Journal article
Robotic-Assisted Electrode Insertion for Pediatric Cochlear Implantation: A Multicenter Study
The Laryngoscope
06/12/2026
DOI: 10.1002/lary.70674
PMID: 42285778
Abstract
To evaluate the safety and use of a robotic-assisted electrode insertion system for cochlear implantation in pediatric patients aged 4 to 12 years.
Fourteen pediatric patients (ages 4-12 years) underwent unilateral cochlear implantation with robotic-assisted electrode array insertion in this prospective, non-randomized, multicenter study. The primary outcome was the incidence of device-related serious adverse events (SAEs) through 30 days after cochlear implant activation. Secondary outcomes included successful electrode insertion using the robotic-assisted system, insertion time and speed, and evaluation of electrode position.
All 14 patients underwent successful robotic-assisted electrode insertion with no device-related serious adverse events through 30 days post-activation. Seven adverse events were reported, all non-device related and resolved without sequelae. Surgeons reported successful device setup, use, and detachment in 93% of cases. Anatomic considerations unique to pediatric cases-such as smaller mastoid cavities and thinner cortex at the mounting site-were successfully managed with preoperative planning and intraoperative modifications.
Robotic-assisted cochlear implant electrode insertion in children aged 4-12 years was safe across multiple centers, with high procedural success rates and no device-related SAEs. Awareness of unique pediatric anatomic constraints and technical adjustments can support safe device mounting and controlled insertion. Given the lifespan and potential for new or emerging technologies for the pediatric population, the potential of robotic assistance to reduce intracochlear trauma is an important consideration.
Details
- Title: Subtitle
- Robotic-Assisted Electrode Insertion for Pediatric Cochlear Implantation: A Multicenter Study
- Creators
- Nathan R Lindquist - Baylor College of MedicineLaura C Holbert - Cardiovascular Systems (United States)Camille C Dunn - University of Iowa, Stead Family Department of PediatricsKimberly Fiorentino - The University of Texas at DallasBruce J Gantz - University of IowaShawnee Gastal - Texas Children's HospitalBrandon Isaacson - Southwestern Medical CenterShari Kwon - The University of Texas at DallasJoe W Kutz Jr - The University of Texas Southwestern Medical CenterKenneth Lee - Southwestern Medical CenterKiyana Sagarang - Texas Children's HospitalMelissa Sweeney - The University of Texas at DallasHenri Traboulsi - Texas Children's HospitalRonald J Vilela - Texas Children's HospitalAlexander D Claussen - University of Iowa
- Resource Type
- Journal article
- Publication Details
- The Laryngoscope
- DOI
- 10.1002/lary.70674
- PMID
- 42285778
- NLM abbreviation
- Laryngoscope
- ISSN
- 1531-4995
- eISSN
- 1531-4995
- Publisher
- Wiley
- Language
- English
- Electronic publication date
- 06/12/2026
- Academic Unit
- Communication Sciences and Disorders; Neurosurgery; Otolaryngology
- Record Identifier
- 9985172992902771
Metrics
1 Record Views