Related Experiment Video
Updated: Dec 5, 2025
Robotic Cochlear Implantation for Direct Cochlear Access
Published on: June 16, 2022
Is the cochlear implant a successful long-term solution for single-sided deaf and asymmetric hearing-impaired
Iva Speck1, Pascal Challier2, Thomas Wesarg2
1Faculty of Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Medical Center-University of Freiburg, Killianstraße 5, 79106, Freiburg, Germany. iva.speck@uniklinik-freiburg.de.
Purpose:
We investigated the long-term results of cochlear implant (CI) recipients with asymmetric hearing loss (AHL) or single-sided deafness (SSD). We focused on wearing behavior, audiometric hearing rehabilitation, and subjective benefits of the CI. CI is expected to improve audiological results, subjective hearing perception, and tinnitus burden.
Methods:
Speech recognition in background noise and sound localization were assessed preoperatively and after at least six years of CI experience. Validated questionnaires determined the subjective benefit of CI use and the subjective evaluation of tinnitus.
Results:
Over 80% of the included AHL and SSD CI recipients used their CI between 6 and 10 h daily; four subjects with SSD were non-users. Speech recognition in background noise and sound localization improved significantly compared with the unaided preoperative situation. Additionally, CI improved subjective speech intelligibility and spatial hearing impression while reducing tinnitus burden.
Conclusion:
Subjects with AHL and SSD benefit from CI, subjectively and audiologically. Cochlear implant is a successful long-term treatment for AHL and SSD.
