Research Article

Semiautomatic Cochleostomy Target and Insertion Trajectory Planning for Minimally Invasive Cochlear Implantation

Table 1

Summary of cochleostomy target and drill trajectory planning details.

No.Distance (mm)Trajectory alignment (°)
FNChTEACIn/MaSt

1L0.440.120.552.600.658012
1R*0.370.00*0.902.360.6212010
2L*0.37<0.00*0.452.640.7711012
2R*0.32<0.00*0.453.020.687012
3L0.370.221.602.780.801208
3R0.430.531.852.950.651514
4L0.381.171.892.550.7411112
4R0.381.182.343.110.6912012
5L0.390.370.623.010.511074
5R0.360.330.902.880.581414

Avg. ± SD0.38 ± 0.030.49 ± 0.451.16 ± 0.702.79 ± 0.240.67 ± 0.0911.2 ± 2.41.0 ± 2.29.4 ± 4.1

FN: facial nerve, ChT: chorda tympani, EAC: posterior wall of the external auditory canal, In: incus, Ma: malleus, St: stapes.
: out of plane alignment between the trajectory and the basal turn plane, Figure 4(a).
: in-plane alignment of the trajectory in the basal turn plane, Figure 4(b).
: angular position of the cochleostomy, Figure 2(c).
*Cases with sacrificed chorda tympani because of a small facial recess.