Derieppe Arthur, Gendre Adrien, Bourget-Aguilar Kinnie, Bordure Philippe, Michel Guillaume
Service d'Oto-Rhino-Laryngologie et chirurgie cervico-faciale, CHU Nantes, Nantes, France.
National Hearing Implant and Viani Research Center, Beaumont Hospital, Dublin, Ireland; Royal College of Surgeons in Ireland, Dublin, Ireland.
Cochlear Implants Int. 2024 Jan;25(1):23-27. doi: 10.1080/14670100.2023.2271221. Epub 2023 Nov 20.
To compare vestibular outcomes in cochlear implant (CI) surgery, between robotic-assisted insertion of the electrodes versus manual insertion.
We performed a monocentric retrospective study. From March 2021, the robotic system RobOtol© was used for all CI cases. We compared this robotic-assisted insertion group with a manual insertion group of patients who received a CI between July 2020 and March 2021. Primary objective was vestibular outcome. We used objective vestibular function tests: caloric testing, Vestibular Evoked Myogenic Potential (VEMP), and Video Head Impulse Test (VHIT). Secondary objectives were postoperative complications including patient-reported postoperative vertigo.
We found no statistically significant difference between the two groups in terms of caloric testing, VEMP or VHIT outcomes. In patient-reported outcomes, there was significantly more vertigo in the manual insertion group compared with robotic-assisted insertion.
It is hypothesized that a non-traumatic insertion would cause less vestibular dysfunction postoperatively. Larger prospective studies are required to determine whether robotic-assisted CI insertion has a significant impact on vestibular outcomes in CI surgery.
比较人工耳蜗（CI）手术中，电极的机器人辅助插入与手动插入后的前庭功能结果。
我们进行了一项单中心回顾性研究。自2021年3月起，所有CI病例均使用了RobOtol©机器人系统。我们将这个机器人辅助插入组与2020年7月至2021年3月间接受CI手术的手动插入组患者进行了比较。主要目标是前庭功能结果。我们采用了客观的前庭功能测试：冷热试验、前庭诱发肌源性电位（VEMP）和视频头脉冲试验（VHIT）。次要目标是术后并发症，包括患者报告的术后眩晕。
我们发现两组在冷热试验、VEMP或VHIT结果方面没有统计学上的显著差异。在患者报告的结果中，手动插入组的眩晕明显多于机器人辅助插入组。
据推测，无创插入术后引起的前庭功能障碍较少。需要更大规模的前瞻性研究来确定机器人辅助CI插入是否对CI手术的前庭功能结果有显著影响。
