Robotic Milling of Electrode Lead Channels During Cochlear Implantation in an ex-vivo Model.

ABSTRACT: Objective: Robotic cochlear implantation is an emerging surgical technique for patients with sensorineural hearing loss. Access to the middle and inner ear is provided through a small-diameter hole created by a robotic drilling process without a mastoidectomy. Using the same image-guided robotic system, we propose an electrode lead management technique using robotic milling that replaces the standard process of stowing excess electrode lead in the mastoidectomy cavity. Before accessing the middle ear, an electrode channel is milled robotically based on intraoperative planning. The goal is to further standardize cochlear implantation, minimize the risk of iatrogenic intracochlear damage, and to create optimal conditions for a long implant life through protection from external trauma

SUBMITTER: Hermann J 

PROVIDER: S-EPMC8631814 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature