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Updated: Jun 26, 2025

Robotic Cochlear Implantation for Direct Cochlear Access
08:06

Robotic Cochlear Implantation for Direct Cochlear Access

Published on: June 16, 2022

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Entirely robotic cochlear implant surgery.

Jaouad Abari1, Emilie Heuninck1, Vedat Topsakal2

  • 1Department of Otorhinolaryngology Head and Neck Surgery, University Hospital UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium.

American Journal of Otolaryngology
|May 16, 2024
PubMed
Summary
This summary is machine-generated.

This study introduces the first entirely robotic cochlear implant surgery, demonstrating successful automated electrode insertion. The robotic approach achieved audiological results comparable to conventional methods, enhancing precision in hearing restoration.

Keywords:
Cochlear implantationHEARO®-procedureImage-guided surgeryRobot-assisted cochlear implant surgerySensorineural hearing loss

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Area of Science:

  • Otolaryngology
  • Robotics in Surgery
  • Neurosurgery

Background:

  • Robot-assisted cochlear implant surgery (RACIS) utilizes a keyhole approach for minimally invasive procedures.
  • Previous RACIS focused on drilling, with no prior reports on fully automated electrode insertion.
  • This study investigates the feasibility of a novel automated device for electrode insertion in RACIS.

Observation:

  • The first clinical case of entirely robotic cochlear implantation surgery was performed.
  • A newly developed, dedicated motorized device was used for automated electrode insertion.
  • A straight flexible lateral wall electrode was employed in the procedure.

Findings:

  • The cochlear implant robot successfully executed complex surgical steps for electrode placement.
  • Audiological outcomes, measured by mean hearing thresholds, were comparable to conventional cochlear implant surgery.
  • Automated insertion depth was a primary outcome measure.

Implications:

  • Robotic systems can perform surgical tasks with precision exceeding human dexterity.
  • RACIS has the potential to standardize residual hearing preservation techniques.
  • This technology may expand indications for electric-acoustic stimulation with hybrid implants.