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Streamlined, Individualized Otological Surgery

Take your surgical workflow to the next level

Every step enhanced at your fingertips

Make Anatomy-Based Fitting possible for your patients

The latest version of OTOPLAN® has expanded its post-op assessment capabilities to locate each electrode contact not only with CT images but also with plain X-rays. This allows you to easily assess the position of the electrode, before using the tonotopic information for anatomy-based fitting. 

Make Anatomy-Based Fitting possible for your patients

Model your patient’s unique anatomy

Powerful 3D modeling algorithm reveals each patient's anatomy in full detail. This allows you to measure delicate structures like the cochlea before the intervention and plan the best possible outcome for your patient by making full use of their individual anatomical preconditions.

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Preoperatively visualize the electrode in your patient’s cochlea model

OTOPLAN makes it easy to find the ideal implant. It allows you to compare electrodes from the MED-EL’s portfolio and see how each array would match the unique cochlea of your patient. OTOPLAN provides personalized scala tympani information and displays insertion depth and tonotopic frequencies with each MED-EL electrode array.

Preoperatively-visualize-the-electrode--in-your-patient’s-cochlea-model

Combine images to get the best of each

Image fusion enables you to see the key information in each imaging modality (CT and MRI) and at any time point (pre-op, intra-op and post-op) all at once.

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Supported otological implants

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Cochlear implants

OTOPLAN facilitates accurate planning of cochlear interventions and is fully integrated into the HEARO system® for robotic cochlear interventions.

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BONEBRIDGE®

It is possible to not only plan CI surgeries, but also other otological procedures. With OTOPLAN you can also plan the optimal placement of MED-EL’s bone conduction implant: BONEBRIDGE.

Superior ways to work

Find the ideal implant position with a tailored thickness map

Find the ideal implant position with a tailored thickness map

With the new automatic 3D reconstruction and thickness measurements of the skin and bone a custom heatmap can be created. This feature helps to visualize the optimal placement of the implant.

Perfect the implant placement by planning it virtually

Perfect the implant placement by planning it virtually

OTOPLAN supports uni- and bi-lateral placement planning for cochlear implants. Virtually move the implant housing and audio processor 3D models and easily mirror it to the opposite side to find the safest and most aesthetic location.

Strategize how to safely access the cochlea

Strategize how to safely access the cochlea

OTOPLAN’s Trajectory Planning feature helps you determine the optimal path for a cochlear implantation. It aligns the insertion angle as close as possible to the natural anatomy of the cochlea which can facilitate a smooth insertion of the electrode array into the scala tympani.

At the same time, with OTOPLAN the trajectory is planned focused on protecting critical structures like the facial nerve and the chorda tympani; represented in yellow and light orange respectively, and .

This minimally invasive trajectory can be transferred onto the HEARO system to use it for robotic cochlear interventions.

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Inspect the implant’s final position

The automatic implant detection is extended to also include the electrode lead and implant housing on CT images. This visual feedback provides a quality check and enables bilateral implant placement planning.

Keep your case files together

Keep your case files together

The latest version helps you keep all media related to your case organized in one place:
  • CT images
  • MR images
  • Plain X-rays
  • Fluoroscopies
Control your data  quick and easy

Control your data
quick and easy

OTOPLAN’s Data Management supports an automatic plug & play data import of DICOM, NRRD and NIfTI files and allows to securely access imaging data from various sources like USB, external hard drive or PACS.

Multi-analyze with Moonliner

Multi-analyze with Moonliner

OTOPLAN’s batch processing tool that enables you to run the automatic analysis on multiple patient images.

Carefully designed to help you work more efficiently with large quantities of data. Simply select the images and the type of analysis (pre-op or post-op) and let Moonliner handle the rest automatically.

3D Audiogram

Same data. New dimension.

audiogram with scale

The resulting cochlea 3D model can be used for a new way of presenting audiological information. The 3D Audiogram shows the frequency distribution of each cochlea as well as the patient-specific hearing capacity into the 3D context which enables you to combine anatomical and audiological information in one intuitive view. Together with the virtual electrode insertion, where preoperatively the insertion of the cochlear implant into the cochlea can be simulated and the insertion depth and frequency coverage can be assessed, you get empowered to easily visualize how each electrode can fit each individual cochlea.

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audiogram

OTOPLAN allows touchscreen and mouse-keyboard interaction

What is new?

Check out OTOPLAN’s features below, including the latest upgrades.

General functionality
Multi-image data set management CT, MR, NRRD, NIfTI, plain X-ray and fluoroscopy
Multi-image fusion Checkmark
Fluoroscopy editing tools Checkmark
Multi-language Checkmark
License manager Checkmark
Moonliner Checkmark

Applications
General otology Checkmark
Cochlear implantation Checkmark
BONEBRIDGE implantation Checkmark

Measurements
2D and 3D measurement tools 5 (linear, spline, polygonal, freeform and angular)
Cochlear anatomy Automatic
Temporal bone thickness Automatic
Skin thickness Automatic

Anatomy 3D modeling
Inner ear Automatic
(including the scala tympani and scala vestibuli)
Temporal bone Automatic
Skin Automatic

CI planning functionality
3D audiogram Checkmark
Virtual electrode insertion 2D, 3D and scala tympani information
Implant housing and audio processor placement (uni- and bi-lateral) Checkmark
Trajectory planning Checkmark

BONEBRIDGE planning functionality
Placement planning Checkmark
Virtual recess drilling Checkmark

Postoperative analysis
Electrode contact detection Automatic (for CT images) and manual (for X-rays)
Detection of electrode lead Automatic (for CT images)
Detection of implant housing Automatic (for CT images)

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If you have any questions or need help, please reach out to MED-EL’s clinical support.

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HEARO is the world’s first robotic surgical system for high precision, minimally invasive cochlear implantation.

By creating a tiny channel from the surface of the skull to the round window of the cochlea for insertion of the implant, it reduces trauma for the patient and enables to achieve consistent surgical results.