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Implementation of Robot-Assisted Minimally Invasive Cochlear Implantation: A Feasibility Study.

Anne-Lise Fourez1, Akil Kaderbay1, Charles Villerabel1

  • 1Department of ENT and Head and Neck Surgery, University Hospital Gui de Chauliac, University of Montpellier, Montpellier Cedex 5, France.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|May 27, 2025
PubMed
Summary
This summary is machine-generated.

Robot-assisted cochlear implant surgery proved safe and efficient in a pilot study. The robotic system enabled successful electrode array insertion in most cases, with high drilling accuracy and no facial nerve complications.

Keywords:
Cochlear implantHEARO robotic systemMinimally invasive surgeryRobot-assisted surgery

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Area of Science:

  • Neurosurgery
  • Otolaryngology
  • Medical Robotics

Background:

  • Cochlear implantation is a standard treatment for severe to profound hearing loss.
  • Minimally invasive surgical techniques are continuously being explored to improve outcomes and reduce complications.

Purpose of the Study:

  • To evaluate the efficiency and safety of robot-assisted image-guided cochlear implant surgery.
  • To assess the feasibility of a direct tunnel approach for cochlear implantation using a robotic system.

Main Methods:

  • Prospective, interventional, monocentric study involving adult patients undergoing unilateral cochlear implantation.
  • Robotic system used for drilling a tunnel to the cochlea, with inclusion criteria based on safe trajectory planning.
  • Primary outcome measure was the success rate of electrode array insertion through the robotically drilled tunnel.

Main Results:

  • Nine out of ten robot-assisted surgeries were successful, with one burr failure.
  • High drilling accuracy observed: 0.13 mm (facial nerve), 0.14 mm (chorda tympani), 0.2 mm (round window).
  • Successful electrode array insertion was achieved in all robotically drilled tunnels; no facial palsy occurred.

Conclusions:

  • Robot-assisted image-guided cochlear implantation using a direct tunnel approach is safe and efficient.
  • The robotic system facilitates precise drilling and successful electrode array insertion, offering a promising alternative to standard techniques.