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Mechatronic feasibility of minimally invasive, atraumatic cochleostomy.

Williamson T, Du X, Bell B, Coulson C, Caversaccio M, Proops D, Brett P, Weber S - Biomed Res Int (2014)

Bottom Line: Robotic assistance in the context of lateral skull base surgery, particularly during cochlear implantation procedures, has been the subject of considerable research over the last decade.The use of robotics during these procedures has the potential to provide significant benefits to the patient by reducing invasiveness when gaining access to the cochlea, as well as reducing intracochlear trauma when performing a cochleostomy.Access to the middle ear was successfully achieved through the facial recess without damage to surrounding anatomical structures; cochleostomy was completed at the planned position with the endosteum remaining intact after drilling as confirmed by microscope evaluation.

View Article: PubMed Central - PubMed

Affiliation: ARTORG Center for Biomedical Engineering Research, University of Bern, 3010 Bern, Switzerland.

ABSTRACT
Robotic assistance in the context of lateral skull base surgery, particularly during cochlear implantation procedures, has been the subject of considerable research over the last decade. The use of robotics during these procedures has the potential to provide significant benefits to the patient by reducing invasiveness when gaining access to the cochlea, as well as reducing intracochlear trauma when performing a cochleostomy. Presented herein is preliminary work on the combination of two robotic systems for reducing invasiveness and trauma in cochlear implantation procedures. A robotic system for minimally invasive inner ear access was combined with a smart drilling tool for robust and safe cochleostomy; evaluation was completed on a single human cadaver specimen. Access to the middle ear was successfully achieved through the facial recess without damage to surrounding anatomical structures; cochleostomy was completed at the planned position with the endosteum remaining intact after drilling as confirmed by microscope evaluation.

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Related in: MedlinePlus

The robotic system for minimally invasive cochlear access (a) and smart drilling tool for cochleostomy, inserted through a drilled DCA trajectory (b).
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fig3: The robotic system for minimally invasive cochlear access (a) and smart drilling tool for cochleostomy, inserted through a drilled DCA trajectory (b).

Mentions: The setup for both intraoperative components of the procedure is shown in Figure 3.


Mechatronic feasibility of minimally invasive, atraumatic cochleostomy.

Williamson T, Du X, Bell B, Coulson C, Caversaccio M, Proops D, Brett P, Weber S - Biomed Res Int (2014)

The robotic system for minimally invasive cochlear access (a) and smart drilling tool for cochleostomy, inserted through a drilled DCA trajectory (b).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4109217&req=5

fig3: The robotic system for minimally invasive cochlear access (a) and smart drilling tool for cochleostomy, inserted through a drilled DCA trajectory (b).
Mentions: The setup for both intraoperative components of the procedure is shown in Figure 3.

Bottom Line: Robotic assistance in the context of lateral skull base surgery, particularly during cochlear implantation procedures, has been the subject of considerable research over the last decade.The use of robotics during these procedures has the potential to provide significant benefits to the patient by reducing invasiveness when gaining access to the cochlea, as well as reducing intracochlear trauma when performing a cochleostomy.Access to the middle ear was successfully achieved through the facial recess without damage to surrounding anatomical structures; cochleostomy was completed at the planned position with the endosteum remaining intact after drilling as confirmed by microscope evaluation.

View Article: PubMed Central - PubMed

Affiliation: ARTORG Center for Biomedical Engineering Research, University of Bern, 3010 Bern, Switzerland.

ABSTRACT
Robotic assistance in the context of lateral skull base surgery, particularly during cochlear implantation procedures, has been the subject of considerable research over the last decade. The use of robotics during these procedures has the potential to provide significant benefits to the patient by reducing invasiveness when gaining access to the cochlea, as well as reducing intracochlear trauma when performing a cochleostomy. Presented herein is preliminary work on the combination of two robotic systems for reducing invasiveness and trauma in cochlear implantation procedures. A robotic system for minimally invasive inner ear access was combined with a smart drilling tool for robust and safe cochleostomy; evaluation was completed on a single human cadaver specimen. Access to the middle ear was successfully achieved through the facial recess without damage to surrounding anatomical structures; cochleostomy was completed at the planned position with the endosteum remaining intact after drilling as confirmed by microscope evaluation.

Show MeSH
Related in: MedlinePlus