Evidence map›Paper›PMID 40813498›Full record

ArticleJournal of the Association for Research in Otolaryngology : JARO2025

Chronic Auditory-Nerve Implant Enhances Brainstem Phase Locking to Electric Pulse Trains.

John C Middlebrooks, Matthew L Richardson, Robert P Carlyon, Harrison W Lin

Abstract read
In one paragraph

Article in Journal of the Association for Research in Otolaryngology : JARO, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Pilot Chronic Evaluation of a Slanted Electrode Array as an Auditory Nerve Implant.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
    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

4 authors.

John C MiddlebrooksDepartment of Otolaryngology - Head and Neck Surgery, University of California, Irvine, CA, USA. middlebj@uci.edu.ORCID http://orcid.org/0000-0002-3772-4921
Matthew L RichardsonDepartment of Otolaryngology - Head and Neck Surgery, University of California, Irvine, CA, USA.
Robert P CarlyonCambridge Hearing Group, MRC Cognition & Brain Sciences Unit, University of Cambridge, Cambridge, England.
Harrison W LinDepartment of Otolaryngology - Head and Neck Surgery, University of California, Irvine, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePresent-day cochlear implants (CIs) can deliver usable speech reception in quiet surroundings. Most CI users, however, show impaired sensitivity to temporal fine structure, which hampers their use of pitch contours and spatial cues to segregate competing talkers. In previous short-term animal studies, we used intraneural (IN) electrodes to stimulate pathways originating from various cochlear turns. Neurons in the inferior colliculus synchronized to apical stimulation at higher rates than to stimulation of the middle-to-basal pathways that are stimulated primarily by today's CIs. Here, we use non-invasive recordings to test the safety and efficacy of up to 6 months of IN implantation and stimulation in cats.

methodsDeafened cats (ten female, two male) were implanted with IN and/or conventional CI electrodes. The IN electrodes were single activated-iridium shanks that targeted apical-turn fibers. Scalp recordings were made from sedated animals at 2-3-week intervals. Auditory brainstem responses to single electrical pulses (eABR) tracked sensitivity and growth of responses. Frequency following responses to electrical pulse trains (eFFR) assessed brainstem temporal transmission at varying pulse rates.

resultsThresholds for eABR were lower for IN than for CI stimulation, dynamic ranges were wider, and (by inference) spread of activation was more restricted. The eFFR evaluated at latencies comparable to those of inferior-colliculus spikes synchronized at maximum pulse rates averaging > 360 pulses/s for IN compared to ~ 240 pulses/s for CI stimulation. The eABR thresholds and eFFR cutoff rates were stable out to 6 months after implantation.

conclusionsThe results demonstrate the safety and efficacy of chronic IN stimulation in an animal model. In a future clinical device, an IN electrode could augment cochlear-implant performance by enhancing temporal acuity, thereby improving speech reception amid competing sounds.

Indexed as

Brain StemCochlear ImplantsCochlear NerveEvoked Potentials, Auditory, Brain StemAnimalsCatsDeafnessElectric StimulationFemaleMaleAuditory nerve electrodeCatCochlear implantFrequency following ResponseIntraneural stimulationPitchTemporal fine structure

Identifiers

PMID40813498
PMCPMC12528637

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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.