{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T13:20:37Z","timestamp":1765891237535,"version":"3.48.0"},"reference-count":103,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"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 and Aim: Asymmetric sensorineural hearing loss is difficult to rehabilitate acoustically. Bilateral amplification may induce binaural interference, while CROS\/BiCROS systems provide benefit only when the speech signal reaches the poorer ear. A hybrid approach combining CROS strategy with bilateral acoustic amplification, called Stereophonic Bilateral Contralateral Routing of Signal\u2014StereoBiCROS\u2014has recently emerged. Methods: A one-month home trial was conducted with hearing aids programmed in three listening modes: Stereophonic, BiCROS, and StereoBiCROS. Speech-in-noise perception was assessed in dichotic and reverse-dichotic conditions. Speech recognition thresholds were derived using logistic regression. Daily mode usage was extracted from datalogging. Pre\/post subjective benefit was evaluated using the SSQ-15 and SF-12. Results: Eighteen participants (mean age 70.7 \u00b1 8.2 years) used the devices 12.4 \u00b1 1.6 h per day, predominantly in StereoBiCROS mode (76.9 \u00b1 24.2%). In the dichotic condition, this mode yielded the best speech-to-noise ratio (0.96 \u00b1 2.74 dB; p &lt; 0.0001), outperforming unilateral rerouting (3.00 \u00b1 2.05 dB; p = 0.001) and bilateral amplification (5.16 \u00b1 1.31 dB; p = 0.001). In the reverse-dichotic condition, only bilateral amplification provided a non-significant improvement (3.08 \u00b1 1.38 dB), whereas the other modes deteriorated intelligibility. SSQ-15 total and subscale scores significantly improved after one month, while SF-12 scores did not change. Conclusions: StereoBiCROS stimulation appears to be a promising acoustic alternative for improving speech intelligibility in noise and patient-reported outcomes in asymmetric sensorineural hearing loss. Further research is required to identify the most responsive audiological profiles.<\/jats:p>","DOI":"10.3390\/audiolres15060176","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:47:26Z","timestamp":1765889246000},"page":"176","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of StereoBiCROS on Speech Understanding in Noise and Quality of Life for Asymmetric Sensorineural Hearing Loss"],"prefix":"10.3390","volume":"15","author":[{"given":"Morgan","family":"Potier","sequence":"first","affiliation":[{"name":"CNRS UMR 7260, Laboratoire de Neurosciences Cognitives (LNC), Aix-Marseille, Universit\u00e9 Centre Saint-Charles, 3 Place Victor Hugo, 13331 Marseille, France"},{"name":"Laboratoire d\u2019Audiologie Clinique (LAC), H\u00f4pital Priv\u00e9 du Grand Narbonne, 3 Rue du Professeur Christiaan Barnard, 11100 Narbonne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3827-2576","authenticated-orcid":false,"given":"Arnaud","family":"Nore\u00f1a","sequence":"additional","affiliation":[{"name":"CNRS UMR 7260, Laboratoire de Neurosciences Cognitives (LNC), Aix-Marseille, Universit\u00e9 Centre Saint-Charles, 3 Place Victor Hugo, 13331 Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabien","family":"Seldran","sequence":"additional","affiliation":[{"name":"Laboratoire Audition Conseil Gratte-Ciel, 40, Rue Michel Servet, 69100 Villeurbanne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathieu","family":"Marx","sequence":"additional","affiliation":[{"name":"CNRS UMR 5549, Facult\u00e9 de M\u00e9decine Purpan, Centre National de la Recherche Scientifique, 31000 Toulouse, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9phane","family":"Gallego","sequence":"additional","affiliation":[{"name":"CNRS UMR 7260, Laboratoire de Neurosciences Cognitives (LNC), Aix-Marseille, Universit\u00e9 Centre Saint-Charles, 3 Place Victor Hugo, 13331 Marseille, France"},{"name":"Institut des Sciences et Technologies de R\u00e9adaptation (ISTR), Universit\u00e9 de Lyon, 8 Avenue Rockefeller, 69008 Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1007\/s12070-012-0586-6","article-title":"Assessment of auditory and psychosocial handicap associated with unilateral hearing loss among Indian patients","volume":"65","author":"Augustine","year":"2013","journal-title":"Indian J. 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