Evidence map›Paper›PMID 38219245›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 Surgery2024

ART and AutoART ECAP measurements and cochlear nerve anatomy as predictors in adult cochlear implant recipients.

Leonhard Schrank, Pascal Nachtigäller, Joachim Müller, John-Martin Hempel, Martin Canis, Jennifer L Spiegel, Tobias Rader

Abstract readComparative Study
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, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Dynamics of neural responsiveness in pediatric cochlear implant users.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. Review
  4. 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

7 authors.

Leonhard SchrankDivision of Audiology, Department of Otorhinolaryngology, LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Pascal NachtigällerDivision of Audiology, Department of Otorhinolaryngology, LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.ORCID http://orcid.org/0000-0001-7705-0848
Joachim MüllerDepartment of Otorhinolaryngology, LMU University Hospital, LMU Munich, Munich, Germany.
John-Martin HempelDepartment of Otorhinolaryngology, LMU University Hospital, LMU Munich, Munich, Germany.
Martin CanisDepartment of Otorhinolaryngology, LMU University Hospital, LMU Munich, Munich, Germany.
Jennifer L Spiegel *Department of Otorhinolaryngology, LMU University Hospital, LMU Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-6187-0195
Tobias Rader *Division of Audiology, Department of Otorhinolaryngology, LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. tobias.rader@med.uni-muenchen.de.ORCID http://orcid.org/0000-0001-7250-2833

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this retrospective study is to compare the results of electrically evoked compound action potential (ECAP) measurements using automatic auditory response telemetry (AutoART) with those obtained by ART in adults. The study also aimed to evaluate the predictive value of intraoperative ART and AutoART ECAPs for speech intelligibility (SI) and hearing success (HS), and to determine if cochlear nerve (CN) cross-sectional area (CSA) obtained preoperatively by magnetic resonance imaging (MRI) scans could predict ART and AutoART ECAPs and SI and HS outcome.

methodsThe study analyzed and correlated ART and AutoART ECAP thresholds at electrodes E2, E6, and E10, as well as averaged ECAP thresholds over electrodes E1-E12, using data from 32 implants. Correlations were also examined for ART and AutoART ECAP slopes. In addition, averaged ART and AutoART ECAP thresholds and slopes over all 12 electrodes for each participant were correlated with CN CSA measured from MRI sequences. SI of the monosyllabic Freiburg Speech Test at 65 dB sound pressure level was examined along with averaged ART and AutoART thresholds and slopes over all 12 electrodes. A parallel analysis was performed for HS, derived from the difference between baseline and 6-month SI. Finally, correlations between CN CSA and SI, as well as CN CSA and HS were examined.

resultsThe results of the study showed a significant positive correlation between ART and AutoART ECAP thresholds and as well as slopes for E2, E6, E10 and averaged thresholds and slopes of E1-E12. However, no significant correlation was observed between ART and AutoART averaged ECAP thresholds and slopes and either SI and HS or CN CSA. Furthermore, no significant correlation was found between CN CSA and SI and HS.

conclusionWhile AutoART is a reliable and safe program for measuring ECAPs in adults, the study found no preoperative prognostic information on intraoperative ECAP results using parameters extracted from current MRI sequences or pre-/intraoperative information on subsequent hearing outcome using ECAP and CN CSA.

Indexed as

Cochlear ImplantsCochlear NerveEvoked Potentials, AuditoryMagnetic Resonance ImagingAction PotentialsAdultAgedAuditory ThresholdCochlear ImplantationFemaleHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesSpeech IntelligibilityCochlear implantCochlear nerveElectrically evoked compound action potentialsMagnetic resonance imagingPrognostic factors

Identifiers

PMID38219245
PMCPMC11211163

What OpenQuestion holds

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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.