{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T15:26:15Z","timestamp":1770996375119,"version":"3.50.1"},"reference-count":64,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T00:00:00Z","timestamp":1695859200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Brain Sciences"],"abstract":"<jats:p>Congenital unilateral hearing loss (UHL) represents a contemporary audiologic challenge. Children with UHL can struggle with understanding speech in noise, localizing sounds, developing language, and maintaining academic performance, leading to low self-esteem, anxiety, and decreased social support. Two specific conditions related to UHL in children are single-sided deafness (SSD) and unilateral auris atresia (UAA). This was a retrospective observational study on a group of children with UHL. The Simplified Italian Matrix Sentence Test was used for the assessment of speech reception threshold (SRT) in different conditions: speech and noise from the front (S0N0), speech at 45\u00b0 from the side of the better ear and noise at 45\u00b0 from the opposite side (SbNw), and vice versa (SwNb). Each test was conducted unaided, with a bone-anchored hearing device (BAHD), and with a remote microphone (RM) system. The use of a BAHD and RM led to an improvement in SRT in S0N0 and SwNb conditions. The SSD subgroup demonstrated significant benefits with both devices in SwNb, and the UAA subgroup from the use of BAHD in S0N0. In conclusion, the study underscores the potential benefits of both devices in enhancing speech perception for UHL children, providing insights into effective intervention strategies for these challenging cases.<\/jats:p>","DOI":"10.3390\/brainsci13101379","type":"journal-article","created":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T01:42:12Z","timestamp":1695865332000},"page":"1379","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The Role of Bone-Anchored Hearing Devices and Remote Microphones in Children with Congenital Unilateral Hearing Loss"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7142-4570","authenticated-orcid":false,"given":"Francesco","family":"Lazzerini","sequence":"first","affiliation":[{"name":"Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, 56126 Pisa, Italy"},{"name":"Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6900-1306","authenticated-orcid":false,"given":"Luca","family":"Bruschini","sequence":"additional","affiliation":[{"name":"Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, 56126 Pisa, Italy"},{"name":"Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9832-4799","authenticated-orcid":false,"given":"Giacomo","family":"Fiacchini","sequence":"additional","affiliation":[{"name":"Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, 56126 Pisa, Italy"},{"name":"Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pietro","family":"Canzi","sequence":"additional","affiliation":[{"name":"Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Berrettini","sequence":"additional","affiliation":[{"name":"Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, 56126 Pisa, Italy"},{"name":"Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy"},{"name":"Clinical Science, Intervention and Technology, Karolinska Institute, 17177 Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Forli","sequence":"additional","affiliation":[{"name":"Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, 56126 Pisa, Italy"},{"name":"Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,9,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1093\/brain\/aws305","article-title":"Single-Sided Deafness Leads to Unilateral Aural Preference within an Early Sensitive Period","volume":"136","author":"Kral","year":"2013","journal-title":"Brain"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.heares.2018.01.010","article-title":"Unilateral Congenital Hearing Loss in Children: Challenges and Potentials","volume":"372","author":"Boudewyns","year":"2019","journal-title":"Hear. Res."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1542\/peds.74.2.206","article-title":"Unilateral Hearing Impairment in Children","volume":"74","author":"Bess","year":"1984","journal-title":"Pediatrics"},{"key":"ref_4","first-page":"75","article-title":"Performance and Management of Children with Unilateral Sensorineural Hearing Loss","volume":"30","author":"Bess","year":"1988","journal-title":"Scand. Audiol. Suppl."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/00003446-198602000-00003","article-title":"An Introduction to Unilateral Sensorineural Hearing Loss in Children","volume":"7","author":"Bess","year":"1986","journal-title":"Ear Hear."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.heares.2018.03.015","article-title":"Auditory and Language Outcomes in Children with Unilateral Hearing Loss","volume":"372","author":"Fitzpatrick","year":"2019","journal-title":"Hear. Res."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1218","DOI":"10.1044\/2016_JSLHR-H-15-0207","article-title":"Effects of Noise on Speech Recognition and Listening Effort in Children With Normal Hearing and Children With Mild Bilateral or Unilateral Hearing Loss","volume":"59","author":"Lewis","year":"2016","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"110822","DOI":"10.1016\/j.ijporl.2021.110822","article-title":"Decision-Making Following Identification of an Infant\u2019s Unilateral Hearing Loss: Parent and Professional Perspectives","volume":"148","author":"Porter","year":"2021","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1159\/000380745","article-title":"Quantification of Speech-in-Noise and Sound Localisation Abilities in Children with Unilateral Hearing Loss and Comparison to Normal Hearing Peers","volume":"20","author":"Reeder","year":"2015","journal-title":"Audiol. Neuro-Otol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1097\/00003446-198602000-00006","article-title":"A Comparison of Unilaterally Hearing-Impaired Children and Normal-Hearing Children on a Battery of Standardized Language Tests","volume":"7","author":"Klee","year":"1986","journal-title":"Ear. Hear."},{"key":"ref_11","first-page":"107","article-title":"Unilateral Hearing Loss in Children: Speech-Language and School Performance","volume":"9","author":"Lieu","year":"2013","journal-title":"B-ENT"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2088","DOI":"10.1002\/lary.23454","article-title":"Longitudinal Study of Children with Unilateral Hearing Loss","volume":"122","author":"Lieu","year":"2012","journal-title":"Laryngoscope"},{"key":"ref_13","first-page":"542","article-title":"Speech-Language and Educational Consequences of Unilateral Hearing Loss in Children","volume":"130","author":"Je","year":"2004","journal-title":"Arch. Otolaryngol. Head Neck Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"111075","DOI":"10.1016\/j.ijporl.2022.111075","article-title":"Are Children with Unilateral Hearing Loss More Tired?","volume":"155","author":"Carpenter","year":"2022","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Blauert, J. (1997). Spatial Hearing: The Psychophysics of Human Sound Localization, MIT Press.","DOI":"10.7551\/mitpress\/6391.001.0001"},{"key":"ref_16","first-page":"287","article-title":"Extended-Hearing Targeted Screening for Congenital Cytomegalovirus Infection","volume":"2021","author":"Forli","year":"2021","journal-title":"Minerva Pediatr."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Ald\u00e8, M., Binda, S., Primache, V., Pellegrinelli, L., Pariani, E., Pregliasco, F., Di Berardino, F., Cantarella, G., and Ambrosetti, U. (2023). Congenital Cytomegalovirus and Hearing Loss: The State of the Art. J. Clin. Med., 12.","DOI":"10.3390\/jcm12134465"},{"key":"ref_18","unstructured":"Adam, M.P., Mirzaa, G.M., Pagon, R.A., Wallace, S.E., Bean, L.J., Gripp, K.W., and Amemiya, A. (1993). GeneReviews\u00ae, University of Washington."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"2305","DOI":"10.1007\/s00405-020-06333-9","article-title":"Enlarged Vestibular Aqueduct and Mondini Malformation: Audiological, Clinical, Radiologic and Genetic Features","volume":"278","author":"Forli","year":"2021","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1097\/AUD.0000000000001204","article-title":"American Cochlear Implant Alliance Task Force Guidelines for Clinical Assessment and Management of Cochlear Implantation in Children With Single-Sided Deafness","volume":"43","author":"Park","year":"2022","journal-title":"Ear. Hear."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"3245","DOI":"10.1007\/s00405-020-06409-6","article-title":"Long-Term Results of Cochlear Implantation in Children with Congenital Single-Sided Deafness","volume":"278","author":"Rauch","year":"2021","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1001\/jamaoto.2020.3852","article-title":"Cochlear Implantation in Children With Single-Sided Deafness: A Systematic Review and Meta-Analysis","volume":"147","author":"Benchetrit","year":"2021","journal-title":"JAMA Otolaryngol. Head Neck Surg."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1111\/coa.13672","article-title":"Treatment Choice in Single-Sided Deafness and Asymmetric Hearing Loss. A Prospective, Multicentre Cohort Study on 155 Patients","volume":"46","author":"Marx","year":"2021","journal-title":"Clin. Otolaryngol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/S0194-5998(03)00527-8","article-title":"Transcranial Contralateral Cochlear Stimulation in Unilateral Deafness","volume":"129","author":"Wazen","year":"2003","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.otohns.2009.02.029","article-title":"Management of Single-Sided Deafness with the Bone-Anchored Hearing Aid","volume":"141","author":"Yuen","year":"2009","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1044\/1059-0889(2012\/12-0014)","article-title":"An Evidence-Based Systematic Review of Directional Microphones and Digital Noise Reduction Hearing Aids in School-Age Children with Hearing Loss","volume":"21","author":"McCreery","year":"2012","journal-title":"Am. J. Audiol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1044\/0161-1461(2013\/12-0038)","article-title":"Preschool Teachers\u2019 Perception and Use of Hearing Assistive Technology in Educational Settings","volume":"44","author":"Nelson","year":"2013","journal-title":"Lang. Speech Hear. Serv. Sch."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1097\/00003446-199602000-00004","article-title":"Longitudinal Study of FM System Use in Nonacademic Settings: Effects on Language Development","volume":"17","author":"Moeller","year":"1996","journal-title":"Ear. Hear."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1080\/14992027.2018.1537523","article-title":"Remote Microphone Systems for Preschool-Age Children Who Are Hard of Hearing: Access and Utilization","volume":"58","author":"Walker","year":"2019","journal-title":"Int. J. Audiol."},{"key":"ref_30","unstructured":"American Academy of Audiology (2011). Clinical Practice Guidelines: Remote Microphone Hearing Assistance Technologies for Children and Youth from Birth to 21 Years, American Academy of Audiology."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"687070","DOI":"10.3389\/fneur.2021.687070","article-title":"Toward Optimal Care for Children With Congenital Unilateral Aural Atresia","volume":"12","author":"Asp","year":"2021","journal-title":"Front. Neurol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1016\/j.ijporl.2009.05.024","article-title":"Understanding Speech in Noise after Correction of Congenital Unilateral Aural Atresia: Effects of Age in the Emergence of Binaural Squelch but Not in Use of Head-Shadow","volume":"73","author":"Gray","year":"2009","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.1097\/MAO.0b013e3182a36065","article-title":"Hearing Outcomes of Atresia Surgery versus Osseointegrated Bone Conduction Device in Patients with Congenital Aural Atresia: A Systematic Review","volume":"34","author":"Nadaraja","year":"2013","journal-title":"Otol. Neurotol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1097\/MAO.0000000000000271","article-title":"Sound Localization Performance Improves after Canaloplasty in Unilateral Congenital Aural Atresia Patients","volume":"35","author":"Moon","year":"2014","journal-title":"Otol. Neurotol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1159\/000512245","article-title":"Unexplained Variation in Benefit of Treatment of Congenital Unilateral Aural Atresia: A Review of the Literature","volume":"26","author":"Vogt","year":"2021","journal-title":"Audiol. Neurootol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"2781","DOI":"10.1007\/s00405-020-06364-2","article-title":"Audiological Benefit and Subjective Satisfaction with the ADHEAR Hearing System in Children with Unilateral Conductive Hearing Loss","volume":"278","author":"Hirth","year":"2021","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/s00405-020-06049-w","article-title":"Sound-Localisation Performance in Patients with Congenital Unilateral Microtia and Atresia Fitted with an Active Middle Ear Implant","volume":"278","author":"Zhao","year":"2021","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_38","first-page":"899","article-title":"Horizontal Sound Localisation and Speech Perception in Bonebridge-Implanted Single-Sided Deafness Patients","volume":"2020","author":"Zhao","year":"2020","journal-title":"J. Laryngol. Otol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1007\/s00405-019-05667-3","article-title":"The Vibrating Ossicular Prosthesis in Children and Adolescents: A Retrospective Study","volume":"277","author":"Lailach","year":"2020","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.1097\/MAO.0000000000002794","article-title":"Multicenter Clinical Investigation of a New Active Osseointegrated Steady-State Implant System","volume":"41","author":"Mylanus","year":"2020","journal-title":"Otol. Neurotol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1080\/00016489.2019.1691744","article-title":"Clinical Performance of the OsiaTM System, a New Active Osseointegrated Implant System. Results from a Prospective Clinical Investigation","volume":"140","author":"Goycoolea","year":"2020","journal-title":"Acta Otolaryngol."},{"key":"ref_42","first-page":"84","article-title":"Conductive Hearing Loss and Bone Conduction Devices: Restored Binaural Hearing?","volume":"71","author":"Agterberg","year":"2011","journal-title":"Adv. Otorhinolaryngol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1159\/000380747","article-title":"How to Quantify Binaural Hearing in Patients with Unilateral Hearing Using Hearing Implants","volume":"20","author":"Snik","year":"2015","journal-title":"Audiol. Neurootol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"73","DOI":"10.3390\/audiolres11010009","article-title":"Evaluation of Italian Simplified Matrix Test for Speech-Recognition Measurements in Noise","volume":"11","author":"Puglisi","year":"2021","journal-title":"Audiol. Res."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1007\/s00106-016-0297-5","article-title":"Cochlear Implant Treatment of Patients with Single-Sided Deafness or Asymmetric Hearing Loss","volume":"65","author":"Arndt","year":"2017","journal-title":"HNO"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1017\/S0022215121004333","article-title":"Cochlear Implantation in Patients with Asymmetric Hearing Loss: Reporting and Discussing the Benefits in Speech Perception, Speech Reception Threshold, Squelch Abilities, and Patients\u2019 Reported Outcomes","volume":"136","author":"Forli","year":"2022","journal-title":"J. Laryngol. Otol."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1186\/s13052-017-0397-1","article-title":"Newborn Hearing Screening Protocol in Tuscany Region","volume":"43","author":"Berrettini","year":"2017","journal-title":"Ital. J. Pediatr."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1111\/coa.13381","article-title":"Long-Term Evaluation of Sound Localisation in Single-Sided Deaf Adults Fitted with a BAHA Device","volume":"44","author":"Bonne","year":"2019","journal-title":"Clin. Otolaryngol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.3109\/00016489.2010.499879","article-title":"Hearing Rehabilitation in Congenital Aural Atresia Using the Bone-Anchored Hearing Aid: Audiological and Satisfaction Results","volume":"130","author":"Fuchsmann","year":"2010","journal-title":"Acta Otolaryngol."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"221","DOI":"10.14639\/0392-100X-N2271","article-title":"Benefits of Bone Conduction Hearing Aid in Children with Unilateral Aural Atresia","volume":"43","author":"Brotto","year":"2023","journal-title":"Acta Otorhinolaryngol. Ital."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.heares.2018.04.007","article-title":"Sound-Localization Performance of Patients with Single-Sided Deafness Is Not Improved When Listening with a Bone-Conduction Device","volume":"372","author":"Agterberg","year":"2019","journal-title":"Hear. Res."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1097\/MAO.0000000000001359","article-title":"Efficacy of Bone-Anchored Hearing Aids in Single-Sided Deafness: A Systematic Review","volume":"38","author":"Kim","year":"2017","journal-title":"Otol. Neurotol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"313","DOI":"10.5152\/iao.2020.8879","article-title":"Bone Anchored Hearing Aids for the Treatment of Asymmetric Hearing Loss","volume":"16","author":"Bruschini","year":"2020","journal-title":"J. Int. Adv. Otol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"3149","DOI":"10.1007\/s00405-016-3908-6","article-title":"Three-Year Experience with the Sophono in Children with Congenital Conductive Unilateral Hearing Loss: Tolerability, Audiometry, and Sound Localization Compared to a Bone-Anchored Hearing Aid","volume":"273","author":"Nelissen","year":"2016","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1097\/MAO.0b013e3182868608","article-title":"Comparison between a New Implantable Transcutaneous Bone Conductor and Percutaneous Bone-Conduction Hearing Implant","volume":"34","author":"Hol","year":"2013","journal-title":"Otol. Neurotol."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1097\/MAO.0b013e31823e28ab","article-title":"Transcranial Attenuation of Bone-Conducted Sound When Stimulation Is at the Mastoid and at the Bone Conduction Hearing Aid Position","volume":"33","author":"Stenfelt","year":"2012","journal-title":"Otol. Neurotol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"698718","DOI":"10.3389\/fnins.2021.698718","article-title":"Ear-Specific Hemispheric Asymmetry in Unilateral Deafness Revealed by Auditory Cortical Activity","volume":"15","author":"Han","year":"2021","journal-title":"Front. Neurosci."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"107847","DOI":"10.1016\/j.heares.2019.107847","article-title":"Contribution of Spectral Pinna Cues for Sound Localization in Children with Congenital Unilateral Conductive Hearing Loss after Hearing Rehabilitation","volume":"385","author":"Vogt","year":"2020","journal-title":"Hear. Res."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"e20180744","DOI":"10.1590\/1678-7757-2018-0744","article-title":"The Use of Remote Microphone Systems in Unilateral Hearing Loss: A Preliminary Study among Brazilian Children and Teenagers","volume":"27","author":"Mondelli","year":"2019","journal-title":"J. Appl. Oral Sci."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"2331216520984700","DOI":"10.1177\/2331216520984700","article-title":"Listening Effort in School-Aged Children With Limited Useable Hearing Unilaterally: Examining the Effects of a Personal, Digital Remote Microphone System and a Contralateral Routing of Signal System","volume":"25","author":"Oosthuizen","year":"2021","journal-title":"Trends Hear."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"e388","DOI":"10.1097\/MAO.0000000000002991","article-title":"Effects of Presentation Level on Spatial Hearing With and Without Bone-Conduction Amplification in Congenital Unilateral Aural Atresia","volume":"42","author":"Canfarotta","year":"2021","journal-title":"Otol. Neurotol."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"274","DOI":"10.3766\/jaaa.21.4.6","article-title":"Does the Evidence Support Use of the Baha Implant System (Baha) in Patients with Congenital Unilateral Aural Atresia?","volume":"21","author":"Danhauer","year":"2010","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1097\/MAO.0000000000000765","article-title":"Long-Term Compliance and Satisfaction With Percutaneous Bone Conduction Devices in Patients With Congenital Unilateral Conductive Hearing Loss","volume":"36","author":"Nelissen","year":"2015","journal-title":"Otol. Neurotol."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1044\/2019_LSHSS-OCHL-19-0018","article-title":"Considerations for Choosing Microphone Technologies for Students With Limited Useable Hearing Unilaterally","volume":"51","author":"Picou","year":"2020","journal-title":"Lang. Speech Hear. Serv. 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