{"id":157,"date":"2019-11-06T08:04:01","date_gmt":"2019-11-06T18:04:01","guid":{"rendered":"https:\/\/drlindachiu.fm1.dev\/hearing-loss\/single-sided-deafness\/"},"modified":"2020-04-28T11:36:44","modified_gmt":"2020-04-28T21:36:44","slug":"single-sided-deafness","status":"publish","type":"page","link":"https:\/\/drlindachiu.com\/ear-hearing\/hearing-loss\/single-sided-deafness\/","title":{"rendered":"Single Sided Deafness"},"content":{"rendered":"\n
Single sided deafness (SSD) is a type of unilateral\nhearing loss wherein an individual has profound hearing loss in one ear and\nnormal or almost normal hearing from the other ear. Typically, SSD is a\npermanent condition.<\/p>\n\n\n\n
The challenges faced by someone with SSD are\nquite different than those experienced by someone with bilateral hearing loss.\nIn ideal listening conditions, such as sitting face-to-face at close distance\nin a quiet room, understanding speech is fairly easy, because in such a\nscenario the signal from each ear is mostly redundant. The brain is able to\nfunction fine with the input from a single ear. This is why most people are\nable to have a phone conversation even though they are hearing the phone call\nin only one ear.<\/p>\n\n\n\n
The situation in a restaurant, shopping mall,\ncity park or car is very different. In these settings, there will usually be\nmultiple sources of sound at any particular moment, and some of them will be\njust as loud as the conversation someone is focusing on. In this case, the\nbrain needs two ears working together to be able to filter out the background\nnoise and understand the primary speech signal. Someone with SSD will find it\ndifficult to carry on a conversation in noisy places.<\/p>\n\n\n\n
Someone with SSD will typically have\ndifficulty localizing sound (recognizing the location or origin of a sound\nsource) and hearing speech coming from the same side as the affected ear. Sound\nlocalization depends on subtle differences in the hearing cues from each ear. <\/p>\n\n\n\n
Complications of SSD include anxiety, stress,\nsocial isolation, dizziness and difficulty maintaining attention.<\/p>\n\n\n\n
SSD can be caused by a variety of factors and\ncan develop slowly or very rapidly. <\/p>\n\n\n\n
Sudden deafness is a rapid onset of hearing loss that occurs with little or no warning, often following a viral infection. This type of hearing loss will often affect only one ear and cause SSD. <\/p>\n\n\n\n
Additional causes of SSD include:<\/p>\n\n\n\n
The unique challenges created by SSD require\nunique treatment options as the objectives are different than those for\nbilateral hearing loss. There are two widely accepted technological solutions\nfor SSD:<\/p>\n\n\n\n
When treating SSD with one of these two\noptions, there is almost always a significant improvement in speech\nunderstanding for speech coming from the affected side, but localization\nremains difficult. Great improvement in the ability to understand speech in\nnoisy backgrounds can be realized by the use of an accessory microphone that\nbeams a wireless signal directly to the CROS system or BAHA.<\/p>\n\n\n\n
In 2019, the FDA approved the use of a\ncochlear implant to treat SSD. Several research studies have demonstrated that\nit can approve speech understanding in noise and localization, but it will\nlikely be considered experimental by most insurance carriers for some years to\ncome. Because it requires invasive surgery and uses electrical stimulation of\nthe auditory nerve, cochlear implants are only appropriate in very specific\ncases for now.<\/p>\n\n\n\n