia, CA, United States of America.
  • Croce J; Department of Otolaryngology, Thomas Jefferson University Hospital, Philadelphia, PA, United States of America.
PLoS One ; 19(2): e0293811, 2024.
Article en En | MEDLINE | ID: mdl-38394286
ABSTRACT
A hearing aid or a contralateral routing of signal device are options for unilateral cochlear implant listeners with limited hearing in the unimplanted ear; however, it is uncertain which device provides greater benefit beyond unilateral listening alone. Eighteen unilateral cochlear implant listeners participated in this prospective, within-participants, repeated measures study. Participants were tested with the cochlear implant alone, cochlear implant + hearing aid, and cochlear implant + contralateral routing of signal device configurations with a one-month take-home period between each in-person visit. Audiograms, speech perception in noise, and lateralization were evaluated. Subjective feedback was obtained via questionnaires. Marked improvement in speech in noise and non-implanted ear lateralization accuracy were observed with the addition of a contralateral hearing aid. There were no significant differences in speech recognition between listening configurations. However, the chronic device use questionnaires and the final device selection showed a clear preference for the hearing aid in spatial awareness and communication domains. Individuals with limited hearing in their unimplanted ears demonstrate significant improvement with the addition of a contralateral device. Subjective questionnaires somewhat contrast with clinic-based outcome measures, highlighting the delicate decision-making process involved in clinically advising one device or another to maximize communication benefits.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Localización de Sonidos / Percepción del Habla / Implantes Cocleares / Implantación Coclear / Audífonos Límite: Humans Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Localización de Sonidos / Percepción del Habla / Implantes Cocleares / Implantación Coclear / Audífonos Límite: Humans Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos