Evidence map›Paper›PMID 29342054›Full record

Trial reportOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2018

Multicenter US Clinical Trial With an Electric-Acoustic Stimulation (EAS) System in Adults: Final Outcomes.

Harold C Pillsbury, Margaret T Dillon, Craig A Buchman, Hinrich Staecker, Sandra M Prentiss, Michael J Ruckenstein, Douglas C Bigelow, Fred F Telischi, Diane M Martinez, Christina L Runge and 14 more

2 registry-linked trialsOpen access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% 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.

NCT04707885 narecruitingnot on this mapstarted 2021, after this paper: background citation

Clinical Utility of Residual Hearing in the Cochlear Implant Ear

TypeinterventionalSponsorOhio State UniversityRan2021 to 2027Enrolled40ConditionsHearing Loss, Sensorineural, Hearing Loss, Hearing Loss, BilateralArmsElectrocochleography
NCT04721990 nawithdrawnnot on this mapstarted 2021, after this paper: background citation

Subjective and Objective Performance With the SONNET2EAS

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2021 to 2023Enrolled0ConditionsHearing Loss, Hearing DisabilityArmsAutomatic Sound Management 3.0
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

  1. Electrocochleography in Cochlear Implant Users with Residual Acoustic Hearing: A Systematic Review.International journal of environmental research and public health · 2020
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Bilateral Cochlear Implants Using Two Electrode Lengths in Infants With Profound Deafness.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2019
    Trial
  6. Article
  7. Article
  8. A Novel Hybrid Solution for Hearing Impairments.Laryngoscope investigative otolaryngology · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. 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

24 authors at 12 institutions in 1 country.

Harold C PillsburyDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Margaret T DillonDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Craig A BuchmanDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Hinrich StaeckerDepartment of Otolaryngology-Head and Neck Surgery, Kansas University Medical Center, Kansas City, Kansas.
Sandra M PrentissDepartment of Otolaryngology-Head and Neck Surgery, Kansas University Medical Center, Kansas City, Kansas.
Michael J RuckensteinDepartment of Otorhinolaryngology-Head and Neck Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Douglas C BigelowDepartment of Otorhinolaryngology-Head and Neck Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Fred F TelischiDepartment of Otolaryngology, Miller School of Medicine of the University of Miami, Miami, Florida.
Diane M MartinezDepartment of Otolaryngology, Miller School of Medicine of the University of Miami, Miami, Florida.
Christina L RungeDepartment of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin.
David R FriedlandDepartment of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin.
Nikolas H BlevinsDepartment of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, California.
Jannine B LarkyDepartment of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, California.
George AlexiadesDepartment of Otolaryngology, New York Eye and Ear Infirmary, New York, New York.
David M KaylieDuke Otolaryngology, Head and Neck, ENT, and Oral Surgery, Duke University, Durham, North Carolina.
Peter S RolandDepartment of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
Richard T MiyamotoDepartment of Otolaryngology-Head and Neck Surgery, Indiana University, Indianapolis, Indiana.
Douglas D BackousCenter for Hearing and Skull Base Surgery, Swedish Neuroscience Institute, Seattle, Washington.
Frank M WarrenDepartment of Otolaryngology-Head and Neck Surgery Oregon Health Sciences University, Portland, Oregon.
Hussam K El-KashlanDepartment of Otolaryngology-Head and Neck Surgery Michigan University, Ann Arbor, Michigan.
Heidi K SlagerDepartment of Otolaryngology-Head and Neck Surgery Michigan University, Ann Arbor, Michigan.
Carisa ReyesBoys Town National Research Hospital, Omaha, Nebraska.
Allison I RaceyMED-EL Corporation, Durham, North Carolina.
Oliver F AdunkaDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
University of North Carolina at Chapel Hill · USHospital of the University of Pennsylvania · USMedical College of Wisconsin · USNew York Eye and Ear Infirmary · USStanford University · USUniversity Medical Center · USUniversity of Miami · USDuke University · USIndiana University – Purdue University Indianapolis · USOregon Health & Science University · USSwedish Medical Center · USThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo demonstrate the safety and effectiveness of the MED-EL Electric-Acoustic Stimulation (EAS) System, for adults with residual low-frequency hearing and severe-to-profound hearing loss in the mid to high frequencies. STUDY

designProspective, repeated measures.

settingMulticenter, hospital. PATIENTS: Seventy-three subjects implanted with PULSAR or SONATA cochlear implants with FLEX electrode arrays.

interventionSubjects were fit postoperatively with an audio processor, combining electric stimulation and acoustic amplification.

main outcome measuresUnaided thresholds were measured preoperatively and at 3, 6, and 12 months postactivation. Speech perception was assessed at these intervals using City University of New York sentences in noise and consonant-nucleus-consonant words in quiet. Subjective benefit was assessed at these intervals via the Abbreviated Profile of Hearing Aid Benefit and Hearing Device Satisfaction Scale questionnaires.

resultsSixty-seven of 73 subjects (92%) completed outcome measures for all study intervals. Of those 67 subjects, 79% experienced less than a 30 dB HL low-frequency pure-tone average (250-1000 Hz) shift, and 97% were able to use the acoustic unit at 12 months postactivation. In the EAS condition, 94% of subjects performed similarly to or better than their preoperative performance on City University of New York sentences in noise at 12 months postactivation, with 85% demonstrating improvement. Ninety-seven percent of subjects performed similarly or better on consonant-nucleus-consonant words in quiet, with 84% demonstrating improvement.

conclusionThe MED-EL EAS System is a safe and effective treatment option for adults with normal hearing to moderate sensorineural hearing loss in the low frequencies and severe-to-profound sensorineural hearing loss in the high frequencies who do not benefit from traditional amplification.

Indexed as

Cochlear ImplantsHearing AidsTreatment OutcomeAcoustic StimulationAdolescentAdultAgedCochlear ImplantationFemaleHearing Loss, SensorineuralHumansMaleMiddle AgedProspective StudiesSpeech PerceptionSurveys and Questionnaires

Identifiers

PMID29342054
PMCPMC5821485
OpenAlexW2793131691

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.