Evidence map›Paper›PMID 38735179›Full record

ArticleHearing research2024

Delayed hearing loss after cochlear implantation: Re-evaluating the role of hair cell degeneration.

Jennifer T O'Malley, Pei-Zhe Wu, Charanjeet Kaur, Bruce J Gantz, Marlan R Hansen, Alicia M Quesnel, M Charles Liberman

Abstract readCase Reports
In one paragraph

Article in Hearing research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Article
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  4. Cochlear Implant Insertion Trauma Is Associated With Spiral Ganglion Neuron "Dead Zones" in the Human.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 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.

Jennifer T O'MalleyEaton-Peabody Laboratories, Massachusetts Eye and Ear, Boston, MA 02114, USA; Otopathology Laboratory, Massachusetts Eye and Ear, Boston, MA, 02114, USA; Dept of Otolaryngology-Head & Neck Surgery, Harvard Medical School, Boston, MA, 02115, USA.
Pei-Zhe WuEaton-Peabody Laboratories, Massachusetts Eye and Ear, Boston, MA 02114, USA; Otopathology Laboratory, Massachusetts Eye and Ear, Boston, MA, 02114, USA; Dept of Otolaryngology-Head & Neck Surgery, Harvard Medical School, Boston, MA, 02115, USA.
Charanjeet KaurEaton-Peabody Laboratories, Massachusetts Eye and Ear, Boston, MA 02114, USA; Otopathology Laboratory, Massachusetts Eye and Ear, Boston, MA, 02114, USA; Dept of Otolaryngology-Head & Neck Surgery, Harvard Medical School, Boston, MA, 02115, USA.
Bruce J GantzDepartment of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, IA, 52242, USA; Department of Neurosurgery, University of Iowa, Iowa City, IA, 52242.
Marlan R HansenDepartment of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, IA, 52242, USA; Department of Neurosurgery, University of Iowa, Iowa City, IA, 52242.
Alicia M QuesnelOtopathology Laboratory, Massachusetts Eye and Ear, Boston, MA, 02114, USA; Dept of Otolaryngology-Head & Neck Surgery, Harvard Medical School, Boston, MA, 02115, USA.
M Charles LibermanEaton-Peabody Laboratories, Massachusetts Eye and Ear, Boston, MA 02114, USA; Otopathology Laboratory, Massachusetts Eye and Ear, Boston, MA, 02114, USA; Dept of Otolaryngology-Head & Neck Surgery, Harvard Medical School, Boston, MA, 02115, USA. Electronic address: Charles_Liberman@meei.harvard.edu.

Funding

Speech Production &LanguageP50DC000242 · NIDCD · UNIVERSITY OF IOWA · PI Inyong Choi · 1989 to 2026
$58.8M
Synaptopathy, Neural Pathophysiology and Suprathreshold Processing in Gerbils with Normal or Elevated ThresholdsP50DC015857 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Sharon G Kujawa · 2017 to 2026
$28.1M
NIDCD National Temporal Bone, Hearing and Balance Pathology Resource RegistryU24DC013983 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI LIBERMAN, M. CHARLES, QUESNEL, ALICIA M · 2014 to 2025
$6.5M
Massachusetts Eye and Ear/ Harvard Initiative for the NIDCD National Human Ear Resource NetworkU24DC020849 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI M. Charles Liberman, Alicia M Quesnel · 2022 to 2026
$3.2M
Role of Macrophages on Tissue Remodeling Following Cochlear ImplantationR01DC018488 · NIDCD · UNIVERSITY OF IOWA · PI Marlan R Hansen · 2020 to 2026
$2.8M
NIDCD NIH HHS P50 DC000242NIDCD NIH HHS P50 DC015857NIDCD NIH HHS R01 DC018488NIDCD NIH HHS U24 DC013983NIDCD NIH HHS U24 DC020849
6 · The paper itself

Abstract

Delayed loss of residual acoustic hearing after cochlear implantation is a common but poorly understood phenomenon due to the scarcity of relevant temporal bone tissues. Prior histopathological analysis of one case of post-implantation hearing loss suggested there were no interaural differences in hair cell or neural degeneration to explain the profound loss of low-frequency hearing on the implanted side (Quesnel et al., 2016) and attributed the threshold elevation to neo-ossification and fibrosis around the implant. Here we re-evaluated the histopathology in this case, applying immunostaining and improved microscopic techniques for differentiating surviving hair cells from supporting cells. The new analysis revealed dramatic interaural differences, with a > 80 % loss of inner hair cells in the cochlear apex on the implanted side, which can account for the post-implantation loss of residual hearing. Apical degeneration of the stria further contributed to threshold elevation on the implanted side. In contrast, spiral ganglion cell survival was reduced in the region of the electrode on the implanted side, but apical counts in the two ears were similar to that seen in age-matched unimplanted control ears. Almost none of the surviving auditory neurons retained peripheral axons throughout the basal half of the cochlea. Relevance to cochlear implant performance is discussed.

Indexed as

Auditory ThresholdCochlear ImplantationCochlear ImplantsSpiral GanglionAgedCell SurvivalFemaleHair Cells, AuditoryHair Cells, Auditory, InnerHearingHearing LossHumansMaleMiddle AgedNerve DegenerationTemporal BoneCochlear implantDelayed hearing lossResidual hearing

Identifiers

PMID38735179
PMCPMC11134194

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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.