Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

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

Clémentine MAHEO
* ORCID logo ,
Antoine MARIE
,
Renato TORRES
ORCID logo ,
Jerrid ARCHUTICK
,
Jean-Christophe LECLERE
,
Rémi MARIANOWSKI
Version 1 : Received: 19 September 2023 / Approved: 19 September 2023 / Online: 20 September 2023 (09:57:50 CEST)

A peer-reviewed article of this Preprint also exists.

Maheo, C.; Marie, A.; Torres, R.; Archutick, J.; Leclère, J.-C.; Marianowski, R. Robot-Assisted and Manual Cochlear Implantation: An Intra-Individual Study of Speech Recognition. J. Clin. Med. 2023, 12, 6580. Maheo, C.; Marie, A.; Torres, R.; Archutick, J.; Leclère, J.-C.; Marianowski, R. Robot-Assisted and Manual Cochlear Implantation: An Intra-Individual Study of Speech Recognition. J. Clin. Med. 2023, 12, 6580.

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 com-pare 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 2 infants and 8 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, 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.

Keywords

electrode array insertion; robot-assisted implantation; hearing outcome; scala translocation

Subject

Medicine and Pharmacology, Otolaryngology

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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