{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:01:48Z","timestamp":1777881708949,"version":"3.51.4"},"reference-count":79,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trends in Hearing"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    This study aimed to characterize effects of bilateral bone conduction devices (BCD) including the Cochlear\u2122 Osia\n                    <jats:sup>\u00ae<\/jats:sup>\n                    (Osia) and the Cochlear\u2122 percutaneous Baha\n                    <jats:sup>\u00ae<\/jats:sup>\n                    Connect System (Baha) on localization of stationary and moving sound in children and adolescents with bilateral atresia. Participants were 11 listeners with BCDs [\n                    <jats:italic toggle=\"yes\">M<\/jats:italic>\n                    <jats:sub>Age<\/jats:sub>\n                    (SD)\u2009=\u200914.7(3.5) years] and 11 age-matched controls [\n                    <jats:italic toggle=\"yes\">M<\/jats:italic>\n                    <jats:sub>Age<\/jats:sub>\n                    (SD)\u2009=\u200914.9(1.9) years]. Outcomes were word recognition in quiet and noise, spatial release from masking (SRM) [spondee-word recognition thresholds in noise at co-located\/0\u00b0 or separated (90\u00b0 left\/right) positions], self-reported hearing using the Speech, Spatial and Qualities of Hearing Scale (SSQ), and localization of stationary and moving sound with tracking of real-time unrestricted head movements. BCD users had reduced speech perception accuracy in noise during unilateral listening (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.001) and higher speech recognition thresholds than controls (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u2009.001). BCD users had higher errors than controls during stationary (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.001) and moving (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.001) sound localization consistent with self-reported spatial hearing challenges. BCD users had significantly reduced errors during bilateral use compared to unilateral use for stationary (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.01) but not always for moving (right unilateral:\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.01; left unilateral:\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u2009.46) sound localization. BCD users spent less time moving their heads in the correct direction compared to controls for stationary and moving sound localization (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.01). Results indicate that children and adolescents with BCDs demonstrate improved localization of stationary but not moving sound-sources, with bilateral device use compared to unilateral use. This finding provides evidence for some access to binaural cues and mitigation of head shadow despite transcranial attenuation, but ineffective use of head movements.\n                  <\/jats:p>","DOI":"10.1177\/23312165261422955","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T17:55:09Z","timestamp":1771437309000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Benefits of Bilateral Bone Conduction Device Use Including Osia Devices in Children and Adolescents With Bilateral Atresia"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4074-7996","authenticated-orcid":false,"given":"Robel Z.","family":"Alemu","sequence":"first","affiliation":[{"name":"The Hospital for Sick Children"},{"name":"Institute of Medical Science, The University of Toronto, Toronto, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5175-4023","authenticated-orcid":false,"given":"Alan","family":"Blakeman","sequence":"additional","affiliation":[{"name":"The Hospital for Sick Children"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9177-2708","authenticated-orcid":false,"given":"Jaina","family":"Negandhi","sequence":"additional","affiliation":[{"name":"The Hospital for Sick Children"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blake C.","family":"Papsin","sequence":"additional","affiliation":[{"name":"The Hospital for Sick Children"},{"name":"Institute of Medical Science, The University of Toronto, Toronto, Canada"},{"name":"Department of Otolaryngology-Head &amp; Neck Surgery, University of Toronto, Toronto, Canada"},{"name":"The Hospital for Sick Children"},{"name":"Program in Neuroscience and Mental Health, Research Institute, Toronto, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon L.","family":"Cushing","sequence":"additional","affiliation":[{"name":"The Hospital for Sick Children"},{"name":"Institute of Medical Science, The University of Toronto, Toronto, Canada"},{"name":"Department of Otolaryngology-Head &amp; Neck Surgery, University of Toronto, Toronto, Canada"},{"name":"The Hospital for Sick Children"},{"name":"Program in Neuroscience and Mental Health, Research Institute, Toronto, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2491-3125","authenticated-orcid":false,"given":"Karen A.","family":"Gordon","sequence":"additional","affiliation":[{"name":"The Hospital for Sick Children"},{"name":"Institute of Medical Science, The University of Toronto, Toronto, Canada"},{"name":"Department of Otolaryngology-Head &amp; Neck Surgery, University of Toronto, Toronto, Canada"},{"name":"Program in Neuroscience and Mental Health, Research Institute, Toronto, Canada"},{"name":"The Hospital for Sick Children"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,18]]},"reference":[{"issue":"188","key":"e_1_3_2_2_1","first-page":"1","article-title":"Single-sided deafness and directional hearing: Contribution of spectral cues and high-frequency hearing loss in the hearing ear","volume":"8","author":"Agterberg M. 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