Evidence map›Paper›PMID 27260269›Full record

ArticleHearing research2016

A cool approach to reducing electrode-induced trauma: Localized therapeutic hypothermia conserves residual hearing in cochlear implantation.

Ilmar Tamames, Curtis King, Esperanza Bas, W Dalton Dietrich, Fred Telischi, Suhrud M Rajguru

4 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Hearing research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.2field-weighted citation impact, top 22% 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
NCT06729632 narecruitingnot on this mapstarted 2024, after this paper: background citation

Non-Invasive System to Deliver Therapeutic Hypothermia for Protection Against Noise-Induced Hearing Loss

TypeinterventionalSponsorRestorear Devices LLCRan2024 to 2027Enrolled116ConditionsNoise Exposure, Noise-induced Hearing Loss, Noise, Adverse EffectArmsCold pack-delivered mild therapeutic hypothermia
NCT07017998 narecruitingnot on this mapstarted 2025, after this paper: background citation

Mild Therapeutic Hypothermia for Tinnitus Management

TypeinterventionalSponsorRestorear Devices LLCRan2025 to 2027Enrolled80ConditionsTinnitus, Tinnitus, SubjectiveArmsCold pack-delivered mild therapeutic hypothermia, Sham (No Treatment)
NCT07071480 narecruitingnot on this mapstarted 2025, after this paper: background citation

Noninvasive Therapeutic Hypothermia for Tinnitus

TypeinterventionalSponsorRestorear Devices LLCRan2025 to 2027Enrolled40ConditionsTinnitus, Tinnitus, SubjectiveArmsCold pack-delivered mild therapeutic hypothermia, Sham device
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Development and Evaluation of a Novel Transcanal Catheter for Delivery of Hypothermia to the Inner Ear.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2025
    Article
  3. Optimizing Factors in Murine Whole-Organ Cochlea Culture.International journal of molecular sciences · 2025
    Article
  4. Article
  5. Review
  6. Effects of Therapeutic Hypothermia on Macrophages in Mouse Cochlea Explants.International journal of molecular sciences · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Cool OtOprotective Ear Lumen (COOL) Therapy for Cisplatin-induced Hearing Loss.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2021
    Article
  18. Article
  19. Article
  20. 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

6 authors at 1 institution in 1 country.

Ilmar TamamesDepartment of Biomedical Engineering, Seattle, WA, USA.
Curtis KingLucent Medical Systems, Seattle, WA, USA.
Esperanza BasDepartment of Otolaryngology, University of Miami, Miami, FL, 33136, USA.
W Dalton DietrichDepartment of Neurological Surgery, University of Miami, Miami, FL, 33136, USA.
Fred TelischiDepartment of Otolaryngology, University of Miami, Miami, FL, 33136, USA.
Suhrud M RajguruDepartment of Biomedical Engineering, Seattle, WA, USA; Department of Otolaryngology, University of Miami, Miami, FL, 33136, USA. Electronic address: s.rajguru@miami.edu.
University of Miami · US

Funding

Miami Clinical and Translational Science InstituteUL1TR000460 · NCATS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI SACCO, RALPH L. · 2012 to 2016
$16.9M
University of Pittsburgh Clinical and Translational Science InstitutionKL2TR000146 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$8.7M
Mild therapeutic hypothermia for hearing conservation during inner ear surgeryR21DC014324 · NIDCD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI RAJGURU, SUHRUD M. · 2015 to 2016
$411k
NCATS NIH HHS KL2 TR000146NCATS NIH HHS UL1 TR000460NIDCD NIH HHS R21 DC014324
6 · The paper itself

Abstract

objectiveThe trauma caused during cochlear implant insertion can lead to cell death and a loss of residual hair cells in the cochlea. Various therapeutic approaches have been studied to prevent cochlear implant-induced residual hearing loss with limited success. In the present study, we show the efficacy of mild to moderate therapeutic hypothermia of 4 to 6 °C applied to the cochlea in reducing residual hearing loss associated with the electrode insertion trauma. APPROACH: Rats were randomly distributed in three groups: control contralateral cochleae, normothermic implanted cochleae and hypothermic implanted cochleae. Localized hypothermia was delivered to the middle turn of the cochlea for 20 min before and after implantation using a custom-designed probe perfused with cooled fluorocarbon. Auditory brainstem responses (ABRs) were recorded to assess the hearing function prior to and post-cochlear implantation at various time points up to 30 days. At the conclusion of the trials, inner ears were harvested for histology and cell count. The approach was extended to cadaver temporal bones to study the potential surgical approach and efficacy of our device. In this case, the hypothermia probe was placed next to the round window niche via the facial recess or a myringotomy. MAIN

resultsA significant loss of residual hearing was observed in the normothermic implant group. Comparatively, the residual hearing in the cochleae receiving therapeutic hypothermia was significantly conserved. Histology confirmed a significant loss of outer hair cells in normothermic cochleae receiving the surgical trauma when compared to the hypothermia treated group. In human temporal bones, a controlled and effective cooling of the cochlea was achieved using our approach. SIGNIFICANCE: Collectively, these results suggest that therapeutic hypothermia during cochlear implantation may reduce traumatic effects of electrode insertion and improve conservation of residual hearing.

Indexed as

HearingAnimalsAudiometry, Pure-ToneAuditory ThresholdCochleaCochlear ImplantationCochlear ImplantsEar, InnerElectrodesElectrodes, ImplantedEvoked Potentials, Auditory, Brain StemHair Cells, Auditory, OuterHearing LossHearing Loss, SensorineuralHypothermia, InducedRatsCochlear implantElectrode insertionHair cell lossResidual hearingTherapeutic hypothermiaTrauma

Identifiers

PMID27260269
PMCPMC5018430
OpenAlexW2419527353

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.