Fusion of Technology in Cochlear Implantation Surgery: Investigation of Fluoroscopically Assisted Robotic Electrode Insertion

The HEARO cochlear implantation surgery aims to replace the conventional wide mastoidectomy approach with a minimally invasive direct cochlear access. The main advantage of the HEARO access would be that the trajectory accommodates the optimal and individualized insertion parameters such as type of...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Greg Eigner Jablonski, Benedicte Falkenberg-Jensen, Marie Bunne, Muneera Iftikhar, Ralf Greisiger, Leif Runar Opheim, Hilde Korslund, Marte Myhrum, Torquil Mcdonald Sørensen
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	cochlear implant robot-assisted cochlear implantation RCI HEARO® robot-assisted surgery OTOPLAN® Surgery RD1-811
Acceso en línea:	https://doaj.org/article/fb90e659c48440a6a267f64769318b7a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:fb90e659c48440a6a267f64769318b7a
record_format	dspace
spelling	oai:doaj.org-article:fb90e659c48440a6a267f64769318b7a2021-11-08T07:12:35ZFusion of Technology in Cochlear Implantation Surgery: Investigation of Fluoroscopically Assisted Robotic Electrode Insertion2296-875X10.3389/fsurg.2021.741401https://doaj.org/article/fb90e659c48440a6a267f64769318b7a2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fsurg.2021.741401/fullhttps://doaj.org/toc/2296-875XThe HEARO cochlear implantation surgery aims to replace the conventional wide mastoidectomy approach with a minimally invasive direct cochlear access. The main advantage of the HEARO access would be that the trajectory accommodates the optimal and individualized insertion parameters such as type of cochlear access and trajectory angles into the cochlea. To investigate the quality of electrode insertion with the HEARO procedure, the insertion process was inspected under fluoroscopy in 16 human cadaver temporal bones. Prior to the insertion, the robotic middle and inner ear access were performed through the HEARO procedures. The status of the insertion was analyzed on the post-operative image with Siemens Artis Pheno (Siemens AG, Munich, Germany). The completion of the full HEARO procedure, including the robotic inner ear access and fluoroscopy electrode insertion, was possible in all 16 cases. It was possible to insert the electrode in all 16 cases through the drilled tunnel. However, one case in which the full cochlea was not visible on the post-operative image for analysis was excluded. The post-operative analysis of the electrode insertion showed an average insertion angle of 507°, which is equivalent to 1.4 turns of the cochlea, and minimal and maximal insertion angles were recorded as 373° (1 cochlear turn) and 645° (1.8 cochlear turn), respectively. The fluoroscopy inspection indicated no sign of complications during the insertion.Greg Eigner JablonskiGreg Eigner JablonskiBenedicte Falkenberg-JensenMarie BunneMuneera IftikharRalf GreisigerLeif Runar OpheimHilde KorslundMarte MyhrumMarte MyhrumTorquil Mcdonald SørensenFrontiers Media S.A.articlecochlear implantrobot-assisted cochlear implantationRCIHEARO®robot-assisted surgeryOTOPLAN®SurgeryRD1-811ENFrontiers in Surgery, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cochlear implant robot-assisted cochlear implantation RCI HEARO® robot-assisted surgery OTOPLAN® Surgery RD1-811
spellingShingle	cochlear implant robot-assisted cochlear implantation RCI HEARO® robot-assisted surgery OTOPLAN® Surgery RD1-811 Greg Eigner Jablonski Greg Eigner Jablonski Benedicte Falkenberg-Jensen Marie Bunne Muneera Iftikhar Ralf Greisiger Leif Runar Opheim Hilde Korslund Marte Myhrum Marte Myhrum Torquil Mcdonald Sørensen Fusion of Technology in Cochlear Implantation Surgery: Investigation of Fluoroscopically Assisted Robotic Electrode Insertion
description	The HEARO cochlear implantation surgery aims to replace the conventional wide mastoidectomy approach with a minimally invasive direct cochlear access. The main advantage of the HEARO access would be that the trajectory accommodates the optimal and individualized insertion parameters such as type of cochlear access and trajectory angles into the cochlea. To investigate the quality of electrode insertion with the HEARO procedure, the insertion process was inspected under fluoroscopy in 16 human cadaver temporal bones. Prior to the insertion, the robotic middle and inner ear access were performed through the HEARO procedures. The status of the insertion was analyzed on the post-operative image with Siemens Artis Pheno (Siemens AG, Munich, Germany). The completion of the full HEARO procedure, including the robotic inner ear access and fluoroscopy electrode insertion, was possible in all 16 cases. It was possible to insert the electrode in all 16 cases through the drilled tunnel. However, one case in which the full cochlea was not visible on the post-operative image for analysis was excluded. The post-operative analysis of the electrode insertion showed an average insertion angle of 507°, which is equivalent to 1.4 turns of the cochlea, and minimal and maximal insertion angles were recorded as 373° (1 cochlear turn) and 645° (1.8 cochlear turn), respectively. The fluoroscopy inspection indicated no sign of complications during the insertion.
format	article
author	Greg Eigner Jablonski Greg Eigner Jablonski Benedicte Falkenberg-Jensen Marie Bunne Muneera Iftikhar Ralf Greisiger Leif Runar Opheim Hilde Korslund Marte Myhrum Marte Myhrum Torquil Mcdonald Sørensen
author_facet	Greg Eigner Jablonski Greg Eigner Jablonski Benedicte Falkenberg-Jensen Marie Bunne Muneera Iftikhar Ralf Greisiger Leif Runar Opheim Hilde Korslund Marte Myhrum Marte Myhrum Torquil Mcdonald Sørensen
author_sort	Greg Eigner Jablonski
title	Fusion of Technology in Cochlear Implantation Surgery: Investigation of Fluoroscopically Assisted Robotic Electrode Insertion
title_short	Fusion of Technology in Cochlear Implantation Surgery: Investigation of Fluoroscopically Assisted Robotic Electrode Insertion
title_full	Fusion of Technology in Cochlear Implantation Surgery: Investigation of Fluoroscopically Assisted Robotic Electrode Insertion
title_fullStr	Fusion of Technology in Cochlear Implantation Surgery: Investigation of Fluoroscopically Assisted Robotic Electrode Insertion
title_full_unstemmed	Fusion of Technology in Cochlear Implantation Surgery: Investigation of Fluoroscopically Assisted Robotic Electrode Insertion
title_sort	fusion of technology in cochlear implantation surgery: investigation of fluoroscopically assisted robotic electrode insertion
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/fb90e659c48440a6a267f64769318b7a
work_keys_str_mv	AT gregeignerjablonski fusionoftechnologyincochlearimplantationsurgeryinvestigationoffluoroscopicallyassistedroboticelectrodeinsertion AT gregeignerjablonski fusionoftechnologyincochlearimplantationsurgeryinvestigationoffluoroscopicallyassistedroboticelectrodeinsertion AT benedictefalkenbergjensen fusionoftechnologyincochlearimplantationsurgeryinvestigationoffluoroscopicallyassistedroboticelectrodeinsertion AT mariebunne fusionoftechnologyincochlearimplantationsurgeryinvestigationoffluoroscopicallyassistedroboticelectrodeinsertion AT muneeraiftikhar fusionoftechnologyincochlearimplantationsurgeryinvestigationoffluoroscopicallyassistedroboticelectrodeinsertion AT ralfgreisiger fusionoftechnologyincochlearimplantationsurgeryinvestigationoffluoroscopicallyassistedroboticelectrodeinsertion AT leifrunaropheim fusionoftechnologyincochlearimplantationsurgeryinvestigationoffluoroscopicallyassistedroboticelectrodeinsertion AT hildekorslund fusionoftechnologyincochlearimplantationsurgeryinvestigationoffluoroscopicallyassistedroboticelectrodeinsertion AT martemyhrum fusionoftechnologyincochlearimplantationsurgeryinvestigationoffluoroscopicallyassistedroboticelectrodeinsertion AT martemyhrum fusionoftechnologyincochlearimplantationsurgeryinvestigationoffluoroscopicallyassistedroboticelectrodeinsertion AT torquilmcdonaldsørensen fusionoftechnologyincochlearimplantationsurgeryinvestigationoffluoroscopicallyassistedroboticelectrodeinsertion
_version_	1718442964954382336

Fusion of Technology in Cochlear Implantation Surgery: Investigation of Fluoroscopically Assisted Robotic Electrode Insertion

Ejemplares similares