Minimally invasive, robot assisted cochlear implantation

Weber, Stefan and Bell, Brett and Gerber, Nicolas and Williamson, Tom and Brett, Peter and Du, Xinli and Caversaccio, Marco and Proops, David and Coulson, Chris and Reid, Andrew (2013) Minimally invasive, robot assisted cochlear implantation. In: 3rd Joint Workshop on New Technologies for Computer/Robot Assisted Surgery (CRAS 2013), 11-13 Sept 2013, Verona, Italy.

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Cochlear implants allow the restoration of hearing function in patients with severe to profound sensorineural hearing loss through the direct stimulation of the auditory nerve by an electrode array inserted into the inner ear. Typically, access to the cochlea is gained through the performance of a mastoidectomy, which involves the removal of a large portion of the mastoid bone, allowing the surgeon to visualize and protect vital structures within the mastoid during milling. Once access to the cochlea has been achieved, the surgeon may insert the electrode through the round window, or alternatively through an
artificial access called a cochleostomy. Recent advances in image guided robotics have allowed dramatic changes in the
performance of both stages of this procedure. Recent work at the University of Bern has seen the realization of a robotic system designed specifically for minimally invasive cochlear implantation. The system enables significantly reduced invasiveness by removing the need for a mastoidectomy, replacing this with a direct tunnel approach known as direct cochlear access (DCA). Meanwhile, work at Brunel University has focused on improving the safety and accuracy of inner ear access through the cochleostomy. This work describes both of these systems individually and discusses the implications and opportunities associated with the combination of these devices.

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Item Type: Conference or Workshop Item (Commonwealth Reporting Category E) (Paper)
Refereed: Yes
Item Status: Live Archive
Additional Information: Best paper award. No evidence of copyright restrictions preventing deposit.
Faculty/School / Institute/Centre: No Faculty
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 12 Jul 2017 07:06
Last Modified: 17 Aug 2017 05:37
Uncontrolled Keywords: cochleostomy; robotics; robot surgery; image guidance; cochlear; robot surgery implant; direct cochlear access
Fields of Research (2008): 09 Engineering > 0903 Biomedical Engineering > 090304 Medical Devices
09 Engineering > 0903 Biomedical Engineering > 090302 Biomechanical Engineering
Fields of Research (2020): 40 ENGINEERING > 4003 Biomedical engineering > 400308 Medical devices
40 ENGINEERING > 4003 Biomedical engineering > 400303 Biomechanical engineering

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