{
    "abstract": "In a world that is globalizing and centered on rapid communication, hearing impairment is one of the most common disabilities. The most effective and successful neural prosthesis in humans for treating the dysfunction of a sensory organ is cochlear implantation. The minimally invasive placement of the array in the cochlea should warrant the rehabilitation of profound hearing loss over all frequencies. Some key factors for structure and hearing preservation consist of minimal invasive drilling in the temporal bone and tailored inner ear access. Next-generation Robotically Assisted Cochlear Implantation Surgery (RACIS) focuses on robotic inner ear access. The purpose of this cadaveric preclinical study was to assess the viability and precision of a novel technology (the HEARO method) for RACIS, or more particularly, personalized robotic inner ear access.\nThe external auditory canal, chorda tympani, ossicles, facial nerve, and other pertinent anatomical components were all 3-dimensional (3D)-reconstructed by the surgeon. The mean intended distance and drilling trajectory to the chorda tympani and facial nerve were, respectively, 0.44\u00b10.13 and 0.35\u00b10.27\u00a0mm.\nWith a mean insertion percentage of 94%, the surgeon was able to complete the HEARO method in 9 out of 10 procedures. There was no evidence of a collision or damage to vital structures.\nFuture iterations of RACIS will prioritize haptic feedback, automated segmentation and trajectory, robotic insertion with adjustable speed, and imaging mobile cone beam computed tomography.",
    "authors": [
        {
            "affiliation": "Department of Otorhinolaryngology Head and Neck surgery, Vrije Universiteit Brussel, Brussels Health Campus.\nDepartment of Otorhinolaryngology Head and Neck surgery, University Hospital UZ Brussel, Vrije Universiteit Brussel, Brussels Health Campus, Brussels, Belgium.",
            "firstname": "Ahmet M",
            "initials": "AM",
            "lastname": "Tekin"
        },
        {
            "affiliation": "Department of Anatomy, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.",
            "firstname": "Ronald L A W",
            "initials": "RLAW",
            "lastname": "Bleys"
        },
        {
            "affiliation": "Department of Otorhinolaryngology Head and Neck surgery, Vrije Universiteit Brussel, Brussels Health Campus.",
            "firstname": "Marco",
            "initials": "M",
            "lastname": "Matulic"
        },
        {
            "affiliation": "MED-EL Medical Electronics, Innsbruck, Austria.",
            "firstname": "Masoud Zoka",
            "initials": "MZ",
            "lastname": "Assadi"
        },
        {
            "affiliation": "Department of Otorhinolaryngology Head and neck surgery, Antwerp University Hospital, Edegem, Belgium.\nDepartment of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp.",
            "firstname": "Paul",
            "initials": "P",
            "lastname": "van de Heyning"
        },
        {
            "affiliation": "Department of Anatomy, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey.",
            "firstname": "\u0130lhan",
            "initials": "\u0130",
            "lastname": "Bah\u015fi"
        },
        {
            "affiliation": "Department of Otorhinolaryngology Head and Neck surgery, University Hospital UZ Brussel, Vrije Universiteit Brussel, Brussels Health Campus, Brussels, Belgium.",
            "firstname": "Vedat",
            "initials": "V",
            "lastname": "Topsakal"
        }
    ],
    "conclusions": "Future iterations of RACIS will prioritize haptic feedback, automated segmentation and trajectory, robotic insertion with adjustable speed, and imaging mobile cone beam computed tomography.",
    "copyrights": "Copyright \u00a9 2024 by Mutaz B. Habal, MD.",
    "doi": "10.1097/SCS.0000000000010887",
    "journal": "The Journal of craniofacial surgery",
    "keywords": [],
    "methods": null,
    "publication_date": "2024-11-26",
    "pubmed_id": "39591381",
    "results": "With a mean insertion percentage of 94%, the surgeon was able to complete the HEARO method in 9 out of 10 procedures. There was no evidence of a collision or damage to vital structures.",
    "title": "Next-generation Robotics in Otology: The HEARO Procedure.",
    "xml": "<Element 'PubmedArticle' at 0x788505313ce0>"
}