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Initial Experience With Robotic-Assisted Otologic and Lateral Skull Base Surgery.

Alejandro Garcia1, Samantha Shave1, Yew S Cheng1

  • 1Department of Otolaryngology, Massachusetts Eye and Ear Infirmary (MEEI), Harvard Medical School, Boston, Massachusetts, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|January 17, 2024
PubMed
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This summary is machine-generated.

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Robotic-assisted surgery enhances ear and skull base procedures, offering superior visualization and precision. This technology serves as a valuable adjunct, improving surgical performance and ergonomics in otologic and neurotologic operations.

Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Robotic Surgery

Background:

  • Robotic-assisted surgery is increasingly utilized in otolaryngology.
  • It offers enhanced visualization and precision for complex procedures.
  • It presents an alternative to traditional methods like microscopes and endoscopes for accessing difficult anatomical regions in the ear.

Purpose of the Study:

  • To demonstrate the feasibility of using a robotic-assisted device for ear surgery.
  • To evaluate its use in conjunction with microscopes or endoscopes.
  • To assess its potential as an adjuvant in otologic and neurotologic surgery.

Main Methods:

  • A proof-of-concept study involving 9 ear and lateral skull base procedures.
  • Surgeons completed surveys comparing robotic-assisted surgery to microscope or endoscope use.
Keywords:
cochlear implantsergonomicsmastoid surgeryroboticsskull base surgery

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  • Assessment focused on performance, ergonomics, and workload.

    • Main Results:

    • Robotic-assisted surgery provided optimal image quality, ergonomics, and surgical performance.
    • No postoperative complications were reported in the procedures.
    • The robotic device presented a larger size and higher mental demand compared to traditional tools.

    Conclusions:

    • Robotic-assisted surgery is a viable option for otologic and neurotologic procedures.
    • It can effectively complement existing surgical techniques.
    • Further research may explore optimizing the robotic system for reduced size and cognitive load.