ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2022
Comparative Analysis of Robotics-Assisted and Manual Insertions of Cochlear Implant Electrode Arrays.
Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 22 citations in OpenAlex.
- Comparison of robotic-assisted and manual cochlear implant electrode array insertions considering cochlear geometric factors.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 · 2026Article
- Synchrotron-Based Deep Learning Network of the Inner Ear: Development and Expert Validation.The Laryngoscope · 2026Article
- Robotic-Assisted Electrode Array Insertion Improves Stability of Acoustic Hearing Thresholds.The Laryngoscope · 2026Article
- Robotic-Assisted Electrode Array Insertion Improves Rates of Hearing Preservation.The Laryngoscope · 2025Article
- Synchrotron-Based Trauma Assessment of Robotic Electrode Insertions in Cochlear Implantation.The Laryngoscope · 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
- Preclinical evaluation of a hydraulic actuation system with guide tube for robotic cochlear implant electrode insertion.Biomedical engineering online · 2025Article
- Hearing preservation outcomes with motorized cochlear implant electrode insertion: matched-cohort observations.Frontiers in surgery · 2025Article
- Objective evaluation, using computed tomography, of round window access for 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 · 2024Article
- Intraoperative Measurement of Insertion Speed in Cochlear Implant Surgery: A Preliminary Experience with Cochlear SmartNav.Audiology research · 2024Article
- Robotic assistance during cochlear implantation: the rationale for consistent, controlled speed of electrode array insertion.Frontiers in neurology · 2024Review
- Evaluation of Real-Time Intracochlear Electrocochleography for Guiding Cochlear Implant Electrode Array Position.Journal of clinical medicine · 2023Article
- Early Clinical Experience With Robot-Assisted Electrode Insertion in Cochlear Implantation Using the Otoarm-Otodrive System.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-facialeArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
hypothesisRobotics-assisted cochlear implant (CI) insertions will result in reduced intracochlear trauma when compared with manual, across multiple users.
backgroundWhether intracochlear trauma and translocations are two factors that may contribute to significant variability in CI outcomes remains to be seen. To address this issue, we have developed a robotics-assisted insertion system designed to aid the surgeon in inserting electrode arrays with consistent speeds and reduced variability. This study evaluated the effect of robotics-assisted insertions on the intracochlear trauma as compared with manual insertions in cadaveric cochleae in a simulated operative environment.
methodsTwelve neurotologists performed bilateral electrode insertions into cochleae of full cadaveric heads using both the robotics-assisted system and manual hand insertion. Lateral wall electrodes from three different manufacturers (n = 24) were used and randomized between surgeons. Insertion angle of the electrode and trauma scoring were evaluated using high-resolution three-dimensional x-ray microscopy and compared between robotics-assisted and manual insertions.
resultsThree-dimensional x-ray microscopy provided excellent resolution to characterize the in situ trauma and insertion angle. Robotics-assisted insertions significantly decreased insertional intracochlear trauma as measured by reduced trauma scores compared with manual insertions (average: 1.3 versus 2.2, device versus manual, respectively; p < 0.05). There was no significant difference between insertion angles observed for manual and robotics-assisted techniques (311 ± 131° versus 307 ± 96°, device versus manual, respectively).
conclusionsRobotics-assisted insertion systems enable standardized electrode insertions across individual surgeons and experience levels. Clinical trials are necessary to investigate whether insertion techniques that reduce insertional variability and the likelihood of intracochlear trauma also improve CI auditory outcomes.
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