Robot-assisted cochlear implantation via a modified pericanal approach.

IF 17.7 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-04-17 DOI:10.5604/01.3001.0016.3414

Wojciech Gawęcki, Andrzej Balcerowiak, Paulina Podlawska, Witold Szyfter, Małgorzata Wierzbicka

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Abstract

Aim: The aim of this study was to present the case with a difficult anatomy of the middle ear, in which robot-assisted cochlear implantation via a modified pericanal approach was performed. Case report: The patient, a a 63-year-old male, had passed the typical procedure of qualifying for a cochlear implant at our center. However, the preoperative CT of the temporal bones showed a very anterior position of the sigmoid sinus and a very low position of the middle fossa dura in the right ear qualified for cochlear implantation. For this reason, the pericanal approach described by Häusler was chosen. The surgery was performed with the use of a surgical robot - the RobOtol (Collin, Bagneux, France) and the approach was slightly modified. The whole procedure was described in detail in the manuscript. Postoperative CT of the temporal bones confirmed the proper intracochlear position of the electrode array. Both surgery and healing were uneventful. Conclusions: The RobOtol surgical robot allows for the correct and safe insertion of the cochlear implant electrode array in patients with unusual anatomical conditions and approach to the cochlea..

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经改良肛周入路的机器人辅助人工耳蜗植入

目的:本研究的目的是介绍经改良肛周入路的机器人辅助人工耳蜗植入术。病例介绍:患者，63岁男性，在我们中心通过了耳蜗植入的典型程序。但术前颞骨CT显示右耳乙状窦非常靠前，硬脑膜中窝非常靠低，适合人工耳蜗植入。因此，我们选择了Husler所描述的肛周入路。手术使用手术机器人RobOtol (Collin, Bagneux, France)进行，手术入路稍作修改。手稿中详细描述了整个过程。术后颞骨CT证实了电极阵列在耳蜗内的正确位置。手术和治疗都很顺利。结论:RobOtol手术机器人可以在解剖条件和耳蜗入路不寻常的患者中正确、安全地植入人工耳蜗电极。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.