{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:26:02Z","timestamp":1788279962581,"version":"build-2803163510"},"reference-count":46,"publisher":"Wiley","license":[{"start":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T00:00:00Z","timestamp":1724889600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"<jats:sec><jats:title>Objective(s)<\/jats:title><jats:p>FDA\u2010approved indications for cochlear implantation include patients with severe\u2010to\u2010profound unilateral hearing loss (UHL) or asymmetric hearing loss (AHL); however, these indications are not covered for Medicare beneficiaries. We assessed the outcomes of cochlear implant (CI) use for older adults with UHL or AHL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighteen older adults (\u226565\u2009years of age at surgery) with UHL\/AHL participated in a prospective, longitudinal investigation evaluating outcomes of CI use. Speech recognition for the affected ear was evaluated with consonant\u2010nucleus\u2010consonant (CNC) words. Spatial hearing was assessed with measures of sound source localization and sentence recognition in noise. The target sentence was presented from the front and the masker was either co\u2010located with the target (SoNo), presented toward the affected ear (SoNci) or contralateral ear (SoNcontra). Perceived benefit was assessed with the Speech, Spatial, and Qualities of Hearing scale (SSQ) and the Tinnitus Handicap Inventory (THI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants experienced significant improvements with CI use for CNC words (mean [SD]; preop: 8% [10%], 1\u2009yr: 51% [22%], 5\u2009yr: 50% [19%]), masked sentence recognition (SoNcontra preop: 5% [6%], 1\u2009yr: 22% [15%], 5\u2009yr: 41% [14%]), and localization (preop: 76\u00b0 [18\u00b0], 1\u2009yr: 40\u00b0 [11\u00b0], 5\u2009yr: 41\u00b0 [14\u00b0]),\u00a0and reported significant improvements in hearing abilities (SSQ Spatial Hearing preop: 3 [1], 1\u2009yr: 6 [2], 5\u2009yr: 6 [2]) and tinnitus severity (THI preop: 16 [18], 1\u2009yr: 4 [14], 5\u2009yr: 6 [12]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Older adults with UHL\/AHL experience significant improvements in speech recognition, spatial hearing, and subjective perceptions (e.g., hearing abilities and tinnitus severity) with a CI as compared to pre\u2010operative abilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>IV <jats:italic>Laryngoscope<\/jats:italic>, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31718","type":"journal-article","created":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T10:21:13Z","timestamp":1724926873000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Benefits of Cochlear Implantation for Older Adults With Asymmetric Hearing Loss"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4668-962X","authenticated-orcid":false,"given":"Benjamin R.","family":"Johnson","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\/Head &amp; Neck Surgery University of North Carolina at Chapel Hill  Chapel Hill North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4344-283X","authenticated-orcid":false,"given":"Margaret T.","family":"Dillon","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head &amp; Neck Surgery University of North Carolina at Chapel Hill  Chapel Hill North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas J.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head &amp; Neck Surgery University of North Carolina at Chapel Hill  Chapel Hill North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret E.","family":"Richter","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head &amp; Neck Surgery University of North Carolina at Chapel Hill  Chapel Hill North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea B.","family":"Overton","sequence":"additional","affiliation":[{"name":"Department of Audiology UNC Health  Chapel Hill North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith A.","family":"Rooth","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head &amp; Neck Surgery University of North Carolina at Chapel Hill  Chapel Hill North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0712-5060","authenticated-orcid":false,"given":"Amanda G.","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head &amp; Neck Surgery University of North Carolina at Chapel Hill  Chapel Hill North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew M.","family":"Dedmon","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head &amp; Neck Surgery University of North Carolina at Chapel Hill  Chapel Hill North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. 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