ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2021
Robot-based assistance in middle ear surgery and cochlear implantation: first clinical report.
Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Digital live imaging of intraoperative electrocochleography during cochlear implantation: the first 50 patients.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024Trial
- Comparison of Manual Versus Robot-Assisted Piston Prosthesis Placement and Crimping in a 3D-Printed Temporal Bone Model.Laryngoscope investigative otolaryngology · 2026Article
- Manual Insertion of Cochlear Implant Electrodes Versus Robot-Assisted Insertion and Analysis by Micro-CT: A Temporal Bone Study.Audiology research · 2026Article
- The Current Situation and Development of Endoscopic Ear Surgery in China.World journal of otorhinolaryngology - head and neck surgery · 2026Review
- Clinical validation of 4K three-dimensional exoscope system in stapedotomy: a retrospective cohort study.Frontiers in surgery · 2026Article
- Microsurgical Robotic System for Myringoplasty: Feasibility Study.Laryngoscope investigative otolaryngology · 2025Article
- Robot-assisted vs. manual cochlear implant electrode array insertion in four children.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025Article
- Conventional one-handed compared to two-handed endoscopic ear surgery using an endoscope holder: a single center study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025Article
- Multi-axis robotic forceps with decoupled pneumatic actuation and force sensing for cochlear implantation.Nature communications · 2025Article
- Innovative computed tomography based mapping of the surgical posterior tympanotomy: An exploratory study.Heliyon · 2024Article
- Two different methods to digitally visualize continuous electrocochleography potentials during cochlear implantation: a first description of feasibility.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024Article
- OCT-based intra-cochlear imaging and 3D reconstruction: ex vivo validation of a robotic platform.International journal of computer assisted radiology and surgery · 2024Article
- CochleRob: Parallel-Serial Robot to Position a Magnetic Actuator around a Patient's Head for Intracochlear Microrobot Navigation.Sensors (Basel, Switzerland) · 2023Article
- Robot-Assisted Electrode Insertion in Cochlear Implantation Controlled by Intraoperative Electrocochleography-A Pilot Study.Journal of clinical medicine · 2022Article
- Hydraulic insertions of cochlear implant electrode arrays into the human cadaver cochlea: preliminary findings.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022Article
- Best Fit 3D Basilar Membrane Reconstruction to Routinely Assess the Scalar Position of the Electrode Array after Cochlear Implantation.Journal of clinical medicine · 2022Article
- Increased Threshold and Reduced Firing Rate of Auditory Cortex Neurons after Cochlear Implant Insertion.Brain sciences · 2022Article
- Analysis of forces during robot-assisted and manual manipulations of mobile and fixed footplate in temporal bone specimens.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021Article
- Path Planning for 3-D In-Hand Manipulation of Micro-Objects Using Rotation Decomposition.Micromachines · 2021Article
- Evaluation of the Efficacy of Dexamethasone-Eluting Electrode Array on the Post-Implant Cochlear Fibrotic Reaction by Three-Dimensional Immunofluorescence Analysis in Mongolian Gerbil Cochlea.Journal of clinical medicine · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMiddle ear surgery may benefit from robot-based assistance to hold micro-instruments or an endoscope. However, the surgical gesture performed by one hand may perturb surgeons accustomed to two-handed surgery. A robot-based holder may combine the benefits from endoscopic exposure and a two-handed technique. Furthermore, tremor suppression and accurate tool control might help the surgeon during critical surgical steps. The goal of this work was to study the safety of an otological robot-based assistant under clinical conditions in a limited series of patients.
methodsThe RobOtol system has been used as an endoscope or a micro instrument holder for this series. Eleven cases were operated on with the robot as an endoscope holder for chronic otitis. Twenty-one cases were operated on with the robot as a micro-instrument holder for otosclerosis (9 cases), transtympanic tube placement (2 cases), or cochlear implantation (10 cases).
resultsNo complications related to the robot manipulation occurred during surgery nor in postoperative. In the chronic otitis group, all perforations were sealed and 3-month postoperative pure-tone average air-bone gap (PTA ABG) was 15 ± 2.6 dB. In the otosclerosis group, 1-month post-op PTA ABG was 10 ± 1 dB. For cochlear implantation cases, a scala tympani insertion, a vestibular scala translocation occurred and a full scala vestibuli insertion was observed in 7, 2 and 1 case, respectively.
conclusionThe RobOtol system has reached the clinical stage. It could be used safely and with accurate control as an endoscope holder or a micro instrument holder in 32 cases.
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