{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T14:19:10Z","timestamp":1788445150726,"version":"build-2803163510"},"reference-count":23,"publisher":"American Speech Language Hearing Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Audiol"],"published-print":{"date-parts":[[2026,9,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The aim of this study was to evaluate the accuracy of self-reported hearing asymmetry in predicting objectively defined asymmetric hearing loss (AHL) and identify patient factors associated with over- or underestimation of individual ear hearing loss severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A cross-sectional survey analysis of consecutive adult patients undergoing audiometric evaluation was conducted at the audiology and otology\/neurotology clinics of a single tertiary referral center from 2020 to 2025. Fifty patients reporting hearing asymmetry who had not undergone prior audiometric testing within 5 years were included. A survey was administered to quantify subjective individual ear hearing loss severity before audiometric evaluation to determine the accuracy of self-reported AHL (\u2265 15 dB interaural difference) and subjective severity estimation for each ear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Seventy percent of patients incorrectly identified AHL based on audiometric testing. Misclassification did not differ significantly according to age, sex, or race. Patients with lower (&lt; 25 dB) or moderate (25\u201350 dB) binaural pure-tone averages were more likely to misclassify AHL than those with higher thresholds (&gt; 50 dB). Sixty-two percent of patients misclassified the worse hearing ear, with a strong bias toward overestimation (94%). In contrast, 48% misclassified the better hearing ear, with a modest skew toward underestimation (58%). Across subgroups, worse hearing ears were significantly overestimated compared with better hearing ears. Patients with better binaural hearing and narrower interaural differences were more prone to worse hearing ear overestimation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>It is likely that patients do not reliably estimate AHL corresponding to a 15-dB interaural difference. Better binaural hearing and lower interaural asymmetry were associated with poorer estimation of the worse hearing ear, underscoring the importance of audiometric confirmation in patients with preserved hearing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1044\/2026_aja-25-00291","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T17:40:13Z","timestamp":1784310013000},"page":"1078-1087","source":"Crossref","is-referenced-by-count":0,"title":["Hearing Loss Perceptions in Patients With Subjective Asymmetry: Analysis and Implications"],"prefix":"10.1044","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6243-276X","authenticated-orcid":false,"given":"Aaron","family":"Tucker","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Virginia Commonwealth University School of Medicine, Richmond"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6059-2146","authenticated-orcid":false,"given":"Andrew","family":"Belilos","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Virginia Commonwealth University School of Medicine, Richmond"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8492-0573","authenticated-orcid":false,"given":"Pavan S.","family":"Krishnan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery, University of Miami, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3396-0115","authenticated-orcid":false,"given":"Arman","family":"Saeedi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Virginia Commonwealth University School of Medicine, Richmond"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4408-4176","authenticated-orcid":false,"given":"Mihai A.","family":"Bentan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Virginia Commonwealth University School of Medicine, Richmond"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Gills","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Virginia Commonwealth University School of Medicine, Richmond"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6485-2075","authenticated-orcid":false,"given":"Daniel H.","family":"Coelho","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Virginia Commonwealth University School of Medicine, Richmond"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1310","reference":[{"key":"e_1_3_1_2_1","unstructured":"American Academy of Otolaryngology\u2013Head and Neck Surgery. (2021 April 21). Position statement: Red flags\u2014Warning of ear disease. https:\/\/www.entnet.org\/resource\/position-statement-red-flags-warning-of-ear-disease\/"},{"key":"e_1_3_1_3_1","doi-asserted-by":"publisher","DOI":"10.2196\/28378"},{"key":"e_1_3_1_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1616601"},{"key":"e_1_3_1_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e31824e0ba7"},{"key":"e_1_3_1_6_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-89102011005000050"},{"key":"e_1_3_1_7_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.2783130"},{"key":"e_1_3_1_8_1","article-title":"Speech perception in bilateral hearing aid users with different grades of asymmetric hearing loss","volume":"15","author":"Hoppe U.","year":"2021","unstructured":"Hoppe, U., Hast, A., & Hocke, T. (2021). Speech perception in bilateral hearing aid users with different grades of asymmetric hearing loss. 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S.","year":"2024","unstructured":"Tsai Do, B. S., Bush, M. L., Weinreich, H. M., Schwartz, S. R., Anne, S., Adunka, O. F., Bender, K., Bold, K. M., Brenner, M. J., Hashmi, A. Z., Keenan, T. A., Kim, A. H., Moore, D. J., Nieman, C. L., Palmer, C. V., Ross, E. J., Steenerson, K. K., Zhan, K. Y., Reyes, J., & Dhepyasuwan, N. (2024). Clinical practice guideline: Age-related hearing loss. Otolaryngology\u2014Head and Neck Surgery, 170(S2), S1\u2013S54. https:\/\/doi.org\/10.1002\/ohn.750","journal-title":"Otolaryngology\u2014Head and Neck Surgery"},{"key":"e_1_3_1_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.15009"},{"key":"e_1_3_1_22_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0123290"},{"key":"e_1_3_1_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/2331216518784837"},{"key":"e_1_3_1_24_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2590"}],"container-title":["American Journal of Audiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/pubs.asha.org\/doi\/pdf\/10.1044\/2026_AJA-25-00291","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T14:00:41Z","timestamp":1788444041000},"score":1,"resource":{"primary":{"URL":"https:\/\/pubs.asha.org\/doi\/10.1044\/2026_AJA-25-00291"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,3]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9,3]]}},"alternative-id":["10.1044\/2026_AJA-25-00291"],"URL":"https:\/\/doi.org\/10.1044\/2026_aja-25-00291","relation":{},"ISSN":["1059-0889","1558-9137"],"issn-type":[{"value":"1059-0889","type":"print"},{"value":"1558-9137","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,3]]}}}