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© Research
Publication : Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology

Robot-assisted Cochlear Implant Electrode Array Insertion in Adults: A Comparative Study With Manual Insertion.

Scientific Fields
Diseases
Organisms
Applications
Technique

Published in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology - 01 Apr 2021

Daoudi H, Lahlou G, Torres R, Sterkers O, Lefeuvre V, Ferrary E, Mosnier I, Nguyen Y,

Link to Pubmed [PMID] – 33306661

Link to DOI – 10.1097/MAO.0000000000003002

Otol Neurotol 2021 04; 42(4): e438-e444

To describe the first cochlear array insertions using a robot-assisted technique, with different types of straight or precurved electrode arrays, compared with arrays manually inserted into the cochlea.Retrospective review.Tertiary otologic center.Twenty cochlear implantations in the robot-assisted group and 40 in the manually inserted group.Cochlear implantations using a robot-assisted technique (RobOtol) with straight (eight Cochlear CI522/622, and eight Advanced Bionics Hifocus Slim J) or precurved (four Advanced Bionics Hifocus Mid-Scala) matched to manual cochlear implantations. Three-dimensional reconstruction images of the basilar membrane and the electrode array were obtained from pre- and postimplantation computed tomography.Rate and localization of scalar translocations.For straight electrode arrays, scalar translocations occurred in 19% (3/16) of the robot-assisted group and 31% (10/32) of the manually inserted group. Considering the number of translocated electrodes, this was lower in the robot-assisted group (7%) than in the manually inserted group (16%) (p < 0.0001, χ2 test). For precurved electrode arrays, scalar translocations occurred in 50% (2/4) of the robot-assisted group and 38% (3/8) of the manually inserted group.This study showed a safe and reliable insertion of different electrode array types with a robot-assisted technique, with a less traumatic robotic insertion of straight electrode arrays when compared with manual insertion.

https://pubmed.ncbi.nlm.nih.gov/33306661