Skip to content
DraconiticResearch
Search Sources API
203,234 studies31 sourcesUpdated 45 min ago
Peer-reviewedCC BYBrazilian journal of otorhinolaryngology

The surgical symphony of human efficiency: a structured intraoperative workflow model for high-volume cochlear implant missions.

  • Eman Hajr1
  • Yassin Abdelsamad2
  • Fida Almuhawas3
  • Farid Alzhrani3
  • Abdulrahman Hagr3
  1. 1Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia. Electronic address: [email protected].
  2. 2MED-EL GmbH, Research Department, Riyadh, Saudi Arabia.
  3. 3King Abdullah Ear Specialist Center (KAESC), King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.
Read full textPDFDOICite

Abstract

Objective

High-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

A 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

A 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

A 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

IV.

Related

  1. Smaller-diameter operative hysteroscopy is associated with fewer intraoperative complications without compromising efficiency: a prospective observational study
    Guillaume Legendre, Camille Lesvenan, Mathieu Levaillant +2
    Journal of Gynecology Obstetrics and Human ReproductionPeer-reviewedCC BY 4.0Full textGeneral biologyEpidemiology & public healthHAL
  2. Intraoperative Ex Vivo Confocal Microscopy for Surgical Margin Assessment in Squamous Cell and Basal Cell Carcinoma (HISTOBLOC): Protocol for a Prospective Monocentric Pilot Study
    Giacomo Gravante, Agnès Leroux, Christian Garbar +5
    JMIR Research ProtocolsPeer-reviewedCC BYGeneral biologyOncologyHAL
  3. Spatialsnake: a flexible workflow for spatial transcriptomics analysis across platforms
    Z. Lin, z. zhang, N. Huang +2
    bioRxivPreprintAll rights reservedFull textBioinformatics & computational biologybioRxiv
  4. From seven combination hypotheses to one testable interaction: a gated agentic AI QSP workflow applied to healthy ageing interventions
    I. Goryanin, I. Goryanin, B. Damms
    bioRxivPreprintAll rights reservedFull textSystems & synthetic biologybioRxiv
  5. Brain FACTs: A same-section workflow for Fiber Architecture, Cytoarchitecture and cell Types in large-scale brain sections
    R. N. Kooijmans, M. Axer, D. Graessel +1
    bioRxivPreprintAll rights reservedFull textNeurosciencebioRxiv

Cite

BibTeXRIS
BibTeX
@article{hajr2026surgical,
  title = {{The surgical symphony of human efficiency: a structured intraoperative workflow model for high-volume cochlear implant missions.}},
  author = {Eman Hajr and Yassin Abdelsamad and Fida Almuhawas and Farid Alzhrani and Abdulrahman Hagr},
  journal = {Brazilian journal of otorhinolaryngology},
  year = {2026},
  month = oct,
  doi = {10.1016/j.bjorl.2026.101928},
  url = {https://europepmc.org/article/MED/42874300},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - The surgical symphony of human efficiency: a structured intraoperative workflow model for high-volume cochlear implant missions.
AU  - Eman Hajr
AU  - Yassin Abdelsamad
AU  - Fida Almuhawas
AU  - Farid Alzhrani
AU  - Abdulrahman Hagr
PY  - 2026
DA  - 2026/10/14
JO  - Brazilian journal of otorhinolaryngology
DO  - 10.1016/j.bjorl.2026.101928
UR  - https://europepmc.org/article/MED/42874300
AB  - Objective  High-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  A 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  A 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  A 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  IV.
SN  - 1808-8694
SN  - 1808-8686
ER  -