- Auditory- and Visual-Speech Evoked Activation of the Superior Temporal Gyrus Contralateral to the Cochlear Implant Predicts Speech Recognition Outcomes. [Journal Article]Ear Hear. 2026 Oct 07. [Online ahead of print]EH
- CONCLUSIONS: Our evidence highlights that neuroplastic changes which occur following adult-onset deafness play an important role in how cochlear implant recipients adapt to their devices after switch-on. The relationship between neuroimaging measures made within 1 mo after device switch-on and speech recognition outcomes at 1 yr can potentially enable triaging of recipients to improve clinical management of implant recipients.
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- Cognitive, Learning, and Executive Function Behaviors in Children With Cochlear Implants. [Journal Article]Ear Hear. 2026 Oct 07. [Online ahead of print]EH
- CONCLUSIONS: Children with CIs, despite good speech recognition, demonstrate domain-specific and heterogeneous challenges in EF and academic performance. These difficulties are not fully explained by auditory or speech recognition abilities, underscoring the importance of addressing broader neurocognitive factors in clinical assessment and intervention. Targeted cognitive and educational support may help reduce cognitive scatter and improve functional outcomes.
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- Creating an Ear and Hearing Health Culture for Professional Ear Users: Current Perspectives on Challenges, Management, and Recommendations. [Journal Article]Ear Hear. 2026 Oct 07. [Online ahead of print]EH
- Professional ear users (PEUs), including musicians, instrument makers, or sound engineers, depend on highly trained auditory abilities for occupational performance. Given these demands, PEUs may benefit from tailored prevention, diagnostics, and treatment. Ear and hearing disorders are common and potentially career-ending in these populations, yet PEU-specific care pathways remain underdeveloped.…
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- The Intelligibility-Based Repeat-Recall Test: II. Performance of Listeners With Normal Hearing and Hearing Impairment (Aided). [Journal Article]Ear Hear. 2026 Oct 01. [Online ahead of print]EH
- CONCLUSIONS: Conditions of the i-RRT, including sentence context and noise configuration, in addition to listeners' hearing status, not only impacted the SNR required for different listeners to achieve certain SRT criteria, but also affected secondary measures of recall, LE, and TT ratings assessed at matched SRT criteria. These results suggest that certain SiN test factors demand cognitive resource allocation from listeners that cannot be accommodated by SNR adjustment. While still a research tool, the i-RRT may be useful in the future to clinically profile listeners' SiN difficulties and their allocation of listening-related cognitive resources as captured by recall, LE, and TT.
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- Effect of Donepezil on Speech Recognition in Adult Cochlear Implant Users: A Pilot Randomized Clinical Trial. [Journal Article]Ear Hear. 2026 Sep 23. [Online ahead of print]EH
- CONCLUSIONS: These findings provide preliminary evidence that cholinergic enhancement with donepezil may improve speech perception and facilitate neuroplasticity in multisensory and cognitive brain regions in CI users. In addition, the neuroimaging analyses support cholinergic-induced neuroplasticity with DPZ treatment. While this pilot study was underpowered to determine the clinical efficacy of donepezil, pharmacological interventions like donepezil represent a promising novel approach to optimizing CI outcomes, and we offer recommendations for future clinical trials in this population.
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- Evidence for Relationship Between Speech Perception in Noise and Spectrotemporal Modulation Processing in Children With Mild Bilateral Hearing Loss: A Functional Near-Infrared Spectroscopy Study. [Journal Article]Ear Hear. 2026 Sep 21. [Online ahead of print]EH
- CONCLUSIONS: Our study highlights the value of hearing aid fitting in improving speech-in-noise outcomes in CHL. While behavioral benefits may be subtle or inconsistent, cortical data revealed enhancement in auditory processing with amplification, particularly in the TC. Our findings suggest that suprathreshold neural processing underlies the variation in speech perception in noise among CHL.
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- Behavioral and Cortical Responses to Frequency Changes in Vowel-Like Stimuli in Listeners With Normal and Impaired Hearing. [Journal Article]Ear Hear. 2026 Sep 17. [Online ahead of print]EH
- CONCLUSIONS: Taken altogether, these results lend support to the use of an ACC paradigm to assess frequency discrimination abilities objectively with speech-like stimuli. This study shows reliable responses as well as correlation with behavioral discrimination, which highlight the paradigm's potential suitability for clinical purposes.
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- Development of the Children's English and Spanish Speech Recognition Test: Sound Field Data From Children With and Without Hearing Loss. [Journal Article]Ear Hear. 2026 Sep 16. [Online ahead of print]EH
- CONCLUSIONS: Results indicate the feasibility of using ChEgSS to assess speech recognition in the sound field for English monolingual and Spanish-English bilingual children.
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- From Approximation to Validation: Rethinking Frequency-Matched Acoustic Models of Cochlear Implants. [Journal Article]Ear Hear. 2026 Sep 16. [Online ahead of print]EH
- CONCLUSIONS: Frequency-matched acoustic models fail to replicate the sound of a cochlear implant and all-channel frequency-matched acoustic models also significantly overestimate speech perception. In contrast, self-selected acoustic models incorporating listener-specific perceptual frequency mismatch provide substantially better matches in both subjective sound quality and speech intelligibility. However, variability in similarity ratings across individuals may suggest that additional perceptual components remain unaccounted for in the current parameter set. These findings question the validity of frequency-matched acoustic models of cochlear implants in research applications.
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- Implementation of a Clinical Test of Vestibular Self-Motion Perception in Children and Adults With Hearing Loss. [Journal Article]Ear Hear. 2026 Sep 10. [Online ahead of print]EH
- CONCLUSIONS: A clinical test of yaw rotation perception is a valid tool for measuring vestibular impairment and is feasible in children with hearing loss as young as 8 yr. Yaw rotation perception may complement existing vestibular function tests by capturing subclinical changes in vestibular performance.
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- Cochlear Place Specificity of the Auditory Brainstem Response to Narrowband Chirp Versus 2-1-2 Stimuli: High-Pass Noise/Derived Responses. [Journal Article]Ear Hear. 2026 Sep 02. [Online ahead of print]EH
- CONCLUSIONS: ABRs to NBchirps reflect wider cochlear contributions than those to 2-1-2 tones. Responses to NBchirps arise from cochlear regions as far as one octave away from the stimulus frequency. In contrast, responses to 2-1-2 tones arise from cochlear regions primarily within approximately ±0.5 octaves of the stimulus frequency. Further research in individuals with hearing loss, especially with steep hearing loss, is required to determine whether the wider bandwidths for NBchirps result in threshold misestimation and whether NBchirp amplitude advantages over more-standard stimuli remain with hearing loss.
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- Auditory Stimuli Influence on Vestibulo-Ocular Reflex Gains. [Journal Article]Ear Hear. 2026 Aug 26. [Online ahead of print]EH
- CONCLUSIONS: High-intensity sound modulates human VOR gains mainly in the anterior and lateral canals, a pattern consistent with pathways served by the superior vestibular nerve, though the relative contributions of peripheral and central mechanisms remain to be determined. The auditory-vHIT protocol offers a proof-of-concept approach for probing auditory modulation of VOR responses that may, with further validation, contribute to the clinical evaluation of vestibular disorders.
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- Serial Monitoring of Hearing With Otoacoustic Emissions: Effects of Forward Pressure Level Calibration. [Journal Article]Ear Hear. 2026 Aug 25. [Online ahead of print]EH
- CONCLUSIONS: FPL-based calibration of stimulus level reduces test-to-test variation in DPOAE level compared with conventional in-the-ear SPL methods. By creating a tighter distribution of natural or typical OAE level fluctuations on repeated testing, forward pressure calibration appears to improve the serial monitoring of OAEs and could provide earlier detection of slight hearing changes. Our preliminary look at this question should be further explored with a large group of individuals showing confirmed changes in hearing over time.
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- Age-Related Changes in Middle-Ear Sound Transmission: Insights From Wideband Acoustic Immittance, Distortion Product Otoacoustic Emissions, and Air-Bone Gap Analysis. [Journal Article]Ear Hear. 2026 Aug 25. [Online ahead of print]EH
- CONCLUSIONS: Our findings suggest that age-related changes affect middle-ear sound transmission. Although an association between absorbance and DPOAE SNR at 4 kHz was observed, evidence for a conductive contribution to age-related hearing loss remains inconclusive. Further research with larger samples and, ideally, longitudinal designs is needed to clarify the clinical significance of these findings and their potential diagnostic and rehabilitative implications.
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- The Intelligibility-Based Repeat-Recall Test: I. Bayesian-Guided Estimation of Multiple Speech Reception Thresholds. [Journal Article]Ear Hear. 2026 Aug 25. [Online ahead of print]EH
- CONCLUSIONS: The ezSRT test is capable of producing reliable SRT estimates in 6 min that are sensitive to different experimental conditions and listener groups and that result in different SiN performance levels when later tested in a fixed SNR configuration. These results support using the ezSRT test as part of the new i-RRT protocol to determine SNRs targeting specific intelligibility levels.
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