{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T17:04:08Z","timestamp":1785344648008,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To characterize longitudinal cochlear implant (CI) usage patterns in children with unilateral hearing loss (UHL) and evaluate the impact of age at implantation and duration of deafness on device use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Two academic tertiary care centers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Pediatric CI recipients with UHL implanted between 2018 and 2024 were included. Datalogging information was obtained at 3, 6, 12, 18, and 24 months postactivation. Patients were categorized as regular users (&gt;6\u2009h\/day) or moderate users (&gt;4\u2009h\/day). Usage patterns were analyzed using regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010three patients with datalogging available at 3 months postactivation (mean age at implantation: 7.3 years; SD 3.6) were included. At 3 months, 81% were regular users and 83% were moderate users, with mean usage of 8.2\u2009h\/day (SD 3.4). Usage remained stable over time: at 24 months, among 27 patients with available data, 64% were regular users and 82% were moderate users, with mean usage of 6.8\u2009h\/day (SD 2.9). Among regular users with sustained use at 6 months, mean usage decreased from 9.10 to 8.63\u2009h\/day by 24 months (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.033). No patients achieving 4\u2010hour usage at 6 months subsequently dropped below this threshold. Neither age at implantation nor duration of deafness correlated with usage changes. Most patients lost to follow\u2010up demonstrated at least moderate use at their last visit.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Children with UHL demonstrate high sustained CI usage through 24 months. Although usage declined over time, this averaged only about 30\u2009minutes per day. Early usage patterns appear predictive of long\u2010term device adoption.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70278","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:04:22Z","timestamp":1777896262000},"page":"470-479","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Longitudinal Cochlear Implant Use in Pediatric Patients With Unilateral Hearing Loss"],"prefix":"10.1002","volume":"175","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6331-5515","authenticated-orcid":false,"given":"David","family":"Octeau","sequence":"first","affiliation":[{"name":"Cleveland Clinic, Department of Pediatric Otolaryngology Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle","family":"Watson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Iowa Health Care Cochlear Implant Clinical Research Center Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Wajsberg","sequence":"additional","affiliation":[{"name":"Cleveland Clinic, Department of Pediatric Otolaryngology Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lacey","family":"Cantrell","sequence":"additional","affiliation":[{"name":"Cleveland Clinic, Department of Pediatric Otolaryngology Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Dunn","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Iowa Health Care Cochlear Implant Clinical Research Center Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Anne","sequence":"additional","affiliation":[{"name":"Cleveland Clinic, Department of Pediatric Otolaryngology Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003446-199808000-00008"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2007.12.006"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894211019519"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1044\/2021_JSLHR-20-00081"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heares.2018.08.003"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000667"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awt052"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815615871"},{"issue":"6","key":"e_1_2_8_10_1","first-page":"S1","article-title":"Benefits of Cochlear Implantation in Childhood Unilateral Hearing Loss (CUHL 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