Preliminary clinical observations on robotic assistance in Cochlear Implant electrode insertion

Introduction Cochlear implantation, traditionally focused on hearing restoration in deaf patients, has expanded to include those with profound hearing loss but residual hearing. Emphasis is now placed on atraumatic insertion techniques to preserve hearing remnants and reduce postoperative vestibular symptoms. Damage during insertion due to crossing of the electrode array into the scala media or the scala vestibuli can disturb cochlear homeostasis, leading to reduced function and fibrotic remodeling.