Comparison on intracochlear disturbances between drilling a manual and robotic cochleostomy

Article

Z. Assadi, Masoud, Du, Xinli, Dalton, James, Henshaw, Scott, Coulson, Chris J., Reid, Andrew. P., Proops, David W. and Brett, Peter N.. 2013. "Comparison on intracochlear disturbances between drilling a manual and robotic cochleostomy ." Proceedings of the Institution of Mechanical Engineers Part H: Journal of Engineering in Medicine. 227 (9), pp. 1002-1008. https://doi.org/10.1177/0954411913488507
Article Title

Comparison on intracochlear disturbances between drilling a
manual and robotic cochleostomy

ERA Journal ID5059
Article CategoryArticle
AuthorsZ. Assadi, Masoud (Author), Du, Xinli (Author), Dalton, James (Author), Henshaw, Scott (Author), Coulson, Chris J. (Author), Reid, Andrew. P. (Author), Proops, David W. (Author) and Brett, Peter N. (Author)
Journal TitleProceedings of the Institution of Mechanical Engineers Part H: Journal of Engineering in Medicine
Journal Citation227 (9), pp. 1002-1008
Number of Pages7
Year2013
Place of PublicationUnited Kingdom
ISSN0954-4119
Digital Object Identifier (DOI)https://doi.org/10.1177/0954411913488507
Web Address (URL)http://journals.sagepub.com/doi/10.1177/0954411913488507
Abstract

During cochlear implantation, hearing preservation is a concern. Minimizing disturbances to the cochlea and protection of the underlying endosteal membrane during the formation of a cochleostomy are considered important factors. The robotic micro-drill system tested in this article is the first example of an autonomous surgical drill successfully producing a cochleostomy, which keeps the underlying endosteal membrane intact. This study compares induced disturbances within the cochlea during formation of cochleostomy using the robotic micro-drill with that of conventional manual drilling. The disturbance of the endosteal membrane is measured using a Microscope Scanning Vibrometer at a third window, produced in the cochlea. Results show that the highest velocity amplitude measured was associated with manual drilling technique. The robotic micro-drill technique produced only about 1% of the peak velocity amplitude seen in manual drilling and exhibited much more uniform behaviour, while keeping the underlying membrane intact. The technique applied when using the robotic drill could be a major step in reducing the trauma to the cochlea, by reducing disturbance levels.

KeywordsRobotic micro-drill, cochleostomy, disturbances, Microscope Scanning Vibrometer;
ANZSRC Field of Research 2020401799. Mechanical engineering not elsewhere classified
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Byline AffiliationsBrunel University, United Kingdom
Cochlear Sydney, Australia
Queen Elizabeth Hospital, United Kingdom
Institution of OriginUniversity of Southern Queensland
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