Application of a new computer‐assisted robotic visualization system in cochlear implantation—Proof of concept

Background Over the last decades conventional cochlear implant (CI) surgery has remained essentially unchanged. Nevertheless, alternative implantation techniques to further improve patient outcomes such as endaural implantation or robot‐assisted surgery have been proposed in recent years. However, n...

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Veröffentlicht in:The international journal of medical robotics + computer assisted surgery 2021-10, Vol.17 (5), p.e2301-n/a
Hauptverfasser: Riepl, Ricarda, Greve, Jens, Schild, Leon R., Böhm, Felix, Goldberg‐Bockhorn, Eva, Hoffmann, Thomas K., Schuler, Patrick J.
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container_issue 5
container_start_page e2301
container_title The international journal of medical robotics + computer assisted surgery
container_volume 17
creator Riepl, Ricarda
Greve, Jens
Schild, Leon R.
Böhm, Felix
Goldberg‐Bockhorn, Eva
Hoffmann, Thomas K.
Schuler, Patrick J.
description Background Over the last decades conventional cochlear implant (CI) surgery has remained essentially unchanged. Nevertheless, alternative implantation techniques to further improve patient outcomes such as endaural implantation or robot‐assisted surgery have been proposed in recent years. However, none of these have gained acceptance in clinical routine, thus confirming a demand for new developments. Methods Cochlear implant surgery was performed in two mastoid bones obtained from body donors using a novel hands‐free exoscope. Advantages and disadvantages of the system were evaluated. Results In all cases, implantation of the electrode was feasible. The system allowed for hands‐free movement and adjustment of the exoscope by the head‐mounted display. Network connectivity of the system leaves room for improvement. Conclusion The RoboticScope is an innovative tool and can be used supportively in conventional CI surgery in the experimental setting. Although operating the device requires a certain learning curve, the usability is intuitive for every ear surgeon.
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Nevertheless, alternative implantation techniques to further improve patient outcomes such as endaural implantation or robot‐assisted surgery have been proposed in recent years. However, none of these have gained acceptance in clinical routine, thus confirming a demand for new developments. Methods Cochlear implant surgery was performed in two mastoid bones obtained from body donors using a novel hands‐free exoscope. Advantages and disadvantages of the system were evaluated. Results In all cases, implantation of the electrode was feasible. The system allowed for hands‐free movement and adjustment of the exoscope by the head‐mounted display. Network connectivity of the system leaves room for improvement. Conclusion The RoboticScope is an innovative tool and can be used supportively in conventional CI surgery in the experimental setting. 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source Wiley Online Library Journals Frontfile Complete
subjects Bones
cochlear
Cochlear implants
computer‐assisted surgery
ENT
head and neck
imaged guided surgery
Implantation
Learning curves
Robotic surgery
Surgery
title Application of a new computer‐assisted robotic visualization system in cochlear implantation—Proof of concept
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