Robotic Cochlear Implantation for Direct Cochlear Access.

Journal: Journal of visualized experiments : JoVE
PMID: 35786698

Abstract

Robot-assisted systems offer great potential for gentler and more precise cochlear implantation. In this article, we provide a comprehensive overview of the clinical workflow for robotic cochlear implantation using a robotic system specifically developed for a minimally invasive, direct cochlear access. The clinical workflow involves experts from various disciplines and requires training to ensure a smooth and safe procedure. The protocol briefly summarizes the history of robotic cochlear implantation. The clinical sequence is explained in detail, beginning with the assessment of patient eligibility and covering surgical preparation, preoperative planning with the special planning software, drilling of the middle ear access, intraoperative imaging to confirm the trajectory, milling of the inner ear access, insertion of the electrode array, and implant management. The steps that require special attention are discussed. As an example, the postoperative outcome of robotic cochlear implantation in a patient with advanced otosclerosis is presented. Finally, the procedure is discussed in the context of the authors' experience.

Authors

  • Marco Caversaccio
  • Georgios Mantokoudis
    a Department of ENT, Head and Neck Surgery , Inselspital, Bern University Hospital, University of Bern , Bern , Switzerland.
  • Franca Wagner
    d University Department of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital , Bern , Switzerland.
  • Philipp Aebischer
    Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern; Hearing Research Laboratory, ARTORG Center for Biomedical Engineering Research, University of Bern.
  • Stefan Weder
    Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern; Hearing Research Laboratory, ARTORG Center for Biomedical Engineering Research, University of Bern.
  • Wilhelm Wimmer

Keywords

External Resources

Popular Topics
Recent Journals