Evidence map›Paper›PMID 39852589›Full record

ArticleJournal of functional biomaterials2025

Effects of Microstructured and Anti-Inflammatory-Coated Cochlear Implant Electrodes on Fibrous Tissue Growth and Neuronal Survival.

Lennart Fibranz, Wiebke Behrends, Katharina Wulf, Stefan Raggl, Lisa Kötter, Thomas Eickner, Soeren Schilp, Thomas Lenarz, Gerrit Paasche

Abstract read
In one paragraph

Article in Journal of functional biomaterials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

9 authors.

Lennart FibranzDepartment of Otorhinolaryngology, Hannover Medical School, 30625 Hannover, Germany.
Wiebke BehrendsDepartment of Otorhinolaryngology, Hannover Medical School, 30625 Hannover, Germany.
Katharina WulfInstitute for Biomedical Engineering, Rostock University Medical Center, 18119 Rostock, Germany.ORCID 0000-0002-9891-5174
Stefan RagglMED-EL Medical Electronics, 6020 Innsbruck, Austria.
Lisa KötterDepartment of Otorhinolaryngology, Hannover Medical School, 30625 Hannover, Germany.
Thomas EicknerInstitute for Biomedical Engineering, Rostock University Medical Center, 18119 Rostock, Germany.
Soeren SchilpMED-EL Medical Electronics, 6020 Innsbruck, Austria.
Thomas LenarzDepartment of Otorhinolaryngology, Hannover Medical School, 30625 Hannover, Germany.ORCID 0000-0002-9307-5989
Gerrit PaascheDepartment of Otorhinolaryngology, Hannover Medical School, 30625 Hannover, Germany.

Funding

Federal Ministry of Education and Research 03ZZ0933AFederal Ministry of Education and Research 03ZZ0933GFederal Ministry of Education and Research 03ZZ0933H
6 · The paper itself

Abstract

Cochlear implants are well established devices for treating severe hearing loss. However, due to the trauma caused by the insertion of the electrode and the subsequent formation of connective tissue, their clinical effectiveness varies. The aim of the current study was to achieve a long-term reduction in connective tissue growth and impedance by combining surface patterns on the electrode array with a poly-L-lactide coating containing 20% diclofenac. Three groups of six guinea pigs each (control, structure, structure with diclofenac in the coating) were implanted for four weeks. The hearing thresholds were measured before implantation and after 28 days, and impedances were monitored over time. After histological preparation, connective tissue growth and spiral ganglion neuron (SGN) survival were quantified. The hearing thresholds and impedances increased over time in all groups, showing no significant differences. The treatment groups showed increased damage in the cochlea, which appeared to be caused by the elevated parts of the microstructures. This seems to be amplified by the trauma model used in the current study. The impedances correlated with connective tissue growth near the electrode contacts. In addition, SGN survival was negatively correlated with the presence of connective tissue, both of which highlight the importance of successfully reducing connective tissue formation after cochlear implantation.

Indexed as

connective tissuediclofenacmicrostructurespolymeric coatingspiral ganglion cell survivalsurface patterns

Identifiers

PMID39852589
PMCPMC11766145

What OpenQuestion holds

Textmetadata
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.