Thursday, March 13, 2026 Weekly Edition · Vol. 4, No. 11

The science of hearing,
curated for clinicians.

Every week — the most important studies, guidelines, and clinical news in cochlear implantation. Distilled, contextualized, and delivered to your inbox every Thursday.

This week's featured study

Bilateral Cochlear Implantation in Adults with Single-Sided Deafness: A 5-Year Longitudinal Outcomes Study

Adults implanted sequentially showed statistically significant improvements in spatial hearing, localization accuracy, and speech-in-noise performance versus unilateral recipients. Effect sizes peaked at 24 months and were sustained through the full 60-month follow-up.

Ear and Hearing · March 2026

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Cochlear implant research — bilateral implantation study

Peer-reviewed research

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Electrode Array Positioning and Speech Recognition Outcomes in Pediatric Recipients
JAMA Otolaryngology

Electrode Array Positioning and Speech Recognition Outcomes in Pediatric Recipients

Full cochlear coverage correlated with significantly better open-set sentence recognition at 12 months in children implanted under age 3.

Auditory Cortex Plasticity Following Late Cochlear Implantation in Postlingually Deafened Adults
Hearing Research

Auditory Cortex Plasticity Following Late Cochlear Implantation in Postlingually Deafened Adults

fMRI data reveal cortical reorganization patterns in late-implanted adults differ from congenitally deaf recipients, with direct implications for rehabilitation protocol design.

Expanded Candidacy Criteria for Cochlear Implantation: Outcomes at 24-Month Follow-Up
Otology & Neurotology

Expanded Candidacy Criteria for Cochlear Implantation: Outcomes at 24-Month Follow-Up

Patients implanted under expanded audiometric criteria achieved outcomes comparable to traditional candidates, supporting broader adoption of updated eligibility thresholds.

Machine Learning Models for Automated Fitting Map Optimization
JARO

Machine Learning Models for Automated Fitting Map Optimization in Cochlear Implant Recipients

A neural network trained on 1,200 recipient maps predicted optimal T- and C-levels with 91% agreement versus experienced audiologists, reducing mean fitting time by 38 minutes.

Clinical standards & coverage

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Updated Candidacy Guidelines for Adult Cochlear Implantation: Joint Position Statement
ACI Alliance

Updated Candidacy Guidelines for Adult Cochlear Implantation: Joint Position Statement

New joint guidance revises audiometric thresholds and introduces a functional listening performance criterion, replacing the pure-tone-average-only eligibility standards used since 2013.

Insurance Coverage Standards for Bilateral Cochlear Implantation: Policy Framework 2026
ACI Alliance

Insurance Coverage Standards for Bilateral Cochlear Implantation: Policy Framework 2026

Updated framework addresses payer coverage disparities for simultaneous versus sequential bilateral implantation, equipping advocates with clinical and economic evidence for payer negotiations.

Cochlear Implant Rehabilitation Protocols: Evidence-Based Clinical Recommendations
AudiologyOnline

Cochlear Implant Rehabilitation Protocols: Evidence-Based Clinical Recommendations for Audiologists

Consensus recommendations cover aural rehabilitation intensity, remote programming cadence, and outcome measurement tools across the first 24 months post-activation, with pediatric and adult tracks.

What's happening in the field

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Understanding the New Expanded Candidacy Criteria: A Clinical Perspective
The Hearing Review

Understanding the New Expanded Candidacy Criteria: A Clinical Perspective

Clinicians share practical guidance on identifying candidates under updated thresholds and navigating the patient counseling conversation around expectations.

Pediatric Cochlear Implantation Rates Show Persistent Regional Disparities
ACI Alliance

Pediatric Cochlear Implantation Rates Show Persistent Regional Disparities Across the United States

New data reveal a threefold difference in implantation rates between states, driven by Medicaid coverage variability and specialist availability.

Early Intervention and Cochlear Implant Outcomes
AudiologyOnline

Early Intervention and Cochlear Implant Outcomes: What the Latest Evidence Tells Clinicians

A synthesis of 12 studies published since 2022 confirms implantation before 12 months consistently outperforms later timing across spoken language, reading readiness, and quality-of-life measures.

Surgical Approaches for Difficult Cochlear Anatomies
Otology & Neurotology

Surgical Approaches for Difficult Cochlear Anatomies: Case Series and Technique Review

A 47-case series documents intraoperative decision-making and outcomes for ossified, malformed, and narrow cochleae, offering a practical algorithm for surgical teams.

Hybrid Hearing Solutions vs. Full Insertion: Comparative Outcomes
The Hearing Review

Hybrid Hearing Solutions vs. Full Insertion: Comparative Outcomes in Residual Hearing Preservation

Analysis across 3 centers shows no long-term hearing preservation advantage for hybrid over full-insertion approaches when low-frequency thresholds fall below 70 dB HL at implantation.