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Cochlear Implants International
An Interdisciplinary Journal for Implantable Hearing Devices
Volume 24, 2023 - Issue 6
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Original articles

Influence of listening environment on usage patterns in cochlear implant patients with single-sided deafness

Alejandro Garcia1 Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA, USA;3 Eaton Peabody Laboratories (EPL), Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA, USAORCID Iconhttps://orcid.org/0000-0002-8204-8053View further author information
ORCID Icon,
Afash Haleem1 Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA, USA;3 Eaton Peabody Laboratories (EPL), Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA, USAView further author information
,
Divya A. Chari1 Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA, USA;3 Eaton Peabody Laboratories (EPL), Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA, USAView further author information
,
Charlotte Morse-Fortier2 Department of Audiology, Massachusetts Eye and Ear, 243 Charles Street, Boston, MA, USA;3 Eaton Peabody Laboratories (EPL), Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA, USAView further author information
,
Julie G. Arenberg2 Department of Audiology, Massachusetts Eye and Ear, 243 Charles Street, Boston, MA, USA;3 Eaton Peabody Laboratories (EPL), Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA, USAView further author information
&
Daniel J. Lee1 Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA, USA;3 Eaton Peabody Laboratories (EPL), Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA, USACorrespondence[email protected]
View further author information
Pages 335-341 | Published online: 27 Feb 2023
 
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Abstract

Objective

To compare cochlear implant (CI) data logging of patients with single-sided deafness (SSD) and bilateral sensorineural hearing loss (biSNHL) in various acoustic environments and study the implications of data logging on auditory performance.

Study design

Retrospective case control study.

Methods

Adult CI patients with SSD or biSNHL from 2010 to 2021 with usage data collected at 3-, 6-, and 12-months following device activation were identified. The CI listening environment was defined as speech in noise, speech in quiet, quiet, music or noise. Auditory performance was measured using the CNC word, AzBio sentence tests and the Tinnitus Handicap Index (THI).

Results

60 adults with SSD or biSNHL were included. CI patients with biSNHL wore their devices more than those with SSD at 3-months post-activation (11.18 versus 8.97 hours/day, p = 0.04), though there were no significant differences at 6-12 months. Device usage was highest in the speech in quiet environment. In SSD CI users, there was a positive correlation (p = 0.03) between device use and CNC scores at 12-months and an improvement in THI scores at 12-months (p = 0.0004).

Conclusions

CI users with SSD and biSNHL have comparable duration of device usage at longer follow-up periods with greatest device usage recorded in speech in quiet environments.

Author contributions

AG: study design, acquisition of data, data analysis, manuscript preparation; AH: acquisition of data, data analysis, manuscript preparationl DC: acquisition of data, data analysis, manuscript preparation; CMF: acquisition of data, data analysis, manuscript preparation; JA: study design, data analysis, manuscript preparation; DJL: study design, data analysis, manuscript preparation.

Disclaimer statements

Contributors None.

Funding The author(s) reported there is no funding associated with the work featured in this article.

Conflicts of interest None.

Ethics approval None.

Correction Statement

This article has been corrected with minor changes. These changes do not impact the academic content of the article.

Additional information

Notes on contributors

Alejandro Garcia

Alejandro Garcia, M.D, research fellow at Massachusetts Eye and Ear.

Afash Haleem

Afash Haleem, B.A, research assistant at Massachusetts Eye and Ear.

Divya A. Chari

Divya A. Chari, M.D, Neuro-otologist at Massachusetts Eye and Ear.

Charlotte Morse-Fortier

Charlotte Morse-Fortier, Au.D, CCC-A research fellow at Massachusetts Eye and Ear.

Julie G. Arenberg

Julie G. Arenberg, Au.D, PhD, Director of Audiology Research and Education at Massachusetts Eye and Ear.

Daniel J. Lee

Daniel J. Lee, M.D, FACS, Associate Professor of Otolaryngology Head and Neck Surgery at Massachusetts Eye and Ear.

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