Mechatronic feasibility of minimally invasive, atraumatic cochleostomy

Article


Williamson, Tom, Du, Xinli, Bell, Brett, Coulson, Chris, Caversaccio, Marco, Proops, David, Brett, Peter and Weber, Stefan. 2014. "Mechatronic feasibility of minimally invasive, atraumatic cochleostomy." BioMed Research International. 2014. https://doi.org/10.1155/2014/181624
Article Title

Mechatronic feasibility of minimally invasive, atraumatic cochleostomy

ERA Journal ID3417
Article CategoryArticle
AuthorsWilliamson, Tom (Author), Du, Xinli (Author), Bell, Brett (Author), Coulson, Chris (Author), Caversaccio, Marco (Author), Proops, David (Author), Brett, Peter (Author) and Weber, Stefan (Author)
Journal TitleBioMed Research International
Journal Citation2014
Number of Pages7
Year2014
Place of PublicationUnited States
ISSN1110-7243
1110-7251
2314-6133
2314-6141
Digital Object Identifier (DOI)https://doi.org/10.1155/2014/181624
Web Address (URL)https://www.hindawi.com/journals/bmri/2014/181624/
Abstract

Robotic assistance in the context of lateral skull base surgery, particularly during cochlear implantation procedures, has been the subject of considerable research over the last decade. The use of robotics during these procedures has the potential to provide significant benefits to the patient by reducing invasiveness when gaining access to the cochlea, as well as reducing intracochlear trauma when performing a cochleostomy. Presented herein is preliminary work on the combination of two robotic systems for reducing invasiveness and trauma in cochlear implantation procedures. A robotic system for minimally invasive inner ear access was combined with a smart drilling tool for robust and safe cochleostomy; evaluation was completed on a single human cadaver specimen. Access to the middle ear was successfully achieved through the facial recess without damage to surrounding anatomical structures; cochleostomy was completed at the planned position with the endosteum remaining intact after drilling as confirmed by microscope evaluation.

KeywordsCochlea; Computer Simulation; Ear Canal; Feasibility Studies; Humans; Minimally Invasive Surgical Procedures; Ostomy; Robotics; Torque; General; Otorhinolaryngology; Biophysics, Bioengineering and Medical Instrumentation;
ANZSRC Field of Research 2020400303. Biomechanical engineering
Byline AffiliationsUniversity of Bern, Switzerland
Brunel University, United Kingdom
Queen Elizabeth Hospital, United Kingdom
Institution of OriginUniversity of Southern Queensland
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