Impact of unilateral hearing loss on sound localization

The impact of unilateral hearing loss on the localization of horizontal plane sound sources ipsilateral and contralateral to the side of the unimpaired ear was examined. Normal-hearing listeners judged the direction of six loudspeakers, separated by 30° and arrayed frontally or laterally on the right side with the right or left ear occluded. The benefit of massed practice over three sequential days was assessed. For the frontal loudspeaker array, azimuthal discrimination on the occluded side was poor but only 30% of sounds were perceived to come from the unoccluded side. For the right lateral array, when the ipsilateral ear was unoccluded, front and back were rarely confused. Accuracy mainly decreased for speakers close to the midline axis, front and back. When the contralateral ear was unoccluded responses were biased toward the rearmost speaker. Practice did not improve performance. The findings were discussed within the context of military operations. They support the need for job-specific hearing standards.