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Updated: Jul 1, 2025

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Long-Term Cochlear Implant Sound Processor Usage in Children with Single-Sided Deafness
Raimundo J Garcia-Matte1, Luke M O'Neil1, Carl Chase1
1Department of Otolaryngology, Perth Children's Hospital.
Objective:
To assess cochlear implant (CI) sound processor usage over time in children with single-sided deafness (SSD) and identify factors influencing device use.
Study Design:
Retrospective, chart review study.
Setting:
Pediatric tertiary referral center.
Patients:
Children with SSD who received CI between 2014 and 2020.
Outcome Measure:
Primary outcome was average daily CI sound processor usage over follow-up.
Results:
Fifteen children with SSD who underwent CI surgery were categorized based on age of diagnosis and surgery timing. Over an average of 4.3-year follow-up, patients averaged 4.6 hours/day of CI usage. Declining usage trends were noted over time, with the first 2 years postactivation showing higher rates. No significant usage differences emerged based on age, surgery timing, or hearing loss etiology.
Conclusions:
Long-term usage decline necessitates further research into barriers and enablers for continued CI use in pediatric SSD cases.
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