Analysis of forces during robot-assisted and manual manipulations of mobile and fixed footplate in temporal bone specimens

Daoudi, Hannah; Torres, Renato; Mazalaigue, Stéphane; Sterkers, Olivier; Ferrary, Évelyne; Nguyen, Yann

doi:10.1007/s00405-020-06553-z

Cited by 2 publications

(6 citation statements)

References 26 publications

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“…Robot-assisted endoscopy is a safe and trustworthy tool for several categories of middle ear procedures, such as myringoplasty, partial ossiculoplasty and total ossiculoplasty [ 4 , 5 ]. Robot-assisted manipulation of the ossicular chain in cadaveric temporal bones using a robotic arm (RobOtol ® ) was described as reliable [ 6 ]. Otosclerosis surgery with robotic assistance enhances the precise amplitude of motion and the surgeon’s dexterity and rapidly reduces the learning curve [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…“Clinical Practice Guidelines” are widely accepted for the standardization of such processes; however, there is still room for refining the diagnostic and technical steps for optimal results, which is where robotic surgery comes in [ 11 ]. As the first device to obtain European certification for clinical use (CE mark), the RobOtol ® system has been used in France and China since 2019 for robotic-assisted CI in profoundly deaf adults and children [ 5 , 6 , 12 ]. The beginning of research dates back to 2005, the commercial launch of RobOtol ® on the market in 2018 and soon after, in 2019, the first robotic cochlear implantation at the APHP Pitié-Salpêtrière Department took place.…”

Section: Introductionmentioning

confidence: 99%

“…The beginning of research dates back to 2005, the commercial launch of RobOtol ® on the market in 2018 and soon after, in 2019, the first robotic cochlear implantation at the APHP Pitié-Salpêtrière Department took place. Recently the robotic system has been implemented in clinical practice [ 6 , 12 , 13 , 14 ] and the assumption was optimization of the electrode array insertion into the scala tympani (ST). The subject of discussion and the key question is how to compare and how to measure the superiority of a robotic electrode insertion over a manual one.…”

Section: Introductionmentioning

confidence: 99%

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Robot-Assisted Electrode Insertion in Cochlear Implantation Controlled by Intraoperative Electrocochleography—A Pilot Study

Gawęcki

Balcerowiak

Podlawska

et al. 2022

JCM

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Robotics in otology has been developing in many directions for more than two decades. Current clinical trials focus on more accurate stapes surgery, minimally invasive access to the cochlea and less traumatic insertion of cochlear implant (CI) electrode arrays. In this study we evaluated the use of the RobOtol® (Collin, Bagneux, France) otologic robot to insert CI electrodes into the inner ear with intraoperative ECochG analysis. This prospective, pilot study included two adult patients implanted with Advanced Bionics (Westinghouse PI, CA, USA) cochlear implant, with HiFocus™ Mid-Scala electrode array. The standard surgical approach was used. For both subjects, who had residual hearing in the implanted ear, intraoperative and postoperative ECochG was performed with the AIMTM system. The surgeries were uneventful. A credible ECochG response was obtained after complete electrode insertion in both cases. Preoperative BC thresholds compared to intraoperative estimated ECochG thresholds and 2-day postoperative BC thresholds had similar values at frequencies where all thresholds were measurable. The results of the ECochG performed one month after the surgery showed that in both patients the hearing residues were preserved for the selected frequencies. The RobOtol® surgical robot allows for the correct, safe and gentle insertion of the cochlear implant electrode inside the cochlea. The use of electrocochleography measurements during robotic cochlear implantation offers an additional opportunity to evaluate and modify the electrode array insertion on an ongoing basis, which may contribute to the preservation of residual hearing.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Robot-Assisted Electrode Insertion in Cochlear Implantation Controlled by Intraoperative Electrocochleography—A Pilot Study

Gawęcki

Balcerowiak

Podlawska

et al. 2022

JCM

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show abstract

“…Although rare, postoperative complications include vertigo as well as a worsened auditory threshold. Furthermore, a risk of irreversible partial or complete sensorineural hearing loss is reported in 0.7-3% of patients [2]. Alternatively, the hearing loss may be addressed using hearing aids, which should always be proposed during patient counseling [3].…”

Section: Introductionmentioning

confidence: 99%

“…Even in experienced surgeons, involuntary gestures such as tremor, jerking, and drifting can occur. Robots have the ability to inhibit these involuntary gestures, resulting in more microsurgical precision, accuracy, and reducing forces applied on other structures [2].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic and Robotic Stapes Surgery: Review with Emphasis on Recent Surgical Refinements

Sheppard

Caversaccio

Anschuetz

2022

Curr Otorhinolaryngol Rep

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Purpose of Review Stapes surgery has been established as the gold standard for surgical treatment of conductive hearing loss in otosclerosis. Excellent outcomes with very low complication rate are reported for this surgery. Recent advances to improve surgical outcome have modified the surgical technique with endoscopes, and recent studies report development of robotical assistance. This article reviews the use of endoscopes and robotical assistance for stapes surgery. Recent Findings While different robotic models have been developed, 2 models for stapes surgery have been used in the clinical setting. These can be used concomitant to an endoscope or microscope. Endoscopes are used on a regular base regarding stapes surgery with similar outcomes as microscopes. Endoscopic stapes surgery shows similar audiological results to microscopic technique with an advantage of less postoperative dysgeusia and pain. Its utility in cases of revision surgery or malformation is emphasized. Summary Endoscopic stapes surgery is used on a regular basis with excellent outcomes similar to the microscopic approach, while reducing surgical morbidity. Robotic technology is increasingly being developed in the experimental setting, and first applications are reported in its clinical use.

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Analysis of forces during robot-assisted and manual manipulations of mobile and fixed footplate in temporal bone specimens

Cited by 2 publications

References 26 publications

Robot-Assisted Electrode Insertion in Cochlear Implantation Controlled by Intraoperative Electrocochleography—A Pilot Study

Robot-Assisted Electrode Insertion in Cochlear Implantation Controlled by Intraoperative Electrocochleography—A Pilot Study

Endoscopic and Robotic Stapes Surgery: Review with Emphasis on Recent Surgical Refinements

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