{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T06:26:26Z","timestamp":1792304786081,"version":"4.4.0"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100005193","name":"American Academy of Otolaryngology-Head and Neck Surgery","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005193","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100002595","name":"American Otological Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100002595","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["5R25DC020262\u201002"],"award-info":[{"award-number":["5R25DC020262\u201002"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Individuals with single\u2010sided deafness (SSD) may develop adaptive listening strategies with head movement patterns to optimize monaural localization and speech\u2010in\u2010noise understanding. Granular understanding of adaptive behaviors may better inform rehabilitation for SSD. We aimed to characterize head movements during a combined localization and speech\u2010in\u2010noise task to understand how adaptive behaviors emerge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Prospective study from a tertiary referral center with 16 subjects with normal hearing (NH) and 15 SSD subjects. Sentences were played in a semi\u2010anechoic chamber from one of 24 speakers in a 360\u00b0 azimuthal configuration with a variable signal\u2010to\u2010noise ratio. Head position was captured via an electromagnetic tracking system. NH subjects completed the task twice, once with a deeply\u2010seated earplug and supra\u2010aural earmuff to simulate acute unilateral hearing loss and once unoccluded. Outcome measures included localization accuracy (mean absolute error, slope across targets), head movement (onset delay, total response time, total head displacement), and speech\u2010in\u2010noise performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Unoccluded NH subjects displayed accurate localization, minimal movement delay, rapid response time, low total head displacement, and high speech\u2010in\u2010noise percent correct compared to the occluded condition and SSD subjects. Localization accuracy and SIN performance were comparable between NH occluded and SSD; however, the groups had distinct head movement patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Acute unilateral hearing loss leads to sharp declines in localization accuracy and speech\u2010in\u2010noise performance. In SSD, difficult listening conditions may prompt the development of distinct head movement patterns over time. This work provides key initial insight into adaptive listening strategies that individuals with SSD may acquire and utilize in complex listening environments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70034","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T10:59:50Z","timestamp":1754909990000},"page":"434-442","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of Acute Versus Chronic Unilateral Hearing Loss on Head Movement in a Novel Binaural Task"],"prefix":"10.1002","volume":"136","author":[{"given":"Madison V.","family":"Epperson","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Obada","family":"Abdulrazzak","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of Michigan  Ann Arbor Michigan USA"},{"name":"University of Arizona College of Medicine  Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerilyn","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine I.","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6254-1908","authenticated-orcid":false,"given":"Renee M.","family":"Banakis Hartl","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27017"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2017.1300321"},{"issue":"2","key":"e_1_2_8_4_1","first-page":"239","article-title":"Quality of Life in the Elderly With an Acquired Single\u2010Sided Deafness","volume":"34","author":"Karpishchenko S. 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