Evidence map›Paper›PMID 42528930›Full record

ArticleLaryngoscope investigative otolaryngology2026

Regional Impedance Patterns in Cochlear Implantation: Influence of Demographic and Early Activation.

Eman Hajr, Rahma Sweedy, Mohammad F Alzahrani, Yassin Abdelsamad, Abdulrahman Hagr

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Eman HajrImam Mohammad Ibn Saud Islamic University (IMSIU) Riyadh Saudi Arabia.ORCID https://orcid.org/0000-0003-4564-1197
Rahma SweedyResearch Department MED-EL GmbH Riyadh Saudi Arabia.
Mohammad F AlzahraniCollege of Medicine, King Saud University Riyadh Saudi Arabia.
Yassin AbdelsamadResearch Department MED-EL GmbH Riyadh Saudi Arabia.
Abdulrahman HagrKing Abdullah Ear Specialist Center (KAESC), King Saud University Medical City, King Saud University Riyadh Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To evaluate the effects of age and gender on electrode impedance during cochlear implant surgery and at 6 months after implantation, and to determine whether activation timing modifies these relationships across cochlear regions. Methods: This retrospective longitudinal cohort study included cochlear implant recipients with normal cochlea implanted with the MED-EL FLEX28. All electrodes were fully inserted via the round window approach. Participants underwent early activation (1 day postoperatively) or classical activation (within approximately 1 month). Electrode impedance was measured intraoperatively and at ≥ 6 months. Associations between age, gender, activation timing, and impedance were analyzed across apical, middle, basal, and overall regions. Results: A total of 360 implanted ears were analyzed. Gender was not significantly associated with impedance. Implantation age demonstrated region-specific associations with impedance behavior, with the strongest findings observed in activation-stratified analyses of the apical electrodes. Mean apical impedance increased from 6.1 ± 2.1 kΩ intraoperatively to 6.9 ± 1.8 kΩ at 6 months. Younger recipients exhibited higher intraoperative apical impedance with a negative age-impedance association ( Conclusions: Implantation age demonstrated a dynamic and region-specific association with impedance behavior, particularly in apical electrodes. Early activation modified postoperative impedance trajectories and attenuated midterm impedance elevation. Level of Evidence: Level 3.

Indexed as

agecochlear implantearly activationelectrode impedancegendergreen cochlea

Identifiers

PMID42528930
PMCPMC13416201

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.