Evidence map›Paper›PMID 29799084›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2018

Evaluation of a new slim lateral wall electrode for cochlear implantation: an imaging study in human temporal bones.

Aarno Dietz, Matti Iso-Mustajärvi, Sini Sipari, Jyrki Tervaniemi, Dzemal Gazibegovic

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In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 24% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Comparison of robotic-assisted and manual cochlear implant electrode array insertions considering cochlear geometric factors.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  2. Scalar position characteristics and translocation rates of different lateral wall electrodes within the cochlear basal turn: a cone beam computed tomography study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  3. Article
  4. Insertion Results and Hearing Outcomes of a Slim Lateral Wall Electrode.The journal of international advanced otology · 2024
    Article
  5. Article
  6. Article
  7. A New Application of CBCT Image Fusion in Temporal Bone Studies.The journal of international advanced otology · 2019
    Article
  8. Temporal Bone Histopathology of First-Generation Cochlear Implant Electrode Translocation.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

5 authors at 1 institution in 1 country.

Aarno DietzDepartment of Otorhinolaryngology, Kuopio University Hospital, P. O. Box 100, 70029, Kuopio, Finland. aarno.dietz@kuh.fi.ORCID http://orcid.org/0000-0001-6076-1037
Matti Iso-MustajärviDepartment of Otorhinolaryngology, Kuopio University Hospital, P. O. Box 100, 70029, Kuopio, Finland.
Sini SipariDepartment of Otorhinolaryngology, Kuopio University Hospital, P. O. Box 100, 70029, Kuopio, Finland.
Jyrki TervaniemiDepartment of Clinical Radiology, Diagnostic Imaging Center, Kuopio University Hospital, Kuopio, Finland.
Dzemal GazibegovicClinical Research Department International, Advanced Bionics AG, Stäfa, Switzerland.
Kuopio University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the insertion characteristics and trauma of a new slim lateral wall electrode (SlimJ) in human temporal bones (TB).

methodsPre- and postoperative assessment was performed using cone beam computed tomography (CBCT) and image fusion in 11 human TB. The position of the array in each cochlea was analyzed and described using a vertical scaling factor, calculated by dividing the distance of the scala tympani floor to the centre of the electrode by the duct height. Insertion trauma was scaled according to the presumed localization of the basilar membrane, which was modeled from histologic sections of 20 TBs. The insertion trauma was described by the adaptation of the Eshragi trauma grading.

resultsA full electrode insertion, via the round window, was achieved in all TBs. Surgical handling was good, with a favorable compromise between high flexibility but sufficient stiffness to facilitate smooth insertions. The median angular insertion depth was 368° (range 330°-430°). Scala tympani placement was achieved in ten out of eleven TBs; in one TB a scala translocation was observed, occurring at approximately 180°.

conclusionsThe SlimJ showed atraumatic insertion characteristics. The CBCT fusion technique provides an accurate and reliable assessment of the electrode position and allows for grading insertion trauma without histology. The SlimJ true potential for structure and hearing preservation needs to be further assessed in vivo.

Indexed as

Cochlear ImplantationCochlear ImplantsElectrodes, ImplantedBasilar MembraneCadaverCone-Beam Computed TomographyEquipment DesignHumansRound Window, EarScala TympaniTemporal BoneCone beamElectrodeFusionHearing preservationImagingLateral wallStructure preservation

Identifiers

PMID29799084
OpenAlexW2803747948

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Registered trials

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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.