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Updated: Sep 19, 2025

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Initial Surgeon Experiences With a Robotic-Assisted Cochlear Implant Electrode Array Insertion System.

Rick F Nelson1, Amanda R Ernst2, Oliver Adunka3

  • 1Department of Otolaryngology-Head & Neck Surgery, Indiana University, Indianapolis, Indiana.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|June 4, 2025
PubMed
Summary
This summary is machine-generated.

Surgeons can achieve proficiency with robotic-assisted cochlear implant (RA-CI) electrode insertion systems quickly, typically within five cases. Minor surgical adjustments and training on best practices ensure successful integration and minimal time addition during CI surgery.

Keywords:
Cochlear implantCochlear implantationElectrode array insertionHearing preservationRoboticRobotic-assistedRobotics-assistedSoft surgery

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Area of Science:

  • Otolaryngology
  • Medical Robotics
  • Surgical Innovation

Background:

  • Cochlear implantation (CI) is a complex procedure.
  • Robotic-assisted surgery offers potential benefits for precision and consistency.
  • Integration of new robotic systems into surgical workflows requires careful assessment.

Purpose of the Study:

  • To evaluate the integration of a single-use robotic-assisted cochlear implant (RA-CI) electrode array insertion system.
  • To identify challenges and establish best practices for its use in CI surgery.
  • To assess the learning curve and time impact of the RA-CI system.

Main Methods:

  • A survey was conducted among 16 surgeons across 10 US hospitals.
  • Data were collected on the use of a single-use RA-CI insertion system in CI surgeries.
  • Outcomes measured included proficiency acquisition, estimated time addition, and recommended best practices.

Main Results:

  • 121 RA-CI cases were performed, with all participating surgeons completing the survey.
  • Most surgeons (62.5%) felt proficient within five cases.
  • The RA system added an estimated 5-15 minutes to surgery duration for most users.
  • Key best practices involved incision size, facial recess exposure, and device placement for optimal insertion.

Conclusions:

  • Proficiency with the RA electrode array insertion system is achievable with fewer than five cases.
  • Minimal adjustments to surgical approach and specific training on best practices are crucial for successful integration.
  • The RA-CI system can be incorporated into CI surgery with a manageable increase in operative time.