Evidence map›Paper›PMID 33869763›Full record

ReviewLaryngoscope investigative otolaryngology2021

Near-infrared stimulation of the auditory nerve: A decade of progress toward an optical cochlear implant.

Philip D Littlefield, Claus-Peter Richter

Open access · goldAbstract readReview
In one paragraph

Review in Laryngoscope investigative otolaryngology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
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  4. Review
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  7. Article
  8. Vestibular prosthesis: from basic research to clinics.Frontiers in integrative neuroscience · 2023
    Review
  9. Article
  10. Review
  11. Article
  12. Review
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

2 authors at 2 institutions in 1 country.

Philip D LittlefieldDepartment of Otolaryngology Sharp Rees-Stealy Medical Group San Diego California USA.ORCID https://orcid.org/0000-0002-1890-2278
Claus-Peter RichterDepartment of Otolaryngology Northwestern University Chicago Illinois USA.
Northwestern University · USSharp Rees-Stealy Medical Group · US

Funding

Understanding the Benefits of Infrared Nerve Stimulators for Neural InterfacesR01DC011855 · NIDCD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI RICHTER, CLAUS-PETER · 2012 to 2016
$2.4M
Understanding the Benefits of Optical Nerve Stimulators for Neural InterfacesR56DC017492 · NIDCD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI RICHTER, CLAUS-PETER · 2019 to 2019
$147k
NIDCD NIH HHS R01 DC011855NIDCD NIH HHS R56 DC017492
6 · The paper itself

Abstract

objectivesWe provide an appraisal of recent research on stimulation of the auditory system with light. In particular, we discuss direct infrared stimulation and ongoing controversies regarding the feasibility of this modality. We also discuss advancements and barriers to the development of an optical cochlear implant.

methodsThis is a review article that covers relevant animal studies.

resultsThe auditory system has been stimulated with infrared light, and in a much more spatially selective manner than with electrical stimulation. However, there are experiments from other labs that have not been able to reproduce these results. This has resulted in an ongoing controversy regarding the feasibility of infrared stimulation, and the reasons for these experimental differences still require explanation. The neural response characteristics also appear to be much different than with electrical stimulation. The electrical stimulation paradigms used for modern cochlear implants do not apply well to optical stimulation and new coding strategies are under development. Stimulation with infrared light brings the risk of heat accumulation in the tissue at high pulse repetition rates, so optimal pulse shapes and combined optical/electrical stimulation are being investigated to mitigate this. Optogenetics is another promising technique, which makes neurons more sensitive to light stimulation by inserting light sensitive ion channels via viral vectors. Challenges of optogenetics include the expression of light sensitive channels in sufficient density in the target neurons, and the risk of damaging neurons by the expression of a foreign protein.

conclusionOptical stimulation of the nervous system is a promising new field, and there has been progress toward the development of a cochlear implant that takes advantage of the benefits of optical stimulation. There are barriers, and controversies, but so far none that seem intractable. LEVEL OF EVIDENCE: NA (animal studies and basic research).

Indexed as

cochlear implantinfrared stimulationneural prosthesesoptogenetics

Identifiers

PMID33869763
PMCPMC8035937
OpenAlexW3138418757

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.