Evidence map›Paper›PMID 41508354›Full record

ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2026

Spatiotemporal Dynamics of Cochlear Implant Electrode Impedance in Standard and Dexamethasone-Eluting Electrode Arrays.

Uzair A Khan, Amy S Bussa, Jacob Oleson, Alexander D Claussen, Bruce J Gantz, Marlan R Hansen, Rachel A Scheperle

Abstract read
In one paragraph

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. 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.

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. 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

7 authors.

Uzair A KhanDepartment of Otolaryngology-Head and Neck Surgery, University of Iowa Health Care, Iowa City, IA.ORCID 0000-0001-6911-2519
Amy S BussaDepartment of Otolaryngology-Head and Neck Surgery, University of Iowa Health Care, Iowa City, IA.
Jacob OlesonDepartment of Biostatistics, University of Iowa, Iowa City, IA.
Alexander D ClaussenDepartment of Otolaryngology-Head and Neck Surgery, University of Iowa Health Care, Iowa City, IA.
Bruce J GantzDepartment of Otolaryngology-Head and Neck Surgery, University of Iowa Health Care, Iowa City, IA.
Marlan R HansenDepartment of Otolaryngology-Head and Neck Surgery, University of Iowa Health Care, Iowa City, IA.
Rachel A ScheperleDepartment of Otolaryngology-Head and Neck Surgery, University of Iowa Health Care, Iowa City, IA.

Funding

Speech Production &LanguageP50DC000242 · NIDCD · UNIVERSITY OF IOWA · PI Inyong Choi · 1989 to 2026
$58.8M
Research Training Program in OtolaryngologyT32DC000040 · NIDCD · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R · 1993 to 2025
$5.4M
NIDCD NIH HHS P50 DC000242NIDCD NIH HHS T32 DC000040
6 · The paper itself

Abstract

objectiveTo evaluate the spatiotemporal dynamics of cochlear implant electrode impedance in standard and dexamethasone-eluting electrode arrays (Dex-EA). STUDY

designProspective, double-arm study.

settingSingle tertiary referral center. PATIENTS: Thirty-one (17 control and 14 experimental) subjects meeting Food and Drug Administration criteria for cochlear implantation.

interventionsStandard-of-care cochlear implant with intraoperative postinsertion impedance measurement.

main outcome measuresDaily impedance measurements for a targeted 90 days postinitial activation.

resultsThis study demonstrates the spatiotemporal dynamics of electrode impedance observed over the first 90 days postimplantation with standard EAs, and the effects of Dex-EAs on these dynamics. For the control group, impedances for the 12 basal electrodes (1 to 12) increase over time while they decrease for the 10 apical electrodes (13 to 22). In comparison, not only do Dex-EAs result in smaller impedance values across all 22 electrodes over the first 90 days after initial activation, but the impedances also tend to decrease over time at all electrode locations. There is a statistically significant difference in impedance between the 2 cohorts at every electrode (P<0.0001), but the difference is largest for the basal electrodes. Dex-EAs also result in lower within-subject variability across repeated impedance measures over this short time window.

conclusionsDex-EAs result in smaller, more stable impedance values across repeated measures over the first 90 days after initial activation as compared with commercially available standard CI electrode arrays. The dramatically lower impedances, reduced fluctuations, and resistance to rising values particularly at basal locations reflect the clinical advantages of Dex-EA toward diminishing the foreign body response and may also enhance stimulation from the CI.

Indexed as

Cochlear ImplantationCochlear ImplantsDexamethasoneElectrodes, ImplantedAgedElectric ImpedanceFemaleHumansMaleMiddle AgedProspective StudiesDexamethasoneCochlear implantDexamethasone-eluting electrode arrayImpedance

Identifiers

PMID41508354
PMCPMC12924171

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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.