Feasibility of Pediatric Robotic Cochlear Implant in Phantoms

O'Toole Bom Braga, Gabriela; Schneider, Daniel; Mueller, Fabian; Hermann, Jan; Weber, Stefan; Caversaccio, Marco (September 2019). Feasibility of Pediatric Robotic Cochlear Implant in Phantoms (Unpublished). In: CURAC. Reutligen.

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 10 pediatric subjects (total of 20 sides) between 8 months and 48 months old, who underwent cochlear implant surgery were studied. Four datasets (n¼8 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 three 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 (CI) 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:

Conference or Workshop Item (Speech)

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
600 Technology > 620 Engineering

Language:

English

Submitter:

Gabriela O'Toole Bom Braga

Date Deposited:

24 Oct 2019 16:36

Last Modified:

24 Oct 2019 16:43

URI:

https://boris.unibe.ch/id/eprint/134225

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