Giovanni Colombo1,2, Fabio Ferreli1,2, Matteo Di Bari3,4, Giovanni Cugini1, Stefano Miceli1, Armando De Virgilio1,2, Giuseppe Spriano1,2, Arturo Poletti5. 1. Department of Otorhinolaryngology Head and Neck Surgery, Humanitas Clinical and Research Center, IRCCS, Via Alessandro Manzoni, 56, 20089, Rozzano, MI, Italy. 2. Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, 4, 20090, Pieve Emanuele, MI, Italy. 3. Department of Otorhinolaryngology Head and Neck Surgery, Humanitas Clinical and Research Center, IRCCS, Via Alessandro Manzoni, 56, 20089, Rozzano, MI, Italy. mattediba@gmail.com. 4. Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, 4, 20090, Pieve Emanuele, MI, Italy. mattediba@gmail.com. 5. Department of Otolaryngology, American Hospital Dubai, Dubai, United Arab Emirates.
Abstract
PURPOSE: The aim of this study was to evaluate the potential of 3D exoscope (EX) in selected ear procedures assessing if this new technology could be an improvement in the field of ear surgery. METHODS: A case series of consecutive patients surgically treated with a post-auricular approach using EX was retrospectively compared with a similar previous series treated with operating microscope (OM). Patient demographics, indications for surgery, procedure type, complications, operating room setting time (ORst), operative time, adequacy of visualization, image quality, ergonomics aspects, instrument usability, and technique as a teaching tool were investigated. Thirteen patients were included in each group. Surgical procedures in EX group were nine tympanoplasties with mastoidectomy, 1 mastoidectomy for acute complicated mastoiditis, 1 revision miringoplasty, and 2 cochlear implants. Same types of procedures were enrolled in OM group. RESULTS: No statistically significant difference was found between the two groups concerning ORst and operative time. In EX group, one complication occurred--a middle cranial fossa cerebrospinal fluid leak. Advantages of EX were lightness, maneuverability and compactness, less need of endoscopy during surgery, and teaching potential. Limits were a need of a large surgical corridor and the bright structures rendering in high magnification. CONCLUSION: EX resulted safe and efficient in treating diseases of the middle ear in post-auricular approaches. To date, EX advantages are not enough to abandon the OM, and it can be considered as an additional, innovative tool to be added to ear surgical equipment.
PURPOSE: The aim of this study was to evaluate the potential of 3D exoscope (EX) in selected ear procedures assessing if this new technology could be an improvement in the field of ear surgery. METHODS: A case series of consecutive patients surgically treated with a post-auricular approach using EX was retrospectively compared with a similar previous series treated with operating microscope (OM). Patient demographics, indications for surgery, procedure type, complications, operating room setting time (ORst), operative time, adequacy of visualization, image quality, ergonomics aspects, instrument usability, and technique as a teaching tool were investigated. Thirteen patients were included in each group. Surgical procedures in EX group were nine tympanoplasties with mastoidectomy, 1 mastoidectomy for acute complicated mastoiditis, 1 revision miringoplasty, and 2 cochlear implants. Same types of procedures were enrolled in OM group. RESULTS: No statistically significant difference was found between the two groups concerning ORst and operative time. In EX group, one complication occurred--a middle cranial fossa cerebrospinal fluid leak. Advantages of EX were lightness, maneuverability and compactness, less need of endoscopy during surgery, and teaching potential. Limits were a need of a large surgical corridor and the bright structures rendering in high magnification. CONCLUSION: EX resulted safe and efficient in treating diseases of the middle ear in post-auricular approaches. To date, EX advantages are not enough to abandon the OM, and it can be considered as an additional, innovative tool to be added to ear surgical equipment.
Authors: Philip K Frykman; Barry P Duel; Alexandra Gangi; James A Williams; George Berci; Andrew L Freedman Journal: J Laparoendosc Adv Surg Tech A Date: 2013-06-12 Impact factor: 1.878
Authors: Giuseppe Maria Della Pepa; Enrico Marchese; Alessandro Pedicelli; Alessandro Olivi; Luca Ricciardi; Alessandro Rapisarda; Benjamin Skrap; Giovanni Sabatino; Giuseppe La Rocca Journal: World Neurosurg Date: 2019-08-20 Impact factor: 2.104
Authors: Armando De Virgilio; Giuseppe Mercante; Francesca Gaino; Phil Yiu; Tiziana Mondello; Luca Malvezzi; Giovanni Colombo; Raul Pellini; Giuseppe Spriano Journal: Head Neck Date: 2019-10-30 Impact factor: 3.147