12-month post-operative results for older children using sequential bilateral implants.

Within a long-term project investigating the perceptual benefits of bilateral implants, six children aged 5 to 15 yr received a second implant. Parent reports of functional performance were collected, and localization and spondee discrimination in noise was assessed. Outcomes varied from no benefit to significant benefit, although no improvement in localization was demonstrated. A major proportion of the benefit was likely due to headshadow effect. Success did not correlate with hearing aid use, age, time between implants, or second implant experience.