ArticleFrontiers in surgery2019
Prospective Validation of Facial Nerve Monitoring to Prevent Nerve Damage During Robotic Drilling.
Article in Frontiers in surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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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.
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Who cites it
9 citing papers in PubMed, 13 citations in OpenAlex.
- Feasibility of Minimally Invasive Robot-Assisted Retrofacial Access to the Stapedius Muscle for Applications in Objective Cochlear Implant Fitting: A Cadaveric Study.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Article
- Mitigating facial nerve injury risks in aesthetic surgery: A narrative review of surgical practices and anatomicsal challenges.JPRAS open · 2026Review
- Article
- First Study in Men Evaluating a Surgical Robotic Tool Providing Autonomous Inner Ear Access for Cochlear Implantation.Frontiers in neurology · 2022Article
- Optimizing NV magnetometry for Magnetoneurography and Magnetomyography applications.Frontiers in neuroscience · 2022Article
- A New Pathogenic Variant inGenes · 2021Article
- Robotic Milling of Electrode Lead Channels During Cochlear Implantation in anFrontiers in surgery · 2021Article
- Robotic Cochlear Implant Surgery: Imaging-Based Evaluation of Feasibility in Clinical Routine.Frontiers in surgery · 2021Article
- Comparison of the Surgical Techniques and Robotic Techniques for Cochlear Implantation in Terms of the Trajectories Toward the Inner Ear.The journal of international advanced otology · 2020Article
Corrections and comments
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Authors and funding
16 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Facial nerve damage has a detrimental effect on a patient's life, therefore safety mechanisms to ensure its preservation are essential during lateral skull base surgery. During robotic cochlear implantation a trajectory passing the facial nerve at <0.5 mm is needed. Recently a stimulation probe and nerve monitoring approach were developed and introduced clinically, however for patient safety no trajectory was drilled closer than 0.4 mm. Here we assess the performance of the nerve monitoring system at closer distances. In a sheep model eight trajectories were drilled to test the setup followed by 12 trajectories during which the ENT surgeon relied solely on the nerve monitoring system and aborted the robotic drilling process if intraoperative nerve monitoring alerted of a distance <0.1 mm. Microcomputed tomography images and histopathology showed prospective use of the technology prevented facial nerve damage. Facial nerve monitoring integrated in a robotic system supports the surgeon's ability to proactively avoid damage to the facial nerve during robotic drilling in the mastoid.
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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.