Int Arch Otorhinolaryngol 2016; 20(01): 069-075
DOI: 10.1055/s-0035-1559586
Systematic Review
Thieme Publicações Ltda Rio de Janeiro, Brazil

Cochlear Implantation and Single-sided Deafness: A Systematic Review of the Literature

Francisco Cabral Junior
1   Department of Otolaryngology, Universidade de São Paulo, São Paulo, SP, Brazil
,
Mariana Hausen Pinna
1   Department of Otolaryngology, Universidade de São Paulo, São Paulo, SP, Brazil
,
Ricardo Dourado Alves
1   Department of Otolaryngology, Universidade de São Paulo, São Paulo, SP, Brazil
,
Andrea Felice dos Santos Malerbi
1   Department of Otolaryngology, Universidade de São Paulo, São Paulo, SP, Brazil
,
Ricardo Ferreira Bento
1   Department of Otolaryngology, Universidade de São Paulo, São Paulo, SP, Brazil
› Author Affiliations
Further Information

Publication History

11 March 2015

02 June 2015

Publication Date:
29 July 2015 (online)

Abstract

Introduction Current data show that binaural hearing is superior to unilateral hearing, specifically in the understanding of speech in noisy environments. Furthermore, unilateral hearing reduce onés ability to localize sound.

Objectives This study provides a systematic review of recent studies to evaluate the outcomes of cochlear implantation in patients with single-sided deafness (SSD) with regards to speech discrimination, sound localization and tinnitus suppression.

Data Synthesis We performed a search in the PubMed, Cochrane Library and Lilacs databases to assess studies related to cochlear implantation in patients with unilateral deafness. After critical appraisal, eleven studies were selected for data extraction and analysis of demographic, study design and outcome data.

Conclusion Although some studies have shown encouraging results on cochlear implantation and SSD, all fail to provide a high level of evidence. Larger studies are necessary to define the tangible benefits of cochlear implantation in patients with SSD.

 
  • References

  • 1 Baguley DM, Bird J, Humphriss RL, Prevost AT. The evidence base for the application of contralateral bone anchored hearing aids in acquired unilateral sensorineural hearing loss in adults. Clin Otolaryngol 2006; 31 (1) 6-14
  • 2 Kitterick PT, O'Donoghue GM, Edmondson-Jones M , et al. Comparison of the benefits of cochlear implantation versus contra-lateral routing of signal hearing aids in adult patients with single-sided deafness: study protocol for a prospective within-subject longitudinal trial. BMC Ear Nose Throat Disord 2014; 14: 7
  • 3 Tokita J, Dunn C, Hansen MR. Cochlear implantation and single-sided deafness. Curr Opin Otolaryngol Head Neck Surg 2014; 22 (5) 353-358
  • 4 Hol MK, Kunst SJ, Snik AF, Bosman AJ, Mylanus EA, Cremers CW. Bone-anchored hearing aids in patients with acquired and congenital unilateral inner ear deafness (Baha CROS): clinical evaluation of 56 cases. Ann Otol Rhinol Laryngol 2010; 119 (7) 447-454
  • 5 Wazen JJ, Van Ess MJ, Alameda J, Ortega C, Modisett M, Pinsky K. The Baha system in patients with single-sided deafness and contralateral hearing loss. Otolaryngol Head Neck Surg 2010; 142 (4) 554-559
  • 6 Vermeire K, Van de Heyning P. Binaural hearing after cochlear implantation in subjects with unilateral sensorineural deafness and tinnitus. Audiol Neurootol 2009; 14 (3) 163-171
  • 7 Punte AK, De Ridder D, Van de Heyning P. On the necessity of full length electrical cochlear stimulation to suppress severe tinnitus in single-sided deafness. Hear Res 2013; 295: 24-29
  • 8 Firszt JB, Holden LK, Reeder RM, Waltzman SB, Arndt S. Auditory abilities after cochlear implantation in adults with unilateral deafness: a pilot study. Otol Neurotol 2012; 33 (8) 1339-1346
  • 9 Távora-Vieira D, Marino R, Krishnaswamy J, Kuthbutheen J, Rajan GP. Cochlear implantation for unilateral deafness with and without tinnitus: a case series. Laryngoscope 2013; 123 (5) 1251-1255
  • 10 Vermeire K, Nobbe A, Schleich P, Nopp P, Voormolen MH, Van de Heyning PH. Neural tonotopy in cochlear implants: an evaluation in unilateral cochlear implant patients with unilateral deafness and tinnitus. Hear Res 2008; 245 (1–2) 98-106
  • 11 Távora-Vieira D, Rajan GP. Cochlear implantation in children with congenital and noncongenital unilateral deafness: a case series. Otol Neurotol 2015; 36 (2) 235-239
  • 12 Hassepass F, Aschendorff A, Wesarg T , et al. Unilateral deafness in children: audiologic and subjective assessment of hearing ability after cochlear implantation. Otol Neurotol 2013; 34 (1) 53-60
  • 13 Hansen MR, Gantz BJ, Dunn C. Outcomes after cochlear implantation for patients with single-sided deafness, including those with recalcitrant Ménière's disease. Otol Neurotol 2013; 34 (9) 1681-1687
  • 14 Perrott DR, Musicant AD. Dynamic minimum audible angle: binaural spatial acuity with moving sound sources. J Aud Res 1981; 21 (4) 287-295
  • 15 Soeta Y, Nakagawa S. Effects of the frequency of interaural time difference in the human brain. Neuroreport 2006; 17 (5) 505-509
  • 16 Arndt S, Aschendorff A, Laszig R , et al. Comparison of pseudobinaural hearing to real binaural hearing rehabilitation after cochlear implantation in patients with unilateral deafness and tinnitus. Otol Neurotol 2011; 32 (1) 39-47
  • 17 Firszt JB, Holden LK, Reeder RM, Cowdrey L, King S. Cochlear implantation in adults with asymmetric hearing loss. Ear Hear 2012; 33 (4) 521-533
  • 18 Cardieux JH, Firszt JB, Reeder RM. Cochlear implantation in nontraditional candidates: preliminary results in adolescents with asymmetric hearing loss. Otol Neurotol 2013; 34 (3) 408-415
  • 19 Schleich P, Nopp P, D'Haese P. Head shadow, squelch, and summation effects in bilateral users of the MED-EL COMBI 40/40+ cochlear implant. Ear Hear 2004; 25 (3) 197-204
  • 20 Buechner A, Brendel M, Lesinski-Schiedat A , et al. Cochlear implantation in unilateral deaf subjects associated with ipsilateral tinnitus. Otol Neurotol 2010; 31 (9) 1381-1385
  • 21 Stelzig Y, Jacob R, Mueller J. Preliminary speech recognition results after cochlear implantation in patients with unilateral hearing loss: a case series. J Med Case Reports 2011; 5 (5) 343
  • 22 Távora-Vieira D, Marino R, Acharya A, Rajan GP. The impact of cochlear implantation on speech understanding, subjective hearing performance, and tinnitus perception in patients with unilateral severe to profound hearing loss. Otol Neurotol 2015; 36 (3) 430-436
  • 23 Ramos Á, Polo R, Masgoret E , et al. Cochlear implant in patients with sudden unilateral sensorineural hearing loss and associated tinnitus. Acta Otorrinolaringol Esp 2012; 63 (1) 15-20
  • 24 Mertens G, Kleine Punte A, De Ridder D, Van de Heyning P. Tinnitus in a single-sided deaf ear reduces speech reception in the nontinnitus ear. Otol Neurotol 2013; 34 (4) 662-666
  • 25 Van de Heyning P, Vermeire K, Diebl M, Nopp P, Anderson I, De Ridder D. Incapacitating unilateral tinnitus in single-sided deafness treated by cochlear implantation. Ann Otol Rhinol Laryngol 2008; 117 (9) 645-652
  • 26 Offeciers E, Morera C, Müller J, Huarte A, Shallop J, Cavallé L. International consensus on bilateral cochlear implants and bimodal stimulation. Acta Otolaryngol 2005; 125 (9) 918-919
  • 27 Kamal SM, Robinson AD, Diaz RC. Cochlear implantation in single-sided deafness for enhancement of sound localization and speech perception. Curr Opin Otolaryngol Head Neck Surg 2012; 20 (5) 393-397
  • 28 Vlastarakos PV, Nazos K, Tavoulari EF, Nikolopoulos TP. Cochlear implantation for single-sided deafness: the outcomes. An evidence-based approach. Eur Arch Otorhinolaryngol 2014; 271 (8) 2119-2126
  • 29 van Zon A, Peters JPM, Stegeman I, Smit AL, Grolman W. Cochlear implantation for patients with single-sided deafness or asymmetrical hearing loss: a systematic review of the evidence. Otol Neurotol 2015; 36 (2) 209-219
  • 30 Blamey P, Artieres F, Başkent D , et al. Factors affecting auditory performance of postlinguistically deaf adults using cochlear implants: an update with 2251 patients. Audiol Neurootol 2013; 18 (1) 36-47
  • 31 De Ridder D, Elgoyhen AB, Romo R, Langguth B. Phantom percepts: tinnitus and pain as persisting aversive memory networks. Proc Natl Acad Sci U S A 2011; 108 (20) 8075-8080
  • 32 Weisz N, Müller S, Schlee W, Dohrmann K, Hartmann T, Elbert T. The neural code of auditory phantom perception. J Neurosci 2007; 27 (6) 1479-1484
  • 33 Sharma A, Martin K, Roland P , et al. P1 latency as a biomarker for central auditory development in children with hearing impairment. J Am Acad Audiol 2005; 16 (8) 564-573
  • 34 Blasco MA, Redleaf MI. Cochlear implantation in unilateral deafness improves tinnitus and speech comprehension: meta-analysis and systematic review. Otol Neurotol 2014; 35 (8) 1426-1432