ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2026
Effect of Taking a Break From Cochlear-Implant Use for Resolving Facial-Nerve Stimulation: A Case Series.
Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine if a break from cochlear-implant (CI) stimulation reduces auditory electrical stimulation levels, to manage secondary facial nerve stimulation (FNS). STUDY
designRetrospective case review.
settingMultidisciplinary clinic within a CI tertiary-care center. PATIENTS: Four adult CI users exhibiting FNS at stimulation levels needed for auditory perception.
interventionTaking a break from CI stimulation (temporary nonuse) to test the hypothesis that FNS arose from increasing auditory stimulation. An increase in auditory stimulation levels may stem from a decrease in auditory-nerve excitability due to overstimulation. A break would allow recovery of excitability, leading to lower current use and less cross-stimulation of the facial nerve. Break duration ranged between 1 week to several months.
main outcome measuresLower and upper electrical stimulation levels required for hearing (N=3), reported or observed FNS (N=4), and FNS thresholds (N=1) before and after the break.
resultsIn all cases for whom stimulation levels for hearing were measured both before and after a break ( Patients 1 to 3 ), these decreased after the break. In 2 of these cases, the decreased stimulation levels helped to manage persistent FNS. In one other case ( Patient 4 ), FNS thresholds decreased slightly or remained unchanged after the break and the stimulation of most electrodes continued to lead to FNS with no change in auditory perception.
conclusionsA break from CI stimulation could be considered to manage persistent FNS when auditory stimulation levels increase over time. In some cases, a break may reduce the stimulation levels required for hearing, minimizing or eliminating the occurrence of FNS. Further research is needed to determine the biological mechanisms involved, optimize the duration of the break, as well as determine its long-term effectiveness.
Indexed as
Identifiers
What OpenQuestion holds
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.