{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T23:17:04Z","timestamp":1789773424011,"version":"4.0.1"},"reference-count":29,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2022,8,7]],"date-time":"2022-08-07T00:00:00Z","timestamp":1659830400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Audiology Research"],"abstract":"<jats:p>Background: The eligibility criteria for cochlear implantation are constantly evolving, following the continuous progress in technology, knowledge about cochlear implant (CI) fitting, and the possibility to preserve residual hearing. Appropriate attention should be given to asymmetric hearing loss (AHL) and single-side deafness (SSD) subjects. This study aimed to analyze cochlear implant indications and evaluate the longitudinal performance outcomes for patients with different kinds and degrees of sensorineural hearing loss. Methods: A total of 69 adult hearing loss CI recipients were included and divided into four subgroups according to our CI indication criteria. We performed objective and subjective measures, including speech perception analysis in silence and with background noise, comparing the outcomes obtained in the four groups. Results: After cochlear implant surgery, concerning the preimplantation daily listening condition, a significantly improved speech perception score in silence and noise was found in all four groups (p &lt; 0.05 for all). Conclusion: CI could represent an efficient solution for patients with AHL and SSD classes.<\/jats:p>","DOI":"10.3390\/audiolres12040042","type":"journal-article","created":{"date-parts":[[2022,8,7]],"date-time":"2022-08-07T21:03:50Z","timestamp":1659906230000},"page":"414-422","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Cochlear Implant Evolving Indications: Our Outcomes in Adult Patients"],"prefix":"10.3390","volume":"12","author":[{"given":"Andrea","family":"Achena","sequence":"first","affiliation":[{"name":"U.O.C di Otorinolaringoiatria ASST Grande Ospedale Metropolitano Niguarda, 20162 Milano, Italy, <email>andreachena@hotmail.it<\/email> (A.A.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Achena","sequence":"additional","affiliation":[{"name":"U.O.C. di Otorinolaringoiatria, P.O. CTO\u2013Iglesias, Assl Carbonia-ATS Sardegna Italia, 09016 Cagliari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto Giulio","family":"Dragonetti","sequence":"additional","affiliation":[{"name":"U.O.C di Otorinolaringoiatria ASST Grande Ospedale Metropolitano Niguarda, 20162 Milano, Italy, <email>andreachena@hotmail.it<\/email> (A.A.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Sechi","sequence":"additional","affiliation":[{"name":"U.O.C. di Otorinolaringoiatria, P.O. CTO\u2013Iglesias, Assl Carbonia-ATS Sardegna Italia, 09016 Cagliari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea Walter","family":"Pili","sequence":"additional","affiliation":[{"name":"U.O.C. di Otorinolaringoiatria, P.O. CTO\u2013Iglesias, Assl Carbonia-ATS Sardegna Italia, 09016 Cagliari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Cristina","family":"Locci","sequence":"additional","affiliation":[{"name":"U.O.C. di Otorinolaringoiatria, P.O. CTO\u2013Iglesias, Assl Carbonia-ATS Sardegna Italia, 09016 Cagliari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Turnu","sequence":"additional","affiliation":[{"name":"U.O.C. di Otorinolaringoiatria, P.O. CTO\u2013Iglesias, Assl Carbonia-ATS Sardegna Italia, 09016 Cagliari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1251-0185","authenticated-orcid":false,"given":"Antonino","family":"Maniaci","sequence":"additional","affiliation":[{"name":"Department of Medical, Surgical Sciences and Advanced Technologies G.F. Ingrassia; 95123 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7136-9698","authenticated-orcid":false,"given":"Salvatore","family":"Ferlito","sequence":"additional","affiliation":[{"name":"Department of Medical, Surgical Sciences and Advanced Technologies G.F. Ingrassia; 95123 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,8,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"297 313","DOI":"10.1016\/S0194-5998(98)70070-1","article-title":"Ethics of cochlear implantation in young children: A review and reply from a Deaf-World perspective","volume":"119","author":"Lane","year":"1998","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_2","first-page":"1","article-title":"The evolution of cochlear implant technology and its clinical relevance","volume":"7","author":"Hainarosie","year":"2014","journal-title":"J. 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