Aim: To report the experience of an image-guided and navigation-based robot arm as an assistive surgical tool for cochlear implantation in a case with a labyrinthitis ossificans.
Patient: A 55-years-old man with a history of childhood meningitis whose hearing deteriorated progressively to bilateral profound sensorineural hearing loss.
Intervention: Robotic Assisted Cochlear Implant Surgery (RACIS) with a straight flexible lateral wall electrode.
Primary outcome measures: Electrode cochlear insertion depth with RACIS with facial recess approach and autonomous inner ear access with full electrode insertion of a flexible straight cochlear implant array.
Conclusions: Intra cochlear ossifications pose a challenge for entering the cochlea and full-length insertion of a cochlear implant. RACIS has shown that computations of radiological images combined with navigation-assisted robot arm drilling can provide efficient access to the inner ear.
Keywords: Cochlear implantation; Image-guided surgery; Meningitis ossificans; Robotic-assisted cochlear implanted surgery; Sensorineural hearing loss.
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