Evidence map›Paper›PMID 33351563›Full record

ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2021

Cool OtOprotective Ear Lumen (COOL) Therapy for Cisplatin-induced Hearing Loss.

James K Stanford, Drew S Morgan, Nicholas A Bosworth, Georgio Proctor, Tianwen Chen, Trace T Palmer, Punam Thapa, Bradley J Walters, Douglas E Vetter, Robert D Black and 2 more

Open access · greenAbstract 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, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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
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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

12 authors at 1 institution in 1 country.

James K StanfordDepartment of Otolaryngology-Head and Neck Surgery.
Drew S MorganDepartment of Otolaryngology-Head and Neck Surgery.
Nicholas A BosworthDepartment of Otolaryngology-Head and Neck Surgery.
Georgio ProctorDepartment of Otolaryngology-Head and Neck Surgery.
Tianwen ChenDepartment of Otolaryngology-Head and Neck Surgery.
Trace T PalmerDepartment of Otolaryngology-Head and Neck Surgery.
Punam ThapaDepartment of Neurobiology and Anatomical Sciences, University of Mississippi Medical Center, Jackson, Mississippi.
Bradley J WaltersDepartment of Otolaryngology-Head and Neck Surgery.
Douglas E VetterDepartment of Otolaryngology-Head and Neck Surgery.
Robert D BlackScion NeuroStim, LLC, Raleigh, North Carolina.
Lesco L RogersScion NeuroStim, LLC, Raleigh, North Carolina.
Christopher SpankovichDepartment of Otolaryngology-Head and Neck Surgery.
University of Mississippi Medical Center · US

Funding

Molecular determinants of cell fate in the inner earR01DC016365 · NIDCD · UNIVERSITY OF MISSISSIPPI MED CTR · PI WALTERS, BRADLEY J. · 2017 to 2021
$1.7M
NIDCD NIH HHS R01 DC016365
6 · The paper itself

Abstract

hypothesisLocalized cooling of the external ear has a protective effect on the susceptibility to cisplatin-induced hearing loss.

backgroundWe previously demonstrated significant protection from cisplatin-induced hearing loss using cool water ear canal irrigation. However, the study was limited to a single bolus injection of cisplatin and an acute time period. Here, we examined the application of localized cooling of the ear canal with repeated doses of cisplatin, over an expanded period of time, and using two methods of cooling.

methodsTwenty-four guinea pigs (12 male and 12 female) underwent auditory physiological testing (auditory brainstem response and distortion product otoacoustic emissions at 8-32 kHz) and pre/postadministration of cisplatin. Cisplatin (4 mg/kg i.p.) was administered in 3 weekly single injections for a total of 12 mg/kg. While anesthetized, the left ears of the guinea pigs were exposed to either cool water (22°C; ICS Water Caloric Irrigator), a cool ear bar (15°C, cooled by a Peltier device; TNM, Scion NeuroStim), or left uncooled as a sham control. The animals were tested 3 days post each dosage and 1 month post the final dose. At the end of the experiment the animals were euthanized for histological evaluation.

resultsWe found that hearing loss was significantly reduced, and hair cell survival greatly improved, in animals that received cooling treatments compared to cisplatin-only control animals. No significant difference was observed between the two methods of cooling.

conclusionLocalized cooling of the ear canal during administration of cisplatin mitigated loss of auditory function and loss of hair cells.

Indexed as

Antineoplastic AgentsHearing LossAnimalsCisplatinEvoked Potentials, Auditory, Brain StemFemaleGuinea PigsHair Cells, AuditoryHearingMaleOtoacoustic Emissions, SpontaneousAntineoplastic AgentsCisplatin

Identifiers

PMID33351563
PMCPMC8207522
OpenAlexW3116608496

What OpenQuestion holds

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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.