{
  "abstract": "Objective\n\nHigh-volume humanitarian Cochlear Implant (CI) missions require highly organized workflows to maintain efficiency and safety. This study describes the intraoperative model used during a large-scale CI campaign.Methods\n\nA descriptive observational design was used to evaluate operative workflow across multiple operating rooms using standardized surgical protocols, structured shift-based assignments, and digital coordination. Operative times, intraoperative findings, ECAP responses, and postoperative radiologic outcomes were analyzed.Results\n\nA total of 142 CI surgeries were completed over three days (30-, 66-, and 46-cases). The mean operative time was 57-minutes, with a median of 46-minutes. Unremarkable intraoperative fields were observed in 57.4% of cases, while perilymph oozing occurred in 31.2%. Absent ECAP responses occurred in three patients (2.1%) with inner ear malformations; all demonstrated responses during postoperative fitting. Radiologic assessment confirmed proper intracochlear insertion in all candidates.Conclusion\n\nA structured intraoperative workflow enabled the safe and efficient completion of a high surgical volume within a short timeframe. This experience offers practical guidance for centers aiming to enhance operating room efficiency, particularly in high-volume or resource-limited environments.Level of evidence\n\nIV.",
  "abstract_shown": true,
  "affiliations": [
    "Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia. Electronic address: Eahajr@imamu.edu.sa.",
    "MED-EL GmbH, Research Department, Riyadh, Saudi Arabia.",
    "King Abdullah Ear Specialist Center (KAESC), King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Eman Hajr",
      "orcid": "0000-0003-4564-1197"
    },
    {
      "affs": [
        1
      ],
      "name": "Yassin Abdelsamad"
    },
    {
      "affs": [
        2
      ],
      "name": "Fida Almuhawas"
    },
    {
      "affs": [
        2
      ],
      "name": "Farid Alzhrani"
    },
    {
      "affs": [
        2
      ],
      "name": "Abdulrahman Hagr"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/79eww0qz6hhhz.bib",
  "cited_by": 0,
  "doi": "10.1016/j.bjorl.2026.101928",
  "fulltext_url": "https://europepmc.org/articles/PMC13683431",
  "id": "79eww0qz6hhhz",
  "issns": [
    "1808-8694",
    "1808-8686"
  ],
  "landing_url": "https://europepmc.org/article/MED/42874300",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2805|Hearing Loss and Rehabilitation"
    ]
  ],
  "openalex": "W7221801505",
  "pdf_url": "https://europepmc.org/articles/PMC13683431?pdf=render",
  "pmcid": "PMC13683431",
  "pmid": "42874300",
  "published": "2026-10-14",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/79eww0qz6hhhz.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:18:46Z",
      "native_id": "MED:42874300",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42874300"
    }
  ],
  "subjects": [
    {
      "field": "biology",
      "origin": "openalex:2805|Hearing Loss and Rehabilitation",
      "subfield": "neuroscience"
    }
  ],
  "title": "The surgical symphony of human efficiency: a structured intraoperative workflow model for high-volume cochlear implant missions.",
  "title_text": "The surgical symphony of human efficiency: a structured intraoperative workflow model for high-volume cochlear implant missions.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:18:46Z",
  "url": "https://research.draconitic.com/paper/79eww0qz6hhhz",
  "venue": "Brazilian journal of otorhinolaryngology",
  "versions": []
}