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      <abstractText>Background/Objectives: Cochlear implantation is a crucial intervention for individuals with severe hearing loss, aiming to restore auditory function and improve quality of life. The decision to recommend cochlear implantation critically depends on accurate audiological evaluations. However, challenges arise when subjective assessments of hearing loss do not align with objective audiological measurements, leading to potential misdiagnoses. Comparisons are to be made between subjective and objective results, with an investigation into the characteristics, warning signs, and risk factors of functional hearing loss (FHL). Methods: A retrospective study of hearing loss presentations at an otorhinolaryngological university clinic between 2020 and 2024 was performed, whereby we collected FHL cases. The evaluation process included measurements of subjectively perceived hearing loss through pure-tone audiometry, speech understanding, and communication testing. The objective assessments comprised impedance measurement, otoacoustic emission measurement, auditory brainstem responses, auditory steady-state responses, and medical imaging. Results: During the studied period, 11 patients, with an average age of 35.2 years (13 to 64 years), who were originally referred for cochlear implantation evaluation and subsequently diagnosed with FHL, were identified. The majority (10 patients) were female. No organic cause was identified in four cases, while seven cases exhibited some organic ear abnormalities insufficient to justify the reported hearing loss. The degree of FHL ranged from 30 dB to 90 dB, with an average of 60 dB. Conclusions: Diagnosing FHL is challenging and requires comprehensive assessment and interdisciplinary collaboration. Failure to recognize it may lead to inappropriate treatment, including unnecessary cochlear implantation. This study advocates for the mandatory integration of ABR and ASSR in the clinical evaluation of all cochlear implant candidates to ensure accurate diagnosis and optimal treatment.</abstractText>
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          <label>40. Mistry 2016: Inside implant criteria or not?—Detection of non-organic hearing loss during cochlear implant assessment., Cochlear Implants Int., 17, p. 276, DOI: 10.1080/14670100.2016.1249993</label>
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          <label>41. Kompis 2015: Cochlear implant candidates with psychogenic hearing loss., Acta Otolaryngol., 135, p. 376, DOI: 10.3109/00016489.2014.985801</label>
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          <label>42. Yamazaki 2023: Functional hearing loss and developmental imbalances., Int. J. Pediatr. Otorhinolaryngol., 173, p. 111700, DOI: 10.1016/j.ijporl.2023.111700</label>
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          <label>43. Pflug 2022: Prognostic factors in non-organic hearing loss in children., Int. J. Audiol., 61, p. 400, DOI: 10.1080/14992027.2021.1922942</label>
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          <doi>10.1080/14992027.2021.1922942</doi>
          <published>false</published>
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      <label>Gáborján Anita et al. Evidence for the Necessity of Objective Hearing Tests in Cochlear Implantation Assessment: Excluding Functional Hearing Loss Cases. (2025) JOURNAL OF CLINICAL MEDICINE 2077-0383 14 10</label><template>&lt;div class=&quot;JournalArticle Publication short-list&quot;&gt; &lt;div class=&quot;authors&quot;&gt; &lt;span class=&quot;author-name&quot; mtid=&quot;122&quot;&gt; &lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=122&quot; target=&quot;_blank&quot;&gt;Gáborján, Anita ✉&lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; mtid=&quot;10086957&quot;&gt; &lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10086957&quot; target=&quot;_blank&quot;&gt;Kondé, Márton&lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; mtid=&quot;10023618&quot;&gt; &lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10023618&quot; target=&quot;_blank&quot;&gt;Küstel, Marianna&lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; 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		&lt;div class=&quot;autype autype0&quot;&gt;				&lt;span class=&quot;author-name&quot; mtid=&quot;122&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=122&quot; target=&quot;_blank&quot;&gt;Gáborján Anita ✉
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Gáborján Anita&lt;/span&gt;
            &lt;span class=&quot;authorAux-mtmt&quot;&gt; Fül- orr gégészet, audiológia, farmakológia&lt;/span&gt;)
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10086957&quot;&gt;&lt;a 
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis Egyetem&quot;&gt;SE&lt;/span&gt;/&lt;span title=&quot;Általános Orvostudományi Kar&quot;&gt;AOK&lt;/span&gt;/&lt;span title=&quot;Klinikum&quot;&gt;K&lt;/span&gt;/Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika&lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10023618&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10023618&quot; target=&quot;_blank&quot;&gt;Küstel Marianna
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Küstel Marianna&lt;/span&gt;
            &lt;span class=&quot;authorAux-mtmt&quot;&gt; fül- orr- gégészet, audiológia&lt;/span&gt;)
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis Egyetem&quot;&gt;SE&lt;/span&gt;/&lt;span title=&quot;Általános Orvostudományi Kar&quot;&gt;AOK&lt;/span&gt;/&lt;span title=&quot;Klinikum&quot;&gt;K&lt;/span&gt;/Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika&lt;/span&gt;
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																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10053059&quot; target=&quot;_blank&quot;&gt;Kecskeméti Nóra
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Kecskeméti Nóra&lt;/span&gt;
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10010129&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10010129&quot; target=&quot;_blank&quot;&gt;Tamás László
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Tamás László&lt;/span&gt;
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10026306&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10026306&quot; target=&quot;_blank&quot;&gt;Baranyi Ildikó
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;221&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=221&quot; target=&quot;_blank&quot;&gt;Polony Gábor&lt;sup&gt;**&lt;/sup&gt;
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&lt;div class=&quot;title&quot;&gt;&lt;a href=&quot;/gui2/?mode=browse&amp;params=publication;36154338&quot; target=&quot;_blank&quot;&gt;Evidence for the Necessity of Objective Hearing Tests in Cochlear Implantation Assessment: Excluding Functional Hearing Loss Cases&lt;/a&gt;&lt;/div&gt;    &lt;div&gt;		&lt;span class=&quot;journal-title&quot;&gt;JOURNAL OF CLINICAL MEDICINE&lt;/span&gt;

        &lt;span class=&quot;journal-issn&quot;&gt;( &lt;a target=&quot;_blank&quot; href=&quot;https://portal.issn.org/resource/ISSN/2077-0383&quot;&gt;2077-0383&lt;/a&gt;)&lt;/span&gt;:
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	&lt;span class=&quot;language&quot; xmlns=&quot;http://www.w3.org/1999/html&quot;&gt;Nyelv:
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&lt;div class=&quot;lastModified&quot;&gt;Utolsó módosítás: 2025.06.11. 09:42 Horváth Viktória (SE_ETK_Admin5_HV, admin)
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	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Megjegyzés&lt;/u&gt;: Gábor Polony and Judit F. Szigeti authors contributed equally to this work&lt;/pre&gt;
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