{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T01:48:34Z","timestamp":1789523314500,"version":"build-2803163510"},"reference-count":38,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000196","name":"Canada Foundation for Innovation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000196","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000038","name":"Natural Sciences and Engineering Research Council of Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000038","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000046","name":"National Research Council Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000046","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100021824","name":"Government of Saskatchewan","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100021824","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Minimizing intraoperative trauma during cochlear implant electrode insertion is crucial for preserving residual hearing. Manual insertions are subject to variability due to surgeon experience and anatomical differences, often leading to inconsistent outcomes. Robotic\u2010assisted systems have been developed to improve insertion precision and reduce trauma. This study evaluates the safety and efficacy of the OTODRIVE system for cochlear implant electrode insertion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifteen cadaveric human temporal bones were implanted with a variety of electrodes (FLEX26, FLEX28, FLEXSOFT, FLEX34) and an inner ear catheter (INCAT). The OTODRIVE system was used to maintain a constant insertion speed of 0.1\u2009mm\/s. The samples were subsequently imaged using synchrotron radiation phase\u2010contrast imaging (SR\u2010PCI) to assess intracochlear trauma. Parameters such as linear and angular insertion depths and cochlear coverage were measured. The presence of trauma was analyzed using a trauma evaluation plot.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average linear insertion depth was 24.8\u2009\u00b1\u20093.5\u2009mm, and the average angular insertion depth was 527\u00b0\u2009\u00b1\u200981\u00b0. Cochlear coverage was 74%\u2009\u00b1\u20097%. Only one case of partial scala media translocation and two cases of basilar membrane elevation were observed, with no instances of severe trauma such as tip fold\u2010over, scala vestibuli translocation, or osseous spiral lamina fracture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The findings indicate that the OTODRIVE system enables consistent and controlled electrode placement while minimizing trauma to cochlear structures, suggesting its potential to enhance hearing and structural preservation outcomes. Further clinical studies are required to establish the long\u2010term benefits of robotic\u2010assisted techniques over manual insertions in routine cochlear implantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>N\/A.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.32254","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T08:31:41Z","timestamp":1747643501000},"page":"3867-3876","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Synchrotron\u2010Based Trauma Assessment of Robotic Electrode Insertions in Cochlear Implantation"],"prefix":"10.1002","volume":"135","author":[{"given":"Joseph M.","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Sunnybrook Health Sciences Centre, University of Toronto  Toronto Ontario Canada"},{"name":"Sunnybrook Research Institute, University of Toronto  Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0505-158X","authenticated-orcid":false,"given":"Vincent Y. 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