{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T16:13:04Z","timestamp":1784823184335,"version":"3.55.0"},"reference-count":39,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Audiol. Res.","Audiology Research"],"abstract":"<jats:p>Objectives: To collate subjective and objective outcome measures from cochlear implant recipients with asymmetric hearing loss. Methods: Forty-one CI recipients with asymmetrical hearing loss completed spatially separated speech in noise testing, speech in quiet testing, localisation testing, and tinnitus and quality of life questionnaires (SSQ and IOI-HA) pre-operatively and at 3, 12 and 24 months post-operatively. The results were used to generate a tool to help clinicians guide potential recipients through the counselling process. Results: Significant improvements in spatially separated SRT, localisation, tinnitus and the SSQ were observed for the group, with significant individual variability. CVC phoneme scores were not significantly different from those observed for CI recipients with bilateral hearing loss. The rates of non-use were consistent with those in the literature and were higher than for recipients with bilateral hearing loss. There was a significant correlation between PTA in the contralateral ear and localisation, and those recipients with a shorter duration of hearing loss were more likely to be satisfied with their CI. Discussion: Cochlear implantation for patients with asymmetrical hearing loss has the potential to offer improvements in head-shadow effects, localisation and tinnitus, with subjective measures also showing significant improvements post-operatively. There exists a large amount of individual variability across the group, however, which makes pre-operative counselling problematic for this patient cohort. Conclusions: The use of the study-generated counselling tool by clinicians may help patients make a more educated decision to proceed with implantation based upon realistic expectations of possible post-operative outcomes.<\/jats:p>","DOI":"10.3390\/audiolres16040102","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T15:05:42Z","timestamp":1784819142000},"page":"102","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Results for Adults with Asymmetric Hearing Loss Who Receive a Cochlear Implant"],"prefix":"10.3390","volume":"16","author":[{"given":"Alexandra","family":"Rousset","sequence":"first","affiliation":[{"name":"Cochlear Implant Clinic, The Royal Victorian Eye and Ear Hospital, 32 Gisborne St, East Melbourne, Melbourne, VIC 3002, Australia"},{"name":"HEARnet Clinical Studies, HEARnet Ltd, 550 Swanston St, Carlton, Melbourne, VIC 3053, Australia"},{"name":"Department of Audiology and Speech Pathology, University of Melbourne, Grattan St, Parkville, Melbourne, VIC 3010, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvia","family":"Tari","sequence":"additional","affiliation":[{"name":"Cochlear Implant Clinic, The Royal Victorian Eye and Ear Hospital, 32 Gisborne St, East Melbourne, Melbourne, VIC 3002, Australia"},{"name":"HEARnet Clinical Studies, HEARnet Ltd, 550 Swanston St, Carlton, Melbourne, VIC 3053, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rod","family":"Hollow","sequence":"additional","affiliation":[{"name":"Cochlear Implant Clinic, The Royal Victorian Eye and Ear Hospital, 32 Gisborne St, East Melbourne, Melbourne, VIC 3002, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raoul","family":"Wills","sequence":"additional","affiliation":[{"name":"Cochlear Implant Clinic, The Royal Victorian Eye and Ear Hospital, 32 Gisborne St, East Melbourne, Melbourne, VIC 3002, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1122-0506","authenticated-orcid":false,"given":"Richard C.","family":"Dowell","sequence":"additional","affiliation":[{"name":"Cochlear Implant Clinic, The Royal Victorian Eye and Ear Hospital, 32 Gisborne St, East Melbourne, Melbourne, VIC 3002, Australia"},{"name":"Department of Audiology and Speech Pathology, University of Melbourne, Grattan St, Parkville, Melbourne, VIC 3010, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1097\/MAO.0b013e3181fcf271","article-title":"Comparison of pseudobinaural hearing rehabilitation after cochlear implantation in patients with unilateral deafness and tinnitus","volume":"32","author":"Arndt","year":"2011","journal-title":"Otol. 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