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Sound Source Localization Testing in Single-sided Deafness Following Bone Conduction Intervention
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Targeted Auditory Rehabilitation Employing Direct Audio Input in Children With Single-Sided Deafness Using a Cochlear

Limor Adi-Bensaid1,2, Yifat Yaar-Soffer1,3, Carmel Eldar4

  • 1Department of Hearing, Speech, and Language Center, Sheba Medical Center, Tel Hashomer, Israel.

Ear and Hearing
|October 23, 2025
PubMed
Summary
This summary is machine-generated.

This study introduces a new auditory rehabilitation protocol for children with single-sided deafness (SSD) using cochlear implants (CI). The protocol, incorporating direct audio streaming, shows promising results in improving speech perception and audibility for children with SSD and CI.

Keywords:
Auditory rehabilitation protocolAuditory trainingChildrenCochlear implantDirect auditory inputSingle-sided deafness

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Area of Science:

  • Audiology
  • Neuroscience
  • Pediatric Rehabilitation

Background:

  • Single-sided deafness (SSD) in children using cochlear implants (CI) presents unique rehabilitation challenges.
  • Current rehabilitation guidelines for this population are lacking.
  • Direct audio streaming offers a novel approach for isolated auditory training of the implanted ear.

Purpose of the Study:

  • To introduce a novel auditory rehabilitation protocol for children with SSD using CI.
  • To incorporate direct audio streaming for targeted auditory training.
  • To evaluate the outcomes of this specialized protocol.

Main Methods:

  • The protocol was implemented in 33 children with SSD (mean age 4.2 years) using CI.
  • Intervention included 12 therapy sessions: isolated ear training via audio streaming, binaural training, and follow-up.
  • Outcome measures: speech perception, cortical auditory evoked potentials, parental questionnaires, and data logging.

Main Results:

  • 82% of children achieved word identification (67% open-set).
  • 82% showed elicited cortical auditory evoked potentials to speech sounds.
  • High CI usage (7.5 hours/day) and parental satisfaction (SSQ score 7.1) were reported.

Conclusions:

  • The developed protocol effectively addresses the challenges of rehabilitating children with SSD using CI.
  • The protocol demonstrates feasibility and efficacy, supporting its use as a clinical guideline.
  • Direct audio streaming is a valuable tool in auditory rehabilitation for this population.