Evidence map›Paper›PMID 25955750›Full record

ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2015

Hearing Loss After Activation of Hearing Preservation Cochlear Implants Might Be Related to Afferent Cochlear Innervation Injury.

Jonathan C Kopelovich, Lina A J Reiss, Christine P Etler, Linjing Xu, J Tyler Bertroche, Bruce J Gantz, Marlan R Hansen

Registry-linked trialAbstract read
In one paragraph

Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06375278 (Device to Deliver Intra-Operative Therapeutic Hypothermia for Hearing Preservation in Cochlear Implantation), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06375278 narecruitingnot on this mapstarted 2024, after this paper: background citation

Device to Deliver Intra-Operative Therapeutic Hypothermia for Hearing Preservation in Cochlear Implantation

TypeinterventionalSponsorRestorear Devices LLCRan2024 to 2027Enrolled54ConditionsCochlear Implants, Cochlear Implantation, Hearing LossArmsIntra-Ear Canal Cooling Catheter
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. [Research progress on the protective mechanism of insulin like growth factor-1 on inner ear].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2021
    Pooled it
  2. Trial
  3. Risk factors for loss of ipsilateral residual hearing after hybrid cochlear implantation.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2014
    Trial
  4. Effect of Taking a Break From Cochlear-Implant Use for Resolving Facial-Nerve Stimulation: A Case Series.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Comparative Analysis of Robotics-Assisted and Manual Insertions of Cochlear Implant Electrode Arrays.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2022
    Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Electrocochleography in cochlear implantation: Development, applications, and future directions.World journal of otorhinolaryngology - head and neck surgery · 2021
    Review
  18. Article
  19. Article
  20. Anatomical Correlates and Surgical Considerations for Localized Therapeutic Hypothermia Application in Cochlear Implantation Surgery.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Jonathan C Kopelovich*Departments of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, Iowa; †Department of Otolaryngology-Head and Neck Surgery, Oregon Health Science University, Portland, Oregon; and ‡Departments of Communication Sciences and Disorders and §Neurosurgery, University of Iowa, Iowa City, Iowa, U.S.A.
Lina A J Reiss
Christine P Etler
Linjing Xu
J Tyler Bertroche
Bruce J Gantz
Marlan R Hansen
University of Iowa · USOregon Health & Science University · US

Funding

Speech Production &LanguageP50DC000242 · NIDCD · UNIVERSITY OF IOWA · PI Marlan R Hansen · 1989 to 2026
$58.8M
XANTHINE OXIDASE PRODUCTS IN MODULATION OF ENDOTHELIAL DYSFUNCTIONM01RR000059 · NCRR · UNIVERSITY OF IOWA · PI ASHARE, ALIX · 1985 to 2007
$22.3M
Reduction of Intracochlear Trauma and Fibrosis Using Dual Network, Zwitterionic Hydrogel Thin Films on Cochlear Implant SurfacesR01DC012578 · NIDCD · UNIVERSITY OF IOWA · PI Allan Guymon, Marlan R Hansen · 2013 to 2026
$6.3M
Research Training Program in OtolaryngologyT32DC000040 · NIDCD · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R · 1993 to 2025
$5.4M
SHORT-TERM TRAINING: STUDENTS IN HEALTH PROF. SCHOOLST35HL007485 · NHLBI · UNIVERSITY OF IOWA · PI ROGHAIR, ROBERT D · 1985 to 2019
$4.3M
Tissue Culture CoreP30DC010362 · NIDCD · UNIVERSITY OF IOWA · PI EBERL, DANIEL F, LOGSDON, JOHN M · 2010 to 2014
$2.0M
NCRR NIH HHS M01 RR000059NCRR NIH HHS RR00059NHLBI NIH HHS T35 HL007485NIDCD NIH HHS 2P50DC000242-26A1NIDCD NIH HHS P30 DC010362NIDCD NIH HHS P50 DC000242NIDCD NIH HHS R01 DC012578NIDCD NIH HHS T32 DC000040
6 · The paper itself

Abstract

objectiveCharacterize hearing loss (HL) after hearing preservation cochlear implantation and determine the association between high charge electrical stimulation (ES) and late loss of acoustic hearing.

methodsA retrospective cohort analysis of all hearing preservation implantees at our center (n = 42) assayed HL as a function of maximum charge. We analyzed serial audiometry from 85 patients enrolled in the multicenter Hybrid S8 trial to detail the hearing loss greater than 1 month after implantation. Cochleotypic explant cultures were used to assess susceptibility to high levels of ES.

resultsEarly HL after implantation tends to be mild and averages 12.2 dB. After activation of the Hybrid S8 device, 17 (20%) of 85 patients experienced acceleration of HL. Compared with the majority of patients who did not lose significant hearing after activation, these patients experienced more severe HL at 1 year. Five patients implanted at our center experienced acceleration of HL after high charge exposure. In patients implanted at our center, high charge was associated with late HL (Pearson 0.366, p = 0.016). In rat cochleotypic explants, high voltage ES damaged afferent nerve fibers, reflected by blebbing and a 50% reduction in the number of fibers innervating the organ of Corti. In contrast, hair cells displayed only minor differences in cell number and morphology.

conclusionsBased on clinical and in vitro data, we theorize that the combination of acoustic amplification and ES in the setting of intact hair cells and neural architecture may contribute, in part, to cochlear toxicity, perhaps by damaging the afferent innervation.

Indexed as

AdolescentAdultAfferent PathwaysAnimalsAudiometryAudiometry, Pure-ToneCell CountChildCochlear ImplantsCohort StudiesElectric StimulationFemaleHair Cells, AuditoryHearing LossHumansMale

Identifiers

PMID25955750
PMCPMC4469568
OpenAlexW568902033

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.