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Robotic Cochlear Implantation for Direct Cochlear Access
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Preliminary experience using a cochlear implant with a novel linear pedestal design
William J Parkes1, Joshua J Gnanasegaram2, Sharon L Cushing1
1Archie's Cochlear Implant Laboratory, Department of Otolaryngology, The Hospital for Sick Children, Toronto, Ontario, Canada; Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
International Journal of Pediatric Otorhinolaryngology
|January 23, 2017
Summary
A new cochlear implant pedestal design was evaluated for safety and efficiency in pediatric patients. The linear groove (LG) approach proved safe, adding minimal operative time and improving device placement.
Area of Science:
- Otolaryngology
- Neurosurgery
- Biomedical Engineering
Background:
- Cochlear implantation is a complex procedure requiring precise device placement.
- Novel device designs aim to improve surgical efficiency and outcomes.
Purpose of the Study:
- To evaluate the safety and efficiency of a novel cochlear implant with a linear silastic pedestal.
- To assess the operative time and complications associated with creating a linear groove (LG) for the device.
Main Methods:
- Prospective accrual of operative times for 46 cochlear implantations in 30 children (median age 3).
- Assessment of intra-operative safety, including dural exposure.
- Recording of length of stay as a measure of efficiency.
Main Results:
- Mean time to create the LG was 1.9 ± 1.5 minutes; median 1.5 minutes.
- No intra-operative complications were reported.
- 43% of patients were discharged on the day of surgery.
Conclusions:
- The linear pedestal design facilitates deliberate device placement.
- This novel design adds minimal operative time and complexity.
- It represents an improvement over the current standard of care for cochlear implantation.
