Related Experiment Video
Updated: Dec 25, 2025
08:06
Robotic Cochlear Implantation for Direct Cochlear Access
Published on: June 16, 2022
3.9K
[Minimally-invasive incision using the implantable Hearing device Carina]
1HNO-Klinik, AMEOS-Klinikum Halberstadt, Germany.
Laryngo- Rhino- Otologie
|March 28, 2020
Summary
Minimally invasive incisions for the CARINA active middle ear implant reduce complications. This new technique, using self-tapping screws, offers a safer standard for CARINA system implantation.
Area of Science:
- Otolaryngology
- Neurosurgery
- Medical Device Technology
Background:
- Active middle ear implants (AMEIs) like Vibrant Soundbridge and Bonebridge have adopted minimally invasive surgical approaches.
- The CARINA AMEI traditionally requires a larger incision, similar to older cochlear implant procedures, potentially increasing complication rates.
Purpose of the Study:
- To develop and evaluate a minimally invasive surgical approach for the CARINA active middle ear implant.
- To reduce the complication rate associated with CARINA implantation.
Main Methods:
- Reconsidered and developed minimally invasive incision techniques for CARINA implantation.
- Optimized device fixation using self-tapping screws to facilitate the minimally invasive access route.
Main Results:
- Successfully treated 4 patients with the CARINA system using a minimally invasive incision (<5 cm).
- No postoperative complications were observed in the treated patients.
Conclusions:
- A minimally invasive skin incision is feasible for CARINA active middle ear implant surgery.
- Optimized fixation with self-tapping screws allows this approach to become a standard procedure, improving patient outcomes.
