{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:46:06Z","timestamp":1792053966284,"version":"4.4.0"},"reference-count":21,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"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":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the safety and use of a robotic\u2010assisted electrode insertion system for cochlear implantation in pediatric patients aged 4 to 12\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fourteen pediatric patients (ages 4\u201312\u2009years) underwent unilateral cochlear implantation with robotic\u2010assisted electrode array insertion in this prospective, non\u2010randomized, multicenter study. The primary outcome was the incidence of device\u2010related serious adverse events (SAEs) through 30\u2009days after cochlear implant activation. Secondary outcomes included successful electrode insertion using the robotic\u2010assisted system, insertion time and speed, and evaluation of electrode position.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All 14 patients underwent successful robotic\u2010assisted electrode insertion with no device\u2010related serious adverse events through 30\u2009days post\u2010activation. Seven adverse events were reported, all non\u2010device related and resolved without sequelae. Surgeons reported successful device setup, use, and detachment in 93% of cases. Anatomic considerations unique to pediatric cases\u2014such as smaller mastoid cavities and thinner cortex at the mounting site\u2014were successfully managed with preoperative planning and intraoperative modifications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Robotic\u2010assisted cochlear implant electrode insertion in children aged 4\u201312\u2009years was safe across multiple centers, with high procedural success rates and no device\u2010related SAEs. Awareness of unique pediatric anatomic constraints and technical adjustments can support safe device mounting and controlled insertion. Given the lifespan and potential for new or emerging technologies for the pediatric population, the potential of robotic assistance to reduce intracochlear trauma is an important consideration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>4.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70674","type":"journal-article","created":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T01:45:08Z","timestamp":1781315108000},"page":"5012-5019","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Robotic\u2010Assisted Electrode Insertion for Pediatric Cochlear Implantation: A Multicenter Study"],"prefix":"10.1002","volume":"136","author":[{"given":"Nathan R.","family":"Lindquist","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Baylor College of Medicine  Houston Texas USA"},{"name":"Division of Pediatric Otolaryngology in Department of Surgery Texas Children's Hospital, Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura C.","family":"Holbert","sequence":"additional","affiliation":[{"name":"Director of Clinical Affairs iotaMotion, Inc.  St Paul Minnesota 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":"University of Iowa and Stead Family Children's Hospital  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Fiorentino","sequence":"additional","affiliation":[{"name":"UT Dallas Callier Center for Communication Disorders  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce J.","family":"Gantz","sequence":"additional","affiliation":[{"name":"University of Iowa and Stead Family Children's Hospital  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawnee","family":"Gastal","sequence":"additional","affiliation":[{"name":"Texas Children's Hospital Audiology Center Texas Children's Hospital  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4725-1555","authenticated-orcid":false,"given":"Brandon","family":"Isaacson","sequence":"additional","affiliation":[{"name":"UT Southwestern Medical Center and Children's Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shari","family":"Kwon","sequence":"additional","affiliation":[{"name":"UT Dallas Callier Center for Communication Disorders  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8041-5964","authenticated-orcid":false,"suffix":"Jr","given":"Joe W.","family":"Kutz","sequence":"additional","affiliation":[{"name":"UT Southwestern Medical Center and Children's Medical Center  Dallas Texas 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