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Single-Sided Deafness (SSD) & Unilateral Hearing Loss Treatment in Singapore

Living with hearing loss in one ear can make everyday conversations, busy environments and social situations more challenging than many people realise.

 

At The Listening Lab Singapore, our audiologists assess and manage patients with single-sided deafness (SSD) and unilateral hearing loss. Following a comprehensive hearing assessment, we’ll recommend the most appropriate treatment based on your hearing profile, lifestyle and communication needs.

What Is Unilateral Hearing Loss?

Unilateral hearing loss is a condition where there is a reduction of hearing capability in only one ear, ranging from mild to profound severity, while the other ear may have normal or varying levels of hearing. Some are born with hearing loss in one ear, while others develop it later in life due to illness, injury, infection, or structural issues within the auditory system. The severity and specific configuration can vary from person to person, making a professional hearing assessment an important first step.

Depending on your hearing profile, treatment may include a conventional hearing aid, a specialized CROS or BiCROS hearing aid system, assistive listening devices, or targeted medical intervention based on the root cause.

child getting a hearing test in singapore by the listening lab

What Is Single-Sided Deafness (SSD)?

Single-sided deafness (SSD), is a subset of unilateral hearing loss where the hearing loss in one ear is severe or profound while the other ear hears normally. Some are born with hearing loss in one ear, while others develop it later in life due to illness, injury, infection or sudden sensorineural hearing loss. The severity and cause can vary from person to person, making a professional hearing assessment an important first step.

Depending on your hearing profile, treatment may include a conventional hearing aid, a CROS or BiCROS hearing aid system, or in selected cases, referral for a cochlear implant assessment.

Common Signs of Hearing Loss in One Ear

You may have single-sided hearing loss if you:

  • Frequently turn your better ear towards people when they are speaking
  • Find conversations difficult in restaurants or other noisy environments
  • Have trouble identifying where sounds are coming from
  • Miss conversations when someone speaks from your affected side
  • Find group discussions more tiring than before
  • Often ask people to repeat themselves when they speak on your poorer hearing side

If these situations sound familiar, a comprehensive hearing assessment can help determine the cause and identify the most suitable treatment.

How Hearing With Two Ears Helps

Healthy hearing relies on both ears working together. Your brain compares the sounds received from each ear to help you:

  • Understand speech more clearly, especially in noisy environments
  • Identify where sounds are coming from
  • Balance surrounding sounds more naturally
  • Reduce listening effort during conversations

When one ear has little or no usable hearing, your brain receives less information to process. As a result, everyday listening situations can become more demanding, even if your other ear hears well.

How We Assess Single-Sided Hearing Loss

At The Listening Lab, every recommendation begins with a comprehensive hearing assessment.

 

Otoscopic Examination

Your audiologist examines the ear canal and eardrum to identify any visible conditions that may affect hearing.

Pure Tone Audiometry

A hearing test measures the hearing levels of each ear individually to determine the type and severity of hearing loss.

Tympanometry

A test used to evaluate the condition of the middle ear and the eardrum. This test will be used to help audiologists identify if the hearing loss is conductive or mixed in nature

Speech Testing

Speech testing evaluates how clearly you recognise speech in different listening environments.

Personalised Consultation

Your audiologist will explain your results, discuss how your hearing affects your daily life, and recommend suitable treatment options based on your hearing profile and lifestyle.

If your hearing loss requires further medical evaluation, we may also recommend consultation with an Ear, Nose and Throat (ENT) specialist.

Understanding Your Treatment Options

Not every person with hearing loss in one ear requires the same treatment. The most appropriate solution depends on the hearing ability of both ears, your communication needs and your lifestyle.

Following your hearing assessment, your audiologist may recommend one of the following:

Your Hearing ConditionPossible Treatment
Mild to moderate hearing loss in one earConventional hearing aid (where appropriate)
Little or no usable hearing in one ear, normal or near-normal hearing in the otherCROS hearing aid
Little or no usable hearing in one ear, aidable hearing loss in the better earBiCROS hearing aid
Selected cases of severe to profound hearing lossCochlear implant assessment (where medically appropriate)

Every recommendation is personalised. Your audiologist will discuss the benefits and limitations of each option before recommending the most appropriate solution for your hearing needs.

Why Isn't a Regular Hearing Aid Always Enough?

A conventional hearing aid works by amplifying sound so it can be heard more clearly by an ear that still has usable hearing. For many types of hearing loss, this is an effective solution.

However, if one ear has little or no usable hearing, simply making sounds louder in that ear may provide little or no meaningful benefit.

For suitable candidates, CROS and BiCROS hearing aid systems work differently. Rather than amplifying the poorer-hearing ear, they capture sounds from that side and wirelessly transmit them to the better-hearing ear. This helps improve awareness of sounds coming from your affected side and can make everyday conversations easier.

While CROS and BiCROS systems do not restore natural two-eared hearing or precise sound localisation, they can help reduce the head shadow effect, where your head blocks speech and environmental sounds from reaching your better-hearing ear.

Conventional Hearing Aid vs CROS vs BiCROS

Conventional
Hearing Aid
CROS Hearing AidBiCROS Hearing Aid
Suitable for ears with aidable hearing lossSuitable when one ear has little or no usable hearing and the other ear hears normally or near-normallySuitable when one ear has little or no usable hearing and the better ear also has hearing loss
Amplifies sound in the affected earCaptures sound from the poorer ear and wirelessly sends it to the better-hearing earCaptures sound from the poorer ear while also amplifying the better-hearing ear
Helps improve hearing in the ear wearing the hearing aidHelps improve awareness of sounds coming from the poorer-hearing sideHelps improve awareness of sounds while supporting hearing in the better ear

CROS & BiCROS Hearing Aid Brands We Offer

At The Listening Lab Singapore, we offer CROS and BiCROS hearing aid solutions from leading hearing aid manufacturers, including:

Bernafon

Phonak

Signia

Your audiologist will recommend the most suitable solution based on your hearing assessment, listening needs and lifestyle.

Why Choose The Listening Lab Singapore?

  • Experienced audiologists providing comprehensive hearing assessments
  • Personalised treatment recommendations based on your hearing profile
  • Access to leading hearing aid brands under one roof
  • Professional hearing aid fitting and fine-tuning
  • Ongoing aftercare and long-term hearing support
  • Convenient clinic locations across Singapore

What Do Patients Say About Our Hearing Test Services?

I am very happy with the service provided by this lab. Each time I come, I am able to have my problems corrected. Thanks to all the staff

Joo Huat Joel Tan

We would like to express our gratitude to Ms Alicia who attended & assisted our 87 years old Father on the diagnose of his faulty hearing aids.She’s really patient and attentive with a good listening ear, despite the language barrier.

Debbie Shing

Very happy to have gotten a pair of hearing aids recommended by Shawn for my mother, now she’s able to hear us much better & more aware of the surrounding environment. Was very appreciative on the post follow up & attentiveness to details to cater/ tune to her hearing needs. Thank you.

M&M TN

Very friendly team in Listening Lab Marine Parade branch. Even helped us to call a cab for our dad who is in a wheelchair to get home safely. Thank you good heart folks!

Susan Ang

I highly recommend anyone who wants to get a good hearing device to head to Listening Lab (LL) as it has the expertise, experience and technology to give you a good hearing fit. I have very good experience with Bloom and its successor, Listening Lab, which has been reorganised with up to date technology. I have been wearing hearing devices for the last 15 plus years, but have wonderful, close to human ears experience for the last 8 years or so when under the care of Bloom/LL.

A Leo

To start, I have nothing but praise and gratefulness to Ms Vina Ang for attending to the charging device and the buzzing sound on the right hearing aid. She not only diagnosed the problems superbly. She was patiently explaining the causes of the issues. Especially, the buzzing issue which was due to blockage and infection of my right ear. As to the malfunction of the charger, she traced it to the defect of my charging cable. And she replaced my faulty cable with a new one without charge. I really cannot asked for more. Thanks to the after sale service of your company and your audiologist. The services which your people have accorded to me was exemplary.

Teo Kim Meng

Frequently Asked Questions About Hearing Tests in Singapore

What is the difference between single-sided deafness and unilateral hearing loss?

Unilateral hearing loss refers to hearing loss affecting one ear. Single-sided deafness (SSD) generally describes cases where one ear has severe to profound hearing loss with little or no usable hearing.

You can contact us or check our locations to book an appointment.

Can hearing aids help if I am deaf in one ear?

Depending on your hearing profile, your audiologist may recommend a conventional hearing aid, a CROS or BiCROS hearing aid system, or another appropriate treatment option. A comprehensive hearing assessment is required to determine suitability.

Will CROS hearing aids restore normal hearing?

No. CROS and BiCROS systems do not restore normal binaural hearing or natural sound localisation. Instead, they help improve awareness of sounds coming from the affected side and reduce the listening effort associated with hearing from one ear.

How do I know whether I need CROS or BiCROS?

The choice depends on the hearing ability of your better ear. If your better ear hears normally, a CROS system may be suitable. If it also has hearing loss, a BiCROS system may be recommended. Your audiologist will determine the most appropriate option after a hearing assessment.

Is surgery the only treatment for single-sided deafness?

Not necessarily. Depending on the cause and severity of your hearing loss, treatment options may include conventional hearing aids, CROS or BiCROS systems, or referral for a cochlear implant assessment if clinically appropriate.

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