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Author Spotlight: Advancements in Impedance Monitoring for Cochlear Implant Surgery
Published on: August 4, 2023
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ARTIS Pheno®: a potential tool for cochlear implant surgery
S Schmidt1, M Tisch2, K Bahr-Hamm3
1Department of Otolaryngology, Bundeswehr Central Hospital, Koblenz, Germany. drsandraschmidt@googlemail.com.
Summary
This study demonstrates the successful use of the ARTIS Pheno fluoroscopy system for real-time assessment of cochlear implant placement during surgery. This advanced imaging improves surgical outcomes and patient satisfaction in complex cases.
Area of Science:
- Otolaryngology
- Neurosurgery
- Medical Imaging
Background:
- Cochlear implantation is crucial for hearing rehabilitation.
- It involves patient selection, surgery, and follow-up.
- Computed tomography (CT) traditionally assesses implant position post-surgery.
Purpose of the Study:
- To evaluate the use of Siemens ARTIS Pheno fluoroscopy during cochlear implantation.
- To assess implant position in real-time during surgery.
- To improve surgical outcomes in challenging cases.
Main Methods:
- Six patients with complex anatomy or history underwent cochlear implantation.
- The ARTIS Pheno system was used for intraoperative fluoroscopic imaging.
- Procedures were conducted interdisciplinarily with neuroradiology.
Main Results:
- Fluoroscopy visualized the procedure in all six patients.
- Five procedures were successfully completed.
- Real-time assessment confirmed correct electrode insertion under anesthesia.
Conclusions:
- The ARTIS Pheno approach yielded positive surgical outcomes.
- It offers a safe and effective method for cochlear implantation, even in difficult cases.
- Real-time imaging enhances patient and surgeon satisfaction and meets modern surgical standards.

