Robot-Assisted and Manual Cochlear Implantation: An Intra-Individual Study of Speech Recognition

Author:

Maheo Clémentine1,Marie Antoine1,Torres Renato2,Archutick Jerrid3,Leclère Jean-Christophe1,Marianowski Remi1ORCID

Affiliation:

1. Department of Otolaryngology Head Neck Surgery, University Hospital Center, Hospital Morvan, 2 Avenue Foch, 29200 Brest, France

2. Technologies et Theérapie Génique Pour la Surdité, Institut de l’Audition, Institut Pasteur/Université de Paris Cité/INSERM, 63 rue de Charenton, 75012 Paris, France

3. Medicine Department, School of Medicine, University of Limerick, V94 T9PX Limerick, Ireland

Abstract

Cochlear implantation (CI) allows rehabilitation for patients with severe to profound hearing impairment. Although the use of a robotic assistant provides technical assistance to the surgeon, the assessment of the impact of its use on auditory outcomes remains uncertain. We aim to compare the hearing results of patients who underwent bilateral cochlear implantation; one side was performed with manual insertion and the other side with robot-assisted insertion. The electrode array intrascalar positioning and the surgery duration were also studied. This retrospective intra-individual study involved 10 patients who underwent bilateral cochlear implantation. The study included two infants and eight adults. The unique composition of this cohort enabled us to utilize each patient as their own control. Regarding speech disyllabic recognition, pure tone average, ECAP, ratio of array translocation, basilar membrane rupture, and percentage of translocated electrodes, there was no difference between manual and robot-assisted CI groups. This study is the first to compare intra-individual hearing performance after cochlear implantation, either manually or robot-assisted. The number of patients and the time delay between manual and robotic implantation may have led to a lack of power, but there was no apparent difference in hearing performance between manual and robotic implantation.

Publisher

MDPI AG

Subject

General Medicine

Reference31 articles.

1. Current Indications for Cochlear Implantation in Adults and Children;Szyfter;Otolaryngol. Pol.,2019

2. Impact of Cochlear Implant Array Placement on Speech Perception;Conte;Clin. Neuroradiol.,2022

3. Bilateral Cochlear Implantation;Dhanasingh;Acta Oto-Laryngol.,2021

4. The Role of Electrode Placement in Bilateral Simultaneously Cochlear-Implanted Adult Patients;Nguyen;Otolaryngol.-Head Neck Surg.,2016

5. Factors Influencing Speech Perception in Adults With a Cochlear Implant;Heutink;Ear Hearth,2021

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