Robotic Cochlear Implantation for Direct Cochlear Access

Robot-assisted systems offer great potential for gentler and more precise cochlear implantation. In this article, we provide a comprehensive overview of the clinical workflow for robotic cochlear implantation using a robotic system specifically developed for a minimally invasive, direct cochlear access. The clinical workflow involves experts from various disciplines and requires training to ensure a smooth and safe procedure. The protocol briefly summarizes the history of robotic cochlear implantation. The clinical sequence is explained in detail, beginning with the assessment of patient eligibility and covering surgical preparation, preoperative planning with the special planning software, drilling of the middle ear access, intraoperative imaging to confirm the trajectory, milling of the inner ear access, insertion of the electrode array, and implant management. The steps that require special attention are discussed. As an example, the postoperative outcome of robotic cochlear implantation in a patient with advanced otoscierosis is presented. Finally, the procedure is discussed in the context of the authors' experience.

Automated summary

This article provides a comprehensive overview of the clinical workflow for robotic cochlear implantation. It covers various steps such as patient assessment, surgical preparation, preoperative planning, drilling, intraoperative imaging, milling, electrode insertion, and implant management. The procedure requires collaboration among experts from different disciplines and training to ensure a smooth and safe surgery.