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Related Experiment Video

Updated: Aug 15, 2025

Robotic Cochlear Implantation for Direct Cochlear Access

Robotic Cochlear Implantation for Direct Cochlear Access

Published on: June 16, 2022

Robotized Cochlear Implantation under Fluoroscopy: A Preliminary Series.

Thierry Mom^1,2, Mathilde Puechmaille¹, Mohamed El Yagoubi¹

¹Department of Otolaryngology Head Neck Surgery, University Hospital Center, Hospital Gabriel Montpied, 58, Rue Montalembert, 63000 Clermont-Ferrand, France.

Journal of Clinical Medicine

|January 8, 2023

Summary

Robot-assisted electrode array insertion (rob-EAI) offers atraumatic cochlear implantation with minimal risk of scala translocation. Fluoroscopy enables remote rob-EAI, enhancing surgical safety and efficiency.

Keywords:

Robot cochlear implant electrode-array insertion fluoroscopy scala translocation

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Last Updated: Aug 15, 2025

Robotic Cochlear Implantation for Direct Cochlear Access

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Published on: June 16, 2022

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Performing Intracochlear Electrocochleography During Cochlear Implantation

Performing Intracochlear Electrocochleography During Cochlear Implantation

Published on: March 8, 2022

Area of Science:

Otorhinolaryngology
Medical Robotics
Surgical Technology

Background:

Cochlear implantation aims for atraumatic electrode array (EA) insertion.
Robotized EA insertion (rob-EAI) and fluoroscopy offer potential benefits for cochlear implant surgery.

Purpose of the Study:

To evaluate the quality and efficiency of robotized EA insertion (rob-EAI) using the RobOtol® system.
To assess the feasibility of remote rob-EAI with fluoroscopic guidance.

Main Methods:

Retrospective analysis of 23 patients undergoing rob-EAI from November 2021 to October 2022.
rob-EAI performed at a speed < 1 mm/s, with fluoroscopy used in 11 cases.
Assessment of EA insertion quality, operative time, and need for manual revision.

Main Results:

rob-EAI was successful in most cases, with only 3 requiring manual revision.
No instances of scala translocation were observed.
Additional operative time was 18±7 minutes, with remote rob-EAI adding approximately 4 minutes.

Conclusions:

rob-EAI is a safe and effective method for cochlear implantation, with a low risk of scala translocation, except in cases of cochlear obstruction.
Fluoroscopy facilitates remote rob-EAI, potentially improving surgeon safety.
The RobOtol® system demonstrates efficiency in rob-EAI, with minimal added operative time.