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Separate analyses examined: (1) a matched ear from the BCI listeners (for sequentially implanted BCI listeners, the first-implanted ear in sequential BCI listeners, or, for simultaneously implanted BCI listeners, the ear on the same side as the CI in the matching SSD listener), and (2) the lower-performing ear across BCI listeners. Additional models included moderators such as age, time since activation, CI usage, and etiology. A final analysis compared first and second implants for sequential BCI listeners.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>SSD listeners showed significantly lower CNC performance after controlling for age, time since activation, CI usage, and etiology. Sequential BCI listeners exhibited significantly lower CNC performance on their second ear, compared to their first ear.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Speech perception with CIs is reduced in SSD listeners compared to BCI users, likely due to blocking, where the normal-hearing ear diminishes reliance on the CI. Lower performance in the second implanted ear of sequential BCI listeners also suggests greater reliance on the more experienced ear. These findings highlight the need for additional training, resources, and support to optimize CI performance in SSD listeners, despite prior evidence of positive CNC outcomes.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s10162-025-01001-3","type":"journal-article","created":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T15:59:57Z","timestamp":1752508797000},"page":"477-489","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Reduced Cochlear Implant Performance in Listeners with Single-Sided Deafness: Comparison with Bilateral Listeners"],"prefix":"10.1007","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2796-5414","authenticated-orcid":false,"given":"Charlotte","family":"Jeppsen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6532-284X","authenticated-orcid":false,"given":"Bob","family":"McMurray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,14]]},"reference":[{"key":"1001_CR1","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1159\/000380754","volume":"20","author":"C Vincent","year":"2015","unstructured":"Vincent C, Arndt S, Firszt JB, Fraysse B, Kitterick PT, Papsin BC, Snik A, Van de Heyning P, Deguine O, Marx M (2015) Identification and evaluation of cochlear implant candidates with asymmetrical hearing loss. 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Neuroimage 82:500\u2013509","journal-title":"Neuroimage"}],"container-title":["Journal of the Association for Research in Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10162-025-01001-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10162-025-01001-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10162-025-01001-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T19:02:06Z","timestamp":1757012526000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10162-025-01001-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,14]]},"references-count":55,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,8]]}},"alternative-id":["1001"],"URL":"https:\/\/doi.org\/10.1007\/s10162-025-01001-3","relation":{},"ISSN":["1438-7573"],"issn-type":[{"value":"1438-7573","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,14]]},"assertion":[{"value":"20 November 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 June 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 July 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the University of Iowa Institutional Review Board (IRB ID: 202210440).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"All participants were part of a multi-year study of clinical outcomes in CI users in which they were tested yearly (or more) following implantation. They underwent written informed consent at the audiological visit prior to receiving a cochlear implant, or at the first post-implantation visit for data collection.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}]}}