Parotid surgery is generally performed with the naked eye or using surgical loupes. However, this approach has technical disadvantages. Therefore, this study aimed to compare the use of an exoscope with that of loupe for parotidectomies. A retrospective review of patients who underwent partial parotidectomies for parotid tumors was conducted. We examined the approach (anterograde/retrograde), tumor localization (superficial/deep), operative time, volume of intraoperative blood loss, and postoperative complications occurring within 6 months. Overall, 174 patients underwent parotidectomies (90 in the exoscope group, 84 in the loupe group). In parotidectomies using the anterograde approach, the exoscope group had significantly fewer reports of facial nerve palsy than the loupe group. Parotidectomy-related complications other than facial palsy were significantly fewer in the exoscope group. However, the operation time was significantly longer in the exoscope group than in the loupe group. An ORBEYE exoscope provides a magnified view of the surgical field, leading to more accurate operations in parotid surgery and potentially fewer complications.
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http://dx.doi.org/10.3390/jcm14010047 | DOI Listing |
J Clin Med
December 2024
Department of Otolaryngology, Head and Neck Surgery, Kansai Medical University, Shinmachi 2-5-1, Hirakata 573-1010, Osaka, Japan.
Parotid surgery is generally performed with the naked eye or using surgical loupes. However, this approach has technical disadvantages. Therefore, this study aimed to compare the use of an exoscope with that of loupe for parotidectomies.
View Article and Find Full Text PDFCleft Palate Craniofac J
January 2025
Birmingham Childrens Hospital, Birmingham, UK.
The aim of this study was to investigate and compare the technical feasibility, ergonomics, and educational value of the 3D exoscope in comparison with traditional and prism loupes in cleft surgery. A variety of cleft and pharyngeal operations were performed with the VITOM 3D exoscope (Karl Storz GmbH, Tuttlingen, Germany), traditional/prism loupes, and microscope. The cervical neck angulation of the operating surgeon was recorded in real-time with an inertia measurement unit system (Mbient, San Francisco, USA) and experiences of the surgeon and assistant were prospectively evaluated with 5-point Likert scales.
View Article and Find Full Text PDFActa Neurochir (Wien)
January 2025
Department of Neurosurgery, Helsinki University Hospital and University of Helsinki, P.O. Box 266, FI- 00029, Helsinki, Finland.
Purpose: Digital 3D exoscopes are promising tools for microneurosurgery. The results of exoscope-assisted resection of intracranial meningiomas have only been addressed in few case reports. We retrospectively compared the results of exoscope and microscope-assisted surgery of falx and parasagittal meningiomas.
View Article and Find Full Text PDFN Am Spine Soc J
December 2024
Department of Neurosurgery, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Background: Spine surgical training faces increasing challenges due to restricted working hours and greater sub specialization. Modern simulators offer a promising approach to teaching both simple and complex spinal procedures. This study evaluated the acceptance and efficacy of spine simulator training using a lumbar herniated disc model tested by 16 neurosurgical residents (PGY-1-6), and compared 3D and 2D teaching methods.
View Article and Find Full Text PDFEur Arch Otorhinolaryngol
November 2024
Department of Otorhinolaryngology, Head and Neck Surgery, Ear Research Center Dresden, Technische Universität Dresden, Faculty of Medicine and University Hospital Carl Gustav Carus, Fetscherstraße 74, 01307, Dresden, Germany.
Background: This prospective study compared the application of a 3D exoscope (VITOM 3D) with surgical microscopes (SM) in ear surgery.
Methods: 62 patients were included (exoscope group (E+) n = 31; SM group (E-) n = 31). Procedures included cochlea implantation (nE + = 10, nE- = 10), reconstructive middle ear surgery due to chronic otitis media with (COMwC; nE + = 11, nE- = 11) and without cholesteatoma (COMsC; nE + = 10, nE- = 10).
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