Department of Otorhinolaryngology Head and Neck Surgery, University Hospital UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Department of Otorhinolaryngology Head and Neck Surgery, University Hospital UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Am J Otolaryngol. 2024 Sep-Oct;45(5):104360. doi: 10.1016/j.amjoto.2024.104360. Epub 2024 Apr 29.
Robot-assisted cochlear implant surgery (RACIS) as defined by the HEARO®-procedure performs minimal invasive cochlear implant (CI) surgery by directly drilling a keyhole trajectory towards the inner ear. Hitherto, an entirely robotic automation including electrode insertion has not been described yet. The feasability of using a newly developed, dedicated motorised device for automated electrode insertion in the first clinical case of entirely robotic cochlear implant surgery was investigated.
The aim is to report the first experience of entirely robotic cochlear implantation surgery.
RACIS with a straight flexible lateral wall electrode.
Electrode cochlear insertion depth.
The audiological outcome in terms of mean hearing thresholds.
Here, we report on a cochlear implant robot that performs the most complex surgical steps to place a cochlear implant array successfully in the inner ear and render similar audiological results as in conventional surgery. Robots can execute tasks beyond human dexterity and will probably pave the way to standardize residual hearing preservation and broadening the indication for electric-acoustic stimulation in the same ear with hybrid implants.
由 HEARO®程序定义的机器人辅助人工耳蜗植入手术 (RACIS) 通过直接向内耳钻一个微创的人工耳蜗植入 (CI) 手术的关键路径来进行。迄今为止，还没有描述过完全机器人自动化，包括电极插入。本研究旨在调查一种新开发的、专用的电动设备在首例完全机器人耳蜗植入手术中自动插入电极的可行性。
报告首例完全机器人耳蜗植入手术的经验。
RACIS 采用直的柔性侧墙电极。
电极耳蜗插入深度。
以平均听力阈值为代表的听力学结果。
在这里，我们报告了一种耳蜗植入机器人，它可以成功地完成最复杂的手术步骤，将耳蜗植入物阵列成功地植入内耳，并获得与传统手术相似的听力学结果。机器人可以执行超出人类灵巧性的任务，并可能为使用混合植入物在同一耳朵中保留残余听力和扩大电声刺激的适应症铺平道路。
