Feasibility of Pediatric Robotic Cochlear Implantation in Phantoms

O'Toole Bom Braga, Gabriela; Schneider, Daniel; Mueller, Fabian; Hermann, Jan; Weber, Stefan; Caversaccio, Marco (2020). Feasibility of Pediatric Robotic Cochlear Implantation in Phantoms. Otology & neurotology, 41(2), e192-e200. Lippincott Williams & Wilkins 10.1097/MAO.0000000000002434

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Objective: To demonstrate the feasibility of robotic cochlear implant surgery in subject specific pediatric phantoms. Study design: Pilot study. Materials and Methods: Computed tomographic preoperative encrypted data of ten pediatric subjects (total of 20 sides) between eight months and forty-eight months old, who underwent cochlear implant surgery were studied. Four datasets (n=8 sides) were selected for investigation of the complete robotic procedure including middle and inner ear access and electrode insertion. Results: The planning of the safe trajectory for the robotic approach was possible in 17 of the cases. In 3 sides, planning the trajectory was not possible due to the small size of the facial recess. Bone thickness study demonstrated average sufficient bone thickness at the site of screw implantation in general. The complete robotic procure including the drilling and insertion was successfully carried out on all the created phantoms. Conclusion: With this work we have demonstrated the feasibility of planning and performing a robotic middle and inner ear access and cochlear implantation in phantom models of pediatric subjects. To develop and validate the proposed procedure for use in children, next stage optimization of the current surgical workflow and adaptation of the surgical material to pediatric population is necessary.

Item Type:

Journal Article (Original Article)

Division/Institute:

10 Strategic Research Centers > ARTORG Center for Biomedical Engineering Research
10 Strategic Research Centers > ARTORG Center for Biomedical Engineering Research > ARTORG Center - Image Guided Therapy

UniBE Contributor:

O'Toole Bom Braga, Gabriela; Schneider, Daniel; Hermann, Jan and Weber, Stefan

Subjects:

500 Science > 570 Life sciences; biology
600 Technology > 610 Medicine & health
000 Computer science, knowledge & systems
600 Technology
600 Technology > 620 Engineering

ISSN:

1531-7129

Publisher:

Lippincott Williams & Wilkins

Funders:

[UNSPECIFIED] ARTORG Center for Biomedical Engineering Research

Language:

English

Submitter:

Gabriela O'Toole Bom Braga

Date Deposited:

24 Oct 2019 16:43

Last Modified:

26 Mar 2020 15:15

Publisher DOI:

10.1097/MAO.0000000000002434

PubMed ID:

31789802

BORIS DOI:

10.7892/boris.134184

URI:

https://boris.unibe.ch/id/eprint/134184

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