{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T13:45:27Z","timestamp":1789825527365,"version":"4.0.1"},"reference-count":36,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["P50\u2010DC000242"],"award-info":[{"award-number":["P50\u2010DC000242"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["T32\u2010DC000040"],"award-info":[{"award-number":["T32\u2010DC000040"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective(s)<\/jats:title>\n                    <jats:p>Robotic\u2010assisted electrode array (EA) insertion is a promising technique that may enhance preservation of residual acoustic hearing after cochlear implant (CI) surgery. The purpose of this study is to evaluate the impact of robotic\u2010assisted EA insertion on rates of delayed\u2010onset hearing loss (DOHL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Sixty (Advanced Bionics [AB]: 30, MED\u2010EL: 30) adult patients underwent CI surgery with manual EA insertion and 29 (AB: 13, MED\u2010EL: 16) with robotic\u2010assisted insertion using the iotaSOFT system. The primary outcome variable was longitudinal change in low frequency pure\u2010tone average (LFPTA). DOHL was defined as a decrease in LFPTA of &gt;\u200910\u2009dB compared to previous best postoperative LFPTA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010two (37%) out of the 60 subjects in the manual cohort and two (7%) out of the 29 subjects in the robotic\u2010assisted cohort had DOHL over the entire length of available follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002, Fisher's exact test, two\u2010tailed). When evaluating DOHL results for subjects who had LFPTA data at 12\u2009months (\u00b14\u2009weeks) post initial activation, 11 (29%) out of the 38 (AB: 15, MED\u2010EL: 23) subjects in the manual cohort and zero (0%) out of the 18 (AB: 8, MED\u2010EL: 10) subjects in the robotic\u2010assisted cohort had DOHL (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011, Fisher's exact test, two\u2010tailed). The number needed to treat was 4.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Robotic\u2010assisted EA insertion is associated with a clinically meaningful reduction in rates of DOHL. Preservation of residual acoustic hearing is a critical goal in CI surgery, and robotic\u2010assisted EA insertion contributes towards achieving this goal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70380","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T11:42:54Z","timestamp":1768995774000},"page":"3146-3154","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Robotic\u2010Assisted Electrode Array Insertion Improves Stability of Acoustic Hearing Thresholds"],"prefix":"10.1002","volume":"136","author":[{"given":"Uzair A.","family":"Khan","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery University of Iowa Health Care  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0285-526X","authenticated-orcid":false,"given":"Rachel A.","family":"Scheperle","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery University of Iowa Health Care  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grant","family":"Podhajsky","sequence":"additional","affiliation":[{"name":"University of Iowa Carver College of Medicine  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meggan J.","family":"Lind","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery University of Iowa Health Care  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7839-2073","authenticated-orcid":false,"given":"Camille C.","family":"Dunn","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery University of Iowa Health Care  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3056-5646","authenticated-orcid":false,"given":"Alexander D.","family":"Claussen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery University of Iowa Health Care  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce J.","family":"Gantz","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery University of Iowa Health Care  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6884-4897","authenticated-orcid":false,"given":"Marlan R.","family":"Hansen","sequence":"additional","affiliation":[{"name":"Department of 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