机器人辅助电极阵列插入提高了声学听力值的稳定性.
Uzair A Khan1, Rachel A Scheperle1, Grant Podhajsky2
1Department of Otolaryngology-Head and Neck Surgery, University of Iowa Health Care, Iowa City, Iowa, USA.
The Laryngoscope
|January 21, 2026
概括
机器人辅助电极阵列插入可显著减少耳植入手术后延迟发病的听力损失. 这种先进的技术有助于保存残留声学听力,这是CI程序的一个关键目标.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 医疗机器人 医疗机器人
背景情况:
- 在耳植入物 (CI) 手术中,保护残留声学听力至关重要.
- 迟发性听力损失 (DOHL) 可能会对CI结果产生负面影响.
- 机器人辅助电极阵列 (EA) 插入是CI手术的一个新兴技术.
研究的目的:
- 评估机器人辅助EA插入对DOHL费率的影响.
- 为了比较手动和机器人辅助CI程序之间的DOHL发生率.
- 评估机器人辅助在保护CI后听力方面的有效性.
主要方法:
- 一项涉及成年患者接受CI手术的比较研究.
- 60名患者接受了手动EA插入,29名患者接受了机器人辅助插入 (iotaSOFT系统).
- 追踪了低频纯色平均 (LFPTA) 的纵向变化,以定义DOHL (> 10dB下降).
主要成果:
- DOHL发生在手动队列的37%,而机器人辅助队列的7% (p=0.002).
- 在12个月后,DOHL在人工组的29%观察到,而机器人组的0% (p=0.011).
- 需要用机器人辅助治疗以预防DOHL的数量是4.
结论:
- 机器人辅助EA插入显著降低了DOHL的发生率.
- 这种技术在保持残留声学听力方面提供了临床上有意义的改进.
- 在CI手术中,机器人辅助是实现听力保护目标的宝贵工具.
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