Suitable Electrode Choice for Robotic-Assisted Cochlear Implant Surgery: A Systematic Literature Review of Manual Electrode Insertion Adverse Events

被引：10

作者：

van de Heyning, Paul ^{[1
,2
]}

Roland, Peter ^{[3
]}

Lassaletta, Luis ^{[4
]}

Agrawal, Sumit ^{[5
]}

Atlas, Marcus ^{[6
]}

Baumgartner, Wolf-Dieter ^{[7
]}

Brown, Kevin ^{[8
]}

Caversaccio, Marco ^{[9
]}

Dazert, Stefan ^{[10
]}

Gstoettner, Wolfgang ^{[7
]}

Hagen, Rudolf ^{[11
]}

Hagr, Abdulrahman ^{[12
]}

Jablonski, Greg Eigner ^{[13
,14
]}

Kameswaran, Mohan ^{[15
]}

Kuzovkov, Vladislav ^{[16
]}

Leinung, Martin ^{[17
]}

Li, Yongxin ^{[18
,19
]}

Loth, Andreas ^{[17
]}

Magele, Astrid ^{[20
]}

Mlynski, Robert ^{[21
]}

Mueller, Joachim ^{[22
]}

Parnes, Lorne ^{[5
]}

Radeloff, Andreas ^{[23
]}

Raine, Chris ^{[24
]}

Rajan, Gunesh ^{[25
]}

Schmutzhard, Joachim ^{[26
]}

Skarzynski, Henryk ^{[27
]}

Skarzynski, Piotr H. ^{[27
]}

Sprinzl, Georg ^{[20
]}

Staecker, Hinrich ^{[28
]}

Stoever, Timo ^{[17
]}

Tavora-Viera, Dayse ^{[29
]}

Topsakal, Vedat ^{[30
]}

Usami, Shin-Ichi ^{[31
]}

Van Rompaey, Vincent ^{[1
,2
]}

Weiss, Nora M. ^{[10
]}

Wimmer, Wilhelm ^{[9
]}

Zernotti, Mario ^{[32
]}

Gavilan, Javier ^{[4
]}

机构：

[1] Univ Antwerp, Antwerp Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, Antwerp, Belgium

[2] Univ Antwerp, Dept Translat Neurosci, Antwerp, Belgium

[3] Univ Texas Southwestern Med Ctr, Dept Otolaryngol, Head & Neck Surg, Dallas, TX USA

[4] Hosp Univ La Paz, Inst Hlth Res IdiPAZ, Madrid, Spain

[5] Western Univ, Dept Otolaryngol Head & Neck Surg, London, ON, Canada

[6] Ear Sci Inst Australia, Lions Hearing Clin, Perth, WA, Australia

[7] Vienna Med Univ, Gen Hosp AKH, Vienna, Austria

[8] UNC Ear & Hearing Ctr Chapel Hill, Sch Med, Chapel Hill, NC USA

[9] Bern Univ Hosp, Dept ENT Head & Neck Surg, Bern, Switzerland

[10] Ruhr Univ Bochum, St Elisabeth Univ Hosp Bochum, Dept Otorhinolaryngol Head & Neck Surg, Bochum, Germany

[11] Natl Univ Cordoba, Cordoba, Argentina

[12] Med Sch Univ Western Australia, Otolaryngol Head & Neck Surg, King Abdullah Ear Specialist Ctr, Perth, WA, Australia

[13] Univ Oslo, Inst Clin Med, Oslo, Norway

[14] Oslo Univ Hosp, Dept Otorhinolaryngol & Head & Neck Surg, Rikshospitalet, Oslo, Norway

[15] Madras ENT Res Fdn Pvt Ltd, Chennai, India

[16] St Petersburg ENT & Speech Res Inst, St Petersburg, Russia

[17] Univ Hosp Frankfurt, Dept Otolaryngol Head & Neck Surg, Frankfurt, Germany

[18] Capital Med Univ, Beijing Tongren Hosp, Dept Otorhinolaryngol Head & Neck Surg, Beijing, Peoples R China

[19] Capital Med Univ, Key Lab Otolaryngol Head & Neck Surg, Minist Educ, Beijing, Peoples R China

[20] Karl Landsteiner Private Univ, Univ Clin St Poelten, Ear Nose & Throat Dept, St Polten, Austria

[21] Otto Korner Rostock Univ Med Ctr, Dept Otorhinolaryngol Head & Neck Surg, Rostock, Germany

[22] Ludwig Maximilians Univ Munchen, Klin & Poliklin Hals Nasen & Ohrenheilkunde, Munich, Germany

[23] Carl von Ossietzky Univ Oldenburg, Res Ctr Neurosensory Sci, Div Oto Rhino Laryngol Evangel Krankenhaus Oldenb, Oldenburg, Germany

[24] Bradford Royal Infirm Yorkshire Auditory Implant, Bradford, England

[25] Univ Lucerne, Dept Otolaryngol Head & Neck Surg, Med Sci Dept Hlth Sci & Med, Luzern, Switzerland

[26] Med Univ Innsbruck, Dept Otorhinolaryngol, Innsbruck, Austria

[27] Med Sch Univ Western Australia, Otolaryngol, Head & Neck Surg, Perth, WA, Australia

[28] Kansas Univ Ctr Hearing & Balance Disorders, Kansas City, KS USA

[29] Fiona Stanley Fremantle Hosp Grp, Perth, WA, Australia

[30] Univ Hosp Brussels, Dept ENT HNS, Brussels, Belgium

[31] Shinshu Univ, Dept Hearing Implant Sci, Sch Med, Nagano, Japan

[32] Catholic Univ Cordoba, Cordoba, Argentina

来源：

FRONTIERS IN SURGERY | 2022年 / 9卷

关键词：

robotic assisted cochlear implant surgery; pre-shaped electrode; straight electrode; tip fold-over; scalar deviation; electrode migration; BEAM COMPUTED-TOMOGRAPHY; SLIM MODIOLAR ELECTRODE; TIP FOLD-OVER; HEARING PRESERVATION; RESIDUAL HEARING; SCALAR POSITION; EARLY OUTCOMES; ARRAY; EXPERIENCE; ADULTS;

D O I：

10.3389/fsurg.2022.823219

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background and Objective: The cochlear implant (CI) electrode insertion process is a key step in CI surgery. One of the aims of advances in robotic-assisted CI surgery (RACIS) is to realize better cochlear structure preservation and to precisely control insertion. The aim of this literature review is to gain insight into electrode selection for RACIS by acquiring a thorough knowledge of electrode insertion and related complications from classic CI surgery involving a manual electrode insertion process. Methods: A systematic electronic search of the literature was carried out using PubMed, Scopus, Cochrane, and Web of Science to find relevant literature on electrode tip fold over (ETFO), electrode scalar deviation (ESD), and electrode migration (EM) from both pre-shaped and straight electrode types. Results: A total of 82 studies that include 8,603 ears implanted with a CI, i.e., pre-shaped (4,869) and straight electrodes (3,734), were evaluated. The rate of ETFO (25 studies, 2,335 ears), ESD (39 studies, 3,073 ears), and EM (18 studies, 3,195 ears) was determined. An incidence rate (+/- 95% CI) of 5.38% (4.4-6.6%) of ETFO, 28.6% (26.6-30.6%) of ESD, and 0.53% (0.2-1.1%) of EM is associated with pre-shaped electrodes, whereas with straight electrodes it was 0.51% (0.1-1.3%), 11% (9.2-13.0%), and 3.2% (2.5-3.95%), respectively. The differences between the pre-shaped and straight electrode types are highly significant (p < 0.001). Laboratory experiments show evidence that robotic insertions of electrodes are less traumatic than manual insertions. The influence of round window (RW) vs. cochleostomy (Coch) was not assessed. Conclusion: Considering the current electrode designs available and the reported incidence of insertion complications, the use of straight electrodes in RACIS and conventional CI surgery (and manual insertion) appears to be less traumatic to intracochlear structures compared with pre-shaped electrodes. However, EM of straight electrodes should be anticipated. RACIS has the potential to reduce these complications.

引用

页数：14

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