Evidence map›Paper›PMID 35402479›Full record

SynthesisFrontiers in surgery2022

Suitable Electrode Choice for Robotic-Assisted Cochlear Implant Surgery: A Systematic Literature Review of Manual Electrode Insertion Adverse Events.

Paul Van de Heyning, Peter Roland, Luis Lassaletta, Sumit Agrawal, Marcus Atlas, Wolf-Dieter Baumgartner, Kevin Brown, Marco Caversaccio, Stefan Dazert, Wolfgang Gstoettner and 29 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% of its field
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. A systematic review of electrode array scalar dislocation after cochlear implant surgery.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 · 2026
    Pooled it
  2. Scalar position characteristics and translocation rates of different lateral wall electrodes within the cochlear basal turn: a cone beam computed tomography 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 · 2026
    Article
  3. Article
  4. Determining ideal electrode insertion depth in paediatric cochlear implantation.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 · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Inverted clip technique for cochlear implant electrode array fixation: how I do it.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 · 2024
    Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Evaluating the Safety and Efficacy of Robot-Assisted Cochlear Implant Electrode Array Insertion.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    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

39 authors at 20 institutions in 17 countries.

Paul Van de HeyningDepartment of Otorhinolaryngology Head and Neck Surgery, Antwerp University Hospital, University of Antwerp, Antwerp, Belgium.
Peter RolandDepartment of Otolaryngology, Head & Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States.
Luis LassalettaHospital Universitario La Paz, Institute for Health Research (IdiPAZ), Madrid, Spain.
Sumit AgrawalDepartment of Otolaryngology-Head and Neck Surgery, Western University, London, ON, Canada.
Marcus AtlasEar Sciences Institute Australia, Lions Hearing Clinic, Perth, WA, Australia.
Wolf-Dieter BaumgartnerVienna Medical University-General Hospital AKH, Vienna, Austria.
Kevin BrownUNC Ear and Hearing Center at Chapel Hill School of Medicine, Chapel Hill, NC, United States.
Marco CaversaccioDepartment for ENT, Head and Neck Surgery, Bern University Hospital, Bern, Switzerland.
Stefan DazertDepartment of Otorhinolaryngology-Head and Neck Surgery, Ruhr-University Bochum, St. Elisabeth University Hospital Bochum, Bochum, Germany.
Wolfgang GstoettnerVienna Medical University-General Hospital AKH, Vienna, Austria.
Rudolf HagenWürzburg ENT University Hospital, Würzburg, Germany.
Abdulrahman HagrKing Abdullah Ear Specialist Center, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.
Greg Eigner JablonskiInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Mohan KameswaranMadras ENT Research Foundation (Pvt) Ltd., Chennai, India.
Vladislav KuzovkovSt. Petersburg ENT and Speech Research Institute, St. Petersburg, Russia.
Martin LeinungDepartment of Otolaryngology, Head and Neck Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany.
Yongxin LiDepartment of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Andreas LothDepartment of Otolaryngology, Head and Neck Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany.
Astrid MageleEar, Nose and Throat Department, University Clinic St. Poelten, Karl Landsteiner Private University, St. Poelten, Austria.
Robert MlynskiDepartment of Otorhinolaryngology, Head and Neck Surgery, "Otto Körner" Rostock University Medical Center, Rostock, Germany.
Joachim MuellerKlinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Ludwig-Maximilians-Universitat Munchen, Munchen, Germany.
Lorne ParnesDepartment of Otolaryngology-Head and Neck Surgery, Western University, London, ON, Canada.
Andreas RadeloffDivision of Oto-Rhino-Laryngology, Evangelisches Krankenhaus Oldenburg, Research Center of Neurosensory Sciences, University Oldenburg, Oldenburg, Germany.
Chris RaineBradford Royal Infirmary Yorkshire Auditory Implant Center, Bradford, United Kingdom.
Gunesh RajanDepartment of Otolaryngology, Head and Neck Surgery, Luzerner Kantonsspital, Luzern, Medical Sciences Department of Health Sciences and Medicine. University of Lucerne, Luzern, Switzerland. Otolaryngology, Head & Neck Surgery, Medical School University of Western Australia, Perth, WA, Australia.
Joachim SchmutzhardDepartment of Otorhinolaryngology, Medical University of Innsbruck, Innsbruck, Austria.
Henryk SkarzynskiDepartment of Teleaudiology and Screening, World Hearing Center of the Institute of Physiology and Pathology of Hearing, Kajetany, Poland.
Piotr H SkarzynskiDepartment of Teleaudiology and Screening, World Hearing Center of the Institute of Physiology and Pathology of Hearing, Kajetany, Poland.
Georg SprinzlEar, Nose and Throat Department, University Clinic St. Poelten, Karl Landsteiner Private University, St. Poelten, Austria.
Hinrich StaeckerKansas University Center for Hearing and Balance Disorders, Kansas City, KS, United States.
Timo StöverDepartment of Otolaryngology, Head and Neck Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany.
Dayse Tavora-VieraFiona Stanley Fremantle Hospitals Group, Perth, WA, Australia.
Vedat TopsakalDepartment of ENT HNS, University Hospital Brussels, Brussels, Belgium.
Shin-Ichi UsamiDepartment of Hearing Implant Sciences, Shinshu University School of Medicine, Nagano, Japan.
Vincent Van RompaeyDepartment of Otorhinolaryngology Head and Neck Surgery, Antwerp University Hospital, University of Antwerp, Antwerp, Belgium.
Nora M WeissDepartment of Otorhinolaryngology-Head and Neck Surgery, Ruhr-University Bochum, St. Elisabeth University Hospital Bochum, Bochum, Germany.
Wilhelm WimmerDepartment for ENT, Head and Neck Surgery, Bern University Hospital, Bern, Switzerland.
Mario ZernottiCatholic University of Córdoba and National University of Córdoba, Córdoba, Argentina.
Javier GavilanHospital Universitario La Paz, Institute for Health Research (IdiPAZ), Madrid, Spain.
University Hospital Frankfurt · DEHospital Universitario La Paz · ESInstitute of Physiology and Pathology of Hearing · PLKarl Landsteiner University of Health Sciences · ATSt. Elisabeth-Hospital Bochum · DEUniversity Hospital of Bern · CHVienna General Hospital · ATWestern University · CAAntwerp University Hospital · BEBradford Royal Infirmary · GBEar Science Institute Australia · AUEvangelisches Krankenhaus Oldenburg · DEFiona Stanley Fremantle Hospitals GroupInnsbruck Medical University · ATKing Saud Medical City · SALudwig-Maximilians-Universität München · DELuzerner Kantonsspital · CHMadras Diabetes Research Foundation · INMinistry of Education of the People's Republic of China · CNSaint-Petersburg Research Institute of Ear, Throat, Nose and Speech · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: The cochlear implant (CI) electrode insertion process is a key step in CI surgery. One of the aims of advances in robotic-assisted CI surgery (RACIS) is to realize better cochlear structure preservation and to precisely control insertion. The aim of this literature review is to gain insight into electrode selection for RACIS by acquiring a thorough knowledge of electrode insertion and related complications from classic CI surgery involving a manual electrode insertion process. Methods: A systematic electronic search of the literature was carried out using PubMed, Scopus, Cochrane, and Web of Science to find relevant literature on electrode tip fold over (ETFO), electrode scalar deviation (ESD), and electrode migration (EM) from both pre-shaped and straight electrode types. Results: A total of 82 studies that include 8,603 ears implanted with a CI, i.e., pre-shaped (4,869) and straight electrodes (3,734), were evaluated. The rate of ETFO (25 studies, 2,335 ears), ESD (39 studies, 3,073 ears), and EM (18 studies, 3,195 ears) was determined. An incidence rate (±95% CI) of 5.38% (4.4-6.6%) of ETFO, 28.6% (26.6-30.6%) of ESD, and 0.53% (0.2-1.1%) of EM is associated with pre-shaped electrodes, whereas with straight electrodes it was 0.51% (0.1-1.3%), 11% (9.2-13.0%), and 3.2% (2.5-3.95%), respectively. The differences between the pre-shaped and straight electrode types are highly significant ( Conclusion: Considering the current electrode designs available and the reported incidence of insertion complications, the use of straight electrodes in RACIS and conventional CI surgery (and manual insertion) appears to be less traumatic to intracochlear structures compared with pre-shaped electrodes. However, EM of straight electrodes should be anticipated. RACIS has the potential to reduce these complications.

Indexed as

electrode migrationpre-shaped electroderobotic assisted cochlear implant surgeryscalar deviationstraight electrodetip fold-over

Identifiers

PMID35402479
PMCPMC8987358
OpenAlexW4221045533

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.