– 1 patient experienced CSF leak in immediate post-op period requiring return to operating theatre. The use of the exoscope in lateral skull base surgery: advantages and limitations – Laryngeal biopsies were easy to obtain. – Stroboscopy & post-op voice showed good resolution of phonatory problems. However, there has been no qualitative work to formally analyse the user experience of 4K resolution 3D exoscope systems to date.Įxolaryngoscopy: a new technique for laryngeal surgery All case studies have reported satisfactory patient outcomes, with no significant intra-operative or post-operative complications reported associated with use of 3D exoscope systems. 5– 15 Although several prospective, observational studies 5, 7, 9 and retrospective case reports 8, 9, 12 exist, the majority are single-patient case reports. 6įewer than a dozen publications have explored the use of 3D exoscope systems in ENT surgery, of which less than half reviewed its use in otological surgery ( Table 1). It is also claimed that the exoscope permits a more ergonomic operating position for the surgeon, and unparalleled visualisation for assistants and observers. 5 Manufacturers declare that the 3D exoscope allows the surgeon to operate whilst viewing the surgical field at high magnification on a high-resolution display screen, negating the need to look down a microscope with a reduced field of vision. 4 With the development of the 4K (approximately 4000 pixels) display resolution, application of this technology to the field of neuro-otological surgery has gained momentum. The three-dimensional (3D) exoscope was first introduced to otolaryngology almost a decade ago. 3 This renders operating conditions arguably perilous as nearby structures are not adequately visualised. Given the increased distance of the eye to the microscope eye piece, the surgeon's field of vision is often reduced by more than 50 per cent. Specific eye protection such as goggles, face shields or hoods have compromised visualisation through the microscope eye piece. 2 The additional use of personal protective equipment (PPE) poses new challenges for otological surgery, where the use of a traditional microscope for magnification is usually required. #ZOOM SMEXOSCOPE CODE#
The current best practice is for otolaryngologists to don a filtering facepiece code 3 (FFP3) respirator and full-face protection for aerosol-generating work. 1 It is thought that the Covid-19 virus can be transmitted through the middle ear and mastoid cavity. Otolaryngologists are at risk from the coronavirus disease 2019 (Covid-19) infection because of the aerosol-generating procedures performed by the specialty.
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