Evidence map›Paper›PMID 41059917›Full record

ArticleThe Laryngoscope2026

Factors Affecting Audiometric and Speech Perception Outcomes in Hybrid Cochlear Implant Recipients.

Paul N Reinhart, Aaron J Parkinson, Camille C Dunn, Bruce J Gantz

3 registry-linked trialsAbstract read
In one paragraph

Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this 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

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.

NCT00678899 nacompletednot on this map

Evaluation of the Nucleus Hybrid™ L24 Cochlear Implant

TypeinterventionalSponsorCochlearRan2008 to 2014Enrolled50ConditionsSensorineural Hearing LossArmsNucleus Hybrid L24
NCT02379273 nacompletednot on this map

The Nucleus Hybrid L24 Implant System: Extended Duration Post Approval Study

TypeinterventionalSponsorCochlearRan2015 to 2019Enrolled35ConditionsHearing LossArmsNucleus Hybrid L24 Implant
NCT02379819 nacompletednot on this map

Nucleus Hybrid L24 Implant System: New Enrollment Study

TypeinterventionalSponsorCochlearRan2015 to 2022Enrolled52ConditionsHigh Frequency Sensorineural Hearing LossArmsNucleus Hybrid L24 Implant
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Paul N ReinhartCochlear Americas, Lone Tree, Colorado, USA.ORCID 0009-0001-4473-1214
Aaron J ParkinsonCochlear Americas, Lone Tree, Colorado, USA.
Camille C DunnDepartment of Otolaryngology-Head and Neck Surgery, The University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0001-7839-2073
Bruce J GantzDepartment of Otolaryngology-Head and Neck Surgery, The University of Iowa, Iowa City, Iowa, USA.

Funding

Speech Production &LanguageP50DC000242 · NIDCD · UNIVERSITY OF IOWA · PI Bob McMurray · 1989 to 2026
$58.8M
NIDCD NIH HHS P50 DC000242
6 · The paper itself

Abstract

objectivesTo evaluate the long-term audiometric and speech perception outcomes in Hybrid cochlear implant recipients meeting hybrid or electric-acoustic stimulation (EAS) indications, and to identify factors, including age, sex, and duration of hearing loss, that may contribute to outcome variability. Additionally, the study evaluates the impact of EAS on speech perception.

methodsData from two clinical trials and retrospective data from the University of Iowa were combined for a total dataset of 150 Cochlear Nucleus Hybrid L24 (Cochlear Ltd., Sydney, Australia) cochlear implant recipients. Audiometric outcomes, as quantified by low-frequency pure-tone average (LFPTA; 125-500 Hz), and speech perception outcomes, including unilateral and bilateral CNC words in quiet and AzBio +5 dB SNR sentences in noise, were assessed preoperatively and postoperatively up to 5 years postactivation.

resultsFunctional low-frequency acoustic hearing (LFPTA < 80 dB HL) was preserved in 72.9% of Hybrid L24 recipients up to 5 years postactivation, with audiometric changes stabilizing around 1 year. Significant improvements were observed in speech perception both in quiet and in noise. Age at implantation was a significant predictor of both audiometric and speech outcomes, with younger recipients demonstrating greater speech-in-noise improvements and a greater likelihood of maintaining functionally aidable hearing. EAS users demonstrated superior speech outcomes compared to electric-only users.

conclusionCochlear implantation for EAS candidates provides long-term preservation of acoustic hearing and improved speech perception outcomes, particularly in younger recipients. These findings support the use of hybrid/EAS cochlear implantation in candidates with low-frequency hearing and highlight the benefit of EAS in enhancing speech understanding. LEVEL OF EVIDENCE: 3 Trial Registration: Relevant studies were registered on ClinicalTrials.gov under trial registration numbers NCT00678899 (pivotal study group), NCT02379273 (continuation of pivotal study group), and NCT02379819 (post-approval study group).

Indexed as

Cochlear ImplantationCochlear ImplantsHearing LossSpeech PerceptionAcoustic StimulationAdolescentAdultAgedAge FactorsAudiometry, Pure-ToneFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment Outcomehearing preservationhybrid cochlear implantoutcomesspeech perception

Identifiers

PMID41059917
PMCPMC12826802

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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.