**5. Conclusions**

Our study showed higher phonemic fluency than semantic fluency, in contrast to previous studies. At 3 months after surgery, we observed a benefit of the cochlear implant in adults without differentiation between the phonemic and semantic pathways and regardless of the origin of the hearing loss. This study could be continued over a longer period of observation post cochlear implantation. It might be relevant to compare the impairment of phonemic and semantic pathways with that of executive functions in adults with hearing impairment.

**Author Contributions:** Conceptualization, A.G., N.G. and V.M.; methodology, V.M. and A.G.; software, A.D.; validation, A.G. and V.M.; formal analysis, M.B. and V.M.; investigation, N.G., A.G., C.S. and E.C.; data curation, C.S. and E.C.; writing—original draft preparation, M.B., V.M., A.G., C.S., A.D., E.C., C.V. and N.G.; writing—review and editing, M.B., V.M., A.G., C.S., A.D., E.C., C.V. and N.G.; supervision, A.G., N.G., C.V. and V.M. All authors have read and agreed to the published version of the manuscript.

**Funding:** This project was financed by the GIRCI Méditerranée in the context of the "AAP GIRCI ValoData 2022—recherche paramédicale", project acronym "ModelCo".

**Institutional Review Board Statement:** This study was approved by the Recherches Non Interventionnelles de l'Université Côte d'Azur (CERNI) AVIS number 2020-62.

**Informed Consent Statement:** All participants signed an informed consent form before the start of the study.

**Data Availability Statement:** Data will be provided upon the request to researchers.

**Acknowledgments:** The authors thank Abdallah Alshukry for advice and help in translating the text into English.

**Conflicts of Interest:** The authors declare no conflict of interest.
