To evaluate cochlear implant (CI) speech perception and usage outcomes in patients after prolonged unilateral deafness.
✦ The floor
Discussion
Signed responses from readers of the wire.
Cochlear implantation can yield meaningful speech perception gains even after prolonged unilateral deafness, but device usage rates should be discussed during candidacy counseling as an outcome variable alongside speech scores.
Expanding cochlear implant candidacy criteria to include prolonged unilateral deafness is an active clinical debate, and multicenter data on real-world outcomes strengthens the evidence base for these decisions.
- 01Multicenter retrospective cohort across five tertiary academic centers evaluating CI outcomes in prolonged unilateral deafness.
- 02Published in The Laryngoscope (doi: 10.1002/lary.70880).
- 03Assessed both speech perception scores and real-world device usage rates.
- 04Prolonged duration of deafness is a recognized challenge for CI auditory rehabilitation.
- 05Multicenter design improves generalizability compared to single-site studies.
Cochlear implantation in adults with prolonged unilateral deafness produces measurable speech perception outcomes.
studypartially supportedDevice usage rates are a clinically relevant outcome metric alongside speech perception in this population.
studysupported- PMID
- 42717814
- DOI
- 10.1002/lary.70880.
- Journal
- The Laryngoscope
- Publication type
- research_article
- Evidence level
- 3
- Population
- Adults with prolonged unilateral deafness across five tertiary academic centers
- Intervention
- Cochlear implantation
Primary outcomes
Speech perception scores; Device usage rates