Related Experiment Video
Updated: Oct 16, 2026
Robotic Cochlear Implantation for Direct Cochlear Access
Published on: June 16, 2022
The surgical symphony of human efficiency: a structured intraoperative workflow model for high-volume cochlear
Eman Hajr1, Yassin Abdelsamad2, Fida Almuhawas3
1Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia.
Objective:
High-volume humanitarian Cochlear Implant (CI) missions require highly organized workflows to maintain efficiency and safety. This study describes the intraoperative model used during a large-scale CI campaign.
Methods:
A descriptive observational design was used to evaluate operative workflow across multiple operating rooms using standardized surgical protocols, structured shift-based assignments, and digital coordination. Operative times, intraoperative findings, ECAP responses, and postoperative radiologic outcomes were analyzed.
Results:
A total of 142 CI surgeries were completed over three days (30-, 66-, and 46-cases). The mean operative time was 57-minutes, with a median of 46-minutes. Unremarkable intraoperative fields were observed in 57.4% of cases, while perilymph oozing occurred in 31.2%. Absent ECAP responses occurred in three patients (2.1%) with inner ear malformations; all demonstrated responses during postoperative fitting. Radiologic assessment confirmed proper intracochlear insertion in all candidates.
Conclusion:
A structured intraoperative workflow enabled the safe and efficient completion of a high surgical volume within a short timeframe. This experience offers practical guidance for centers aiming to enhance operating room efficiency, particularly in high-volume or resource-limited environments.
Level Of Evidence:
IV.
