{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T01:48:33Z","timestamp":1789523313792,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T00:00:00Z","timestamp":1753660800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T00:00:00Z","timestamp":1753660800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to evaluate the outcomes of robotic cochlear implantation, focusing on audiological, anatomical, and surgical metrics, as well as safety, efficacy, and clinical benefits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>An extensive literature search was conducted in PubMed, Scopus, and Web of Science databases for studies published between January 2001 and March 2025 using the keywords \u201crobotic cochlear implantation\u201d and related terms. A total of 543 records were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This meta\u2010analysis was performed according to PRISMA guidelines. Studies involving human subjects, published in English, and providing sufficient patient\u2010level data were included. After screening and eligibility evaluation, 23 studies involving 250 patients were included. Robotic approaches included full surgery, middle ear access, and electrode array insertion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The overall success rate of robotic cochlear implantation was 97.2% (95% CI: 94.03\u2013100.00), with low heterogeneity (\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.00%). Electrode scalar deviation and postoperative complication rates were 12.66% (95% CI: 4.82\u201320.51) and 11.85% (95% CI: 0.00\u201323.86), respectively. Residual hearing preservation was achieved in 60.69% of patients (95% CI: 23.21\u201398.18), though with considerable heterogeneity (\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200998.41%). Subgroup analyses revealed that scalar deviation was more frequent in robotic electrode insertion (17.11%) than in robotic middle ear access (6.43%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Robotic cochlear implantation in either way demonstrates reliability, surgical precision, and potential advantages in hearing preservation. Greater attention should be given to minimizing the rate of scalar deviation. Advanced and more precise technologies are required to achieve optimal surgical outcomes in robotic cochlear implantation. Additional long\u2010term studies are needed to confirm these results and support their broader applicability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>N\/A.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.32455","type":"journal-article","created":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T14:02:12Z","timestamp":1753711332000},"page":"76-90","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Meta\u2010Analysis of Robotic Cochlear Implantation"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9808-3878","authenticated-orcid":false,"given":"Katre Nur","family":"Sili","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology University of Health Sciences, G\u00fclhane Training and Research Hospital  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1079-2393","authenticated-orcid":false,"given":"B\u00fclent","family":"Satar","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University of Health Sciences, G\u00fclhane School of Medicine  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhittin Abd\u00fclkadir","family":"Serdar","sequence":"additional","affiliation":[{"name":"Department of Medical Biochemistry, Faculty of Medicine Ac\u0131badem Mehmet Ali Aydinlar University  \u0130stanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,28]]},"reference":[{"key":"e_1_2_8_2_1","article-title":"Robotic Cochlear Implantation for Direct Cochlear Access","volume":"184","author":"Caversaccio M.","year":"2022","journal-title":"Journal of Visualized 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