Evidence map›Paper›PMID 37310792›Full record

ArticleAdvanced healthcare materials2023

Tissue-Engineered Cochlear Fibrosis Model Links Complex Impedance to Fibrosis Formation for Cochlear Implant Patients.

Simone R de Rijk, Alexander J Boys, Iwan V Roberts, Chen Jiang, Charlotte Garcia, Róisín M Owens, Manohar Bance

Open access · hybridAbstract read
In one paragraph

Article in Advanced healthcare materials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Electrode impedance in cochlear implantation: determinants, dynamics, and clinical implications.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
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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

7 authors at 2 institutions in 2 countries.

Simone R de RijkCambridge Hearing Group, Cambridge, CB2 8AF, UK.ORCID 0000-0001-7962-5473
Alexander J BoysCambridge Hearing Group, Cambridge, CB2 8AF, UK.ORCID 0000-0002-6488-7005
Iwan V RobertsCambridge Hearing Group, Cambridge, CB2 8AF, UK.ORCID 0000-0003-0826-4142
Chen JiangCambridge Hearing Group, Cambridge, CB2 8AF, UK.ORCID 0000-0002-6806-5324
Charlotte GarciaCambridge Hearing Group, Cambridge, CB2 8AF, UK.ORCID 0000-0003-0370-3927
Róisín M OwensCambridge Hearing Group, Cambridge, CB2 8AF, UK.ORCID 0000-0001-7856-2108
Manohar BanceCambridge Hearing Group, Cambridge, CB2 8AF, UK.ORCID 0000-0001-8050-3617
University of Cambridge · GBMRC Cognition and Brain Sciences Unit · GB

Funding

Department of Health NIHR203312Medical Research Council MC_UU_00014/5Medical Research Council MU_UU_00014/5Wellcome TrustWellcome Trust RG93172/BANCE/40181
6 · The paper itself

Abstract

Cochlear implants are a life-changing technology for those with severe sensorineural hearing loss, partially restoring hearing through direct electrical stimulation of the auditory nerve. However, they are known to elicit an immune response resulting in fibrotic tissue formation in the cochlea that is linked to residual hearing loss and suboptimal outcomes. Intracochlear fibrosis is difficult to track without postmortem histology, and no specific electrical marker for fibrosis exists. In this study, a tissue-engineered model of cochlear fibrosis is developed following implant placement to examine the electrical characteristics associated with fibrotic tissue formation around electrodes. The model is characterized using electrochemical impedance spectroscopy and an increase in the resistance and a decrease in capacitance of the tissue using a representative circuit are found. This result informs a new marker of fibrosis progression over time that is extractable from voltage waveform responses, which can be directly measured in cochlear implant patients. This marker is tested in a small sample size of recently implanted cochlear implant patients, showing a significant increase over two postoperative timepoints. Using this system, complex impedance is demonstrated as a marker of fibrosis progression that is directly measurable from cochlear implants to enable real-time tracking of fibrosis formation in patients, creating opportunities for earlier treatment intervention to improve cochlear implant efficacy.

Indexed as

Cochlear ImplantationCochlear ImplantsCochleaElectric ImpedanceFibrosisHumansbioelectronicsbiological circuit modellingelectrochemical impedance spectroscopyelectrodestissue engineering

Identifiers

PMID37310792
PMCPMC11468547
OpenAlexW4380480188

What OpenQuestion holds

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LicenceCC BY
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.