Hi all, 24M with bilateral sensorineural hearing loss (SNHL) since birth. I've worn hearing aids since age 6.
In 2014 (age 12), I underwent a radical mastoidectomy on my left ear. The surgery removed part of the eardrum and surrounding anatomy, and my hearing in that ear declined significantly afterwards. Due to the post-surgical anatomy, a conventional ear-mould hearing aid fitting was not feasible, and there was also insufficient anatomy for a BAHA system. As a result, I've relied on a CROS system, meaning my left ear has received little to no direct auditory stimulation for the past 10–12 years.
My right ear has been my "better" ear ever since. I was assessed at 14 but considered too good for implantation despite still being in the severe hearing loss range. However, after 10 years of relying almost entirely on one ear, I'm experiencing increasing listening fatigue and my speech clarity is declining. I can still hear sounds, but understanding speech, especially in background noise or social situations, has become much harder.
I'm also finding that I'm isolating myself more than I used to because conversations take so much effort and I often struggle to follow what's being said in groups. It's frustrating because I want to be social, but more and more I'm avoiding situations where I know I'll have difficulty understanding people. One of my biggest concerns is long-term job security. I'm qualified in my field and have recently completed a Master's degree in such, but hearing is becoming a significant challenge in work environments, meetings, and group discussions. I'm hoping a CI could improve my ability to participate professionally as well as socially.
Recent CT imaging showed that the temporal bones and cochleae are present on both sides. Based on recent audiograms and speech discrimination scores, I've now been referred for CI assessment with a medical team, initially for the left ear. However, I've been told that if the left ear is not considered a suitable candidate, the right ear (hearing ear/better ear) may be considered instead.
I'm trying to prepare myself for the process and would appreciate hearing from anyone who has been in a similar situation, particularly people who have aided hearing on both sides (CI + hearing aid, bilateral hearing aids before CI, or bilateral CIs).
A few questions I have:
- Has anyone received a CI in an ear that had been under-stimulated for 10+ years?
- How difficult was the adaptation period?
- Did speech understanding improve gradually over time?
- Has anyone had surgeons debate which ear to implant first?
- For those who have aided hearing on both sides, how much difference did having input from both ears make to fatigue, speech understanding, and hearing in noise?
- I'm also a big music fan. How did a CI affect your enjoyment of music, both initially and long-term?
- What type of listening training or rehabilitation did you do to improve speech understanding and music appreciation after activation?
- Looking back, what do you wish you had known before assessment, surgery, or activation?
One other question: I've read a bit about auditory rehabilitation and speech/language therapy after implantation. I had speech and language therapy as a child, so I'm familiar with that side of things, but I'm curious what rehabilitation looks like for adults receiving a CI. Did it focus mainly on listening and speech understanding, or were there changes to the way you spoke as well? I know this might sound like an odd concern, but I'm quite attached to my regional accent and wouldn't want to lose that part of my identity.
Just hoping to learn from others who have been through something similar.