American Cochlear Implant Alliance Task Force Guidelines for Clinical Assessment and Management of Adult Cochlear Implantation for Single-Sided Deafness

Ear and Hearing

Dillon, M. T., Kocharyan, A., et al. (2022).

Ear and Hearing, 43(6), 1605-1619.

The systematic review within this article explores the impact of cochlear implant use on measures of speech recognition in quiet, speech recognition in noise, sound source localization, perceptions of tinnitus severity, and quality of life.

No funding received



January 2008 to September 2021

All peer-reviewed articles excluding case series with 10 or fewer participants

42

<div>Findings demonstrated a high probability of improvement in subjective measures of quality of life following cochlear implant use in adults with single-sided deafness (Level 1 Evidence).</div>

<div>Findings demonstrated a high probability of significant improvement in measures of tinnitus perception following cochlear implant use in adults with single sided deafness (Level 1 Evidence).</div>

<div>Findings demonstrated the following outcomes regarding cochlear implant use in adults with single-sided deafness:</div> <ul> <li>A high probability of improvement was observed for speech recognition in quiet for the implanted ear (Level 1 Evidence);</li> <li>A low to high probability of improvement was noted for speech recognition in noise for the cochlear implant + normal hearing ear&nbsp; (CI+NH) condition, with findings dependent upon target-to-masker configuration; and</li> <li>A high probability of improvement regarding sound source localization in the CI+NH condition (Level 1 Evidence).&nbsp;</li> </ul> <div>Lack of reporting of patient characteristics and heterogeneity in included study designs were notable limitations to this review.</div>