Evidence map›Paper›PMID 31968338›Full record

ArticleAudiology & neuro-otology2020

Interactions between Auditory and Vestibular Modalities during Stimulation with a Combined Vestibular and Cochlear Prosthesis.

James O Phillips, Leo Ling, Amy Nowack, Brenda Rebollar, Jay T Rubinstein

Open access · hybridAbstract read
In one paragraph

Article in Audiology & neuro-otology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. The impact of bilateral vestibulopathy on quality of life: data from the Antwerp University Hospital registry.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 · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. The Next Challenges of Vestibular Implantation in Humans.Journal of the Association for Research in Otolaryngology : JARO · 2023
    Review
  7. Vestibular prosthesis: from basic research to clinics.Frontiers in integrative neuroscience · 2023
    Review
  8. Article
  9. Article
  10. An Implanted Vestibular Prosthesis Improves Spatial Orientation in Animals with Severe Vestibular Damage.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2021
    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 2 institutions in 1 country.

James O PhillipsDepartment of Otolaryngology, University of Washington, Seattle, Washington, USA, jop@uw.edu.
Leo LingDepartment of Otolaryngology, University of Washington, Seattle, Washington, USA.
Amy NowackDepartment of Otolaryngology, University of Washington, Seattle, Washington, USA.
Brenda RebollarCenter for Integrative Brain Research, Seattle Children's Hospital, Seattle, Washington, USA.
Jay T RubinsteinDepartment of Otolaryngology, University of Washington, Seattle, Washington, USA.
University of Washington · USSeattle Children's Hospital · US

Funding

Optimization of a human vestibular prosthesisR01DC014002 · NIDCD · UNIVERSITY OF WASHINGTON · PI RUBINSTEIN, JAY T. · 2014 to 2018
$2.9M
NIDCD NIH HHS R01 DC014002
6 · The paper itself

Abstract

backgroundA combined vestibular and cochlear prosthesis may restore hearing and balance to patients who have lost both. To do so, the device should activate each sensory system independently.

objectivesIn this study, we quantify auditory and vestibular interactions during interleaved stimulation with a combined 16-channel cochlear and 6-channel vestibular prosthesis in human subjects with both hearing and vestibular loss.

methodsThree human subjects were implanted with a combined vestibular and cochlear implant. All subjects had severe-to-profound deafness in the implanted ear. We provided combined stimulation of the cochlear and vestibular arrays and looked for interactions between these separate inputs. Our main outcome measures were electrically evoked slow-phase eye velocities during nystagmus elicited by brief trains of biphasic pulse stimulation of the vestibular end organs with and without concurrent stimulation of the cochlea, and Likert scale assessments of perceived loudness and pitch during stimulation of the cochlea, with and without concurrent stimulation of the vestibular ampullae.

resultsAll subjects had no auditory sensation resulting from semicircular canal stimulation alone, and no sensation of motion or slow-phase eye movement resulting from cochlear stimulation alone. However, interleaved cochlear stimulation did produce changes in the slow-phase eye velocities elicited by electrical stimulation. Similarly, interleaved semicircular canal stimulation did elicit changes in the perceived pitch and loudness resulting from stimulation at multiple sites in the cochlea.

conclusionsThere are significant interactions between different sensory modalities during stimulation with a combined vestibular and cochlear prosthesis. Such interactions present potential challenges for stimulation strategies to simultaneously restore auditory and vestibular function with such an implant.

Indexed as

Cochlear ImplantsAuditory PerceptionCochleaCochlear ImplantationFemaleHearingHearing Loss, SensorineuralHearing TestsHumansMaleMiddle AgedPostural BalanceSemicircular CanalsTreatment OutcomeVestibular DiseasesVestibule, LabyrinthCochlear prosthesisHumanImplantVestibular prosthesis

Identifiers

PMID31968338
PMCPMC7050683
OpenAlexW3000863186

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.