Publications by authors named "P Van den Heyning"
Purpose: Cochlear implants (CI) are the most successful bioprosthesis in medicine probably due to the tonotopic anatomy of the auditory pathway and of course the brain plasticity. Correct placement of the CI arrays, respecting the inner ear anatomy are therefore important. The ideal trajectory to insert a cochlear implant array is defined by an entrance through the round window membrane and continues as long as possible parallel to the basal turn of the cochlea.
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- This study explores the outcomes and management of pediatric auditory brainstem implantation (ABI) for children with severe inner ear malformations, aiming to unify clinical practices and address current challenges.
- A systematic review of relevant findings from the Third International Pediatric ABI Symposium analyzed data from multiple countries, highlighting trends in auditory outcomes, surgical approaches, and rehabilitation strategies.
- Key conclusions emphasize the need for standardized guidelines and improved collaboration among healthcare professionals to enhance patient outcomes and guide future research in this specialized field.
Article Synopsis
- Cochlear implantation is a leading treatment for severe hearing loss, and the study focuses on improving the process through Robotically Assisted Cochlear Implantation Surgery (RACIS) using a method named HEARO for precise inner ear access.
- A preclinical study using cadavers showed high accuracy in the surgical technique, with a successful insertion rate of 94% and no damage to critical structures like the facial nerve.
- Future developments for RACIS will enhance the surgical process with features like haptic feedback, automated trajectory planning, and improved imaging technology for better outcomes.
The aim of robot-assisted cochlear implant surgery (RACIS) is to access the inner ear with minimal trauma. High-resolution imaging, empowered with a highly accurate navigation system can enable the planning of a direct keyhole drilling trajectory toward the inner ear. The time has come to (re)define the ideal trajectory into the inner ear with robot-assisted tools that can drill with the highest accuracy.
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