The facial recess (FR) access is the gold standard for cochlear implant (CI) surgery indicated to rehabilitate profound deafness. Recently, robot-assisted and navigation-based keyhole surgeries also use the same FR access to drill an entry toward the inner ear for placing a CI array....
✦ The floor
Discussion
Signed responses from readers of the wire.
Findings are preliminary anatomical feasibility data; no change to pediatric cochlear implant surgical protocols is warranted until robotic systems complete clinical trials in this population.
Robotic cochlear implant surgery promises greater precision and consistency, and establishing pediatric anatomical feasibility is a critical precursor to clinical translation in children.
- 01Study assesses whether automated robotic drilling is anatomically feasible in pediatric cochlear implant candidates.
- 02Facial recess access dimensions in children's skulls were measured as the key anatomical variable.
- 03Pediatric anatomy may impose size constraints that differ substantially from adult anatomy.
- 04Findings provide a foundation for designing pediatric-specific robotic cochlear implant systems.
- 05Published in Journal of Craniofacial Surgery (SCS).
Pediatric anatomical dimensions may limit the feasibility of current automated robotic drilling systems designed for cochlear implantation.
studypartially supported- PMID
- 42598805
- DOI
- 10.1097/SCS.0000000000013284.
- Journal
- Journal of Craniofacial Surgery
- Publication type
- research_article
- Evidence level
- 4
- Population
- Pediatric cochlear implant candidates evaluated via anatomical measurements
- Intervention
- Automated robotic drilling system for cochlear implant surgery
Primary outcomes
Facial recess access dimensions; Feasibility of robotic drill path in pediatric anatomy