Interference in Combined Cochlear Implant and Hearing Aid Use: A Scoping Review.

Purpose: Advancements in cochlear implant (CI) and hearing aid (HA) technology enabled the combining of acoustic and electric stimulation for bimodal hearing and electro-acoustic stimulation (EAS) among listeners with hearing loss. While some users experience benefits such as enhanced speech or musi...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 69; no. 3; pp. 1319 - 1342
Autores principales: Noel, Augustina, Jaisinghani, Priyanka, Balan, Jithin
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Mar2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2026
      vid: 69
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      pub: American Speech-Language-Hearing Association
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        10.1044/2025_JSLHR-25-00355
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        atl: Interference in Combined Cochlear Implant and Hearing Aid Use: A Scoping Review.
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        au:
          Noel, Augustina
          Jaisinghani, Priyanka
          Balan, Jithin
        affil:
          Vinayaka Missions Research Foundation (DU), Puducherry, India
          Lamar University, Beaumont, TX
          California State University, Sacramento
          University of Texas Medical Branch Health, Galveston
      su:
        Australia
        Italy
        France
        India
        China
        Netherlands
        Deafness prevention
        Cochlear implants
        Hearing aid fitting
        Hearing aids
        Acoustic localization
        Signal processing
        Systematic reviews
        MEDLINE
        Speech perception
        Acoustic stimulation
        Online information services
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        subj:
          Australia
          Italy
          France
          India
          China
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          Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
          Electromedical and Electrotherapeutic Apparatus Manufacturing
          Professional machinery, equipment and supplies merchant wholesalers
          Deafness prevention
          Cochlear implants
          Hearing aid fitting
          Hearing aids
          Acoustic localization
          Signal processing
          Systematic reviews
          MEDLINE
          Speech perception
          Acoustic stimulation
          Online information services
      ab: Purpose: Advancements in cochlear implant (CI) and hearing aid (HA) technology enabled the combining of acoustic and electric stimulation for bimodal hearing and electro-acoustic stimulation (EAS) among listeners with hearing loss. While some users experience benefits such as enhanced speech or music perception and improved localization, others face interference between CI and HA, potentially leading to HA discontinuation. Our study aims to explore the underlying causes of interference, map existing evidence, and identify potential research gaps. The insights gained on interference will help foresee and mitigate such scenarios, improving speech and music perception in bimodal and EAS users. Method: This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews guidelines, and it was registered on protocols.io (access online at dx.doi.org/10.17504/protocols.io.dm6gp37xdvzp/v2). Inclusion criteria were peer-reviewed articles written in English and published between 2000 and May 2024, and articles reported adverse performance outcomes with combined CI and HA use in adults or children compared to CI or HA alone. Relevant articles were searched using specific key words and Boolean operators across multiple databases. Results: The final scoping review included 15 articles published across 13 scientific journals. These articles originated from nine countries and underwent narrative analysis to extract insights on interference in combined CI and HA use. Conclusions: The study offers valuable insights into the prevalence, causes, and assessment of interference in the combined use of CI and HA. Our review suggests that bimodal interference is individualized or listener-specific, with various factors affecting the utility of bimodal and EAS. Thus, a mixed-methods approach should be implemented in the future to gain a more comprehensive understanding of interference. Customized strategies can also be explored and applied to reduce interference through HA programming, CI mapping, counseling, and training to enhance the benefits for bimodal and EAS users.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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