Hostname: page-component-76fb5796d-22dnz Total loading time: 0 Render date: 2024-04-26T11:08:09.701Z Has data issue: false hasContentIssue false
  • English
  • Français

A three-dimensional exoscope system for bilateral simultaneous cochlear implant surgery: how I do it

Published online by Cambridge University Press:  07 January 2022

S H Tan Open the ORCID record for S H Tan [Opens in a new window] ,
J Kulasegarah  and
N Prepageran Open the ORCID record for N Prepageran [Opens in a new window]
S H Tan*
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
J Kulasegarah
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
N Prepageran
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
*
Author for correspondence: Dr Sien Hui Tan, Department of Otolaryngology, Faculty of Medicine, University of Malaya, Lembah Pantai, 50603Kuala Lumpur, Malaysia E-mail: sienic@yahoo.com Fax: +60 379 556 963
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

This paper reports the first case of simultaneous bilateral cochlear implant surgery performed exclusively with a three-dimensional exoscope. It also discusses the optimum operative set-up and the feasibility of three-dimensional exoscopic ear surgery as an alternative to the microscope.

Method

The Vitom three-dimensional exoscope system (Karl Storz) was used.

Results

The surgery was successfully completed, with no peri-operative complications. Both the operation time and the surgical outcome for the patient were comparable with the previous cochlear implant surgical procedures performed in our centre using the conventional operating microscope.

Conclusion

This paper demonstrates that exclusive use of the three-dimensional exoscope is a viable alternative to the operating microscope for selected otological cases. It is clear that the three-dimensional exoscopic technique is potentially very promising for future surgical procedures, provided that cases are selected carefully to prevent compromising exposure, efficiency or patient safety.

Keywords

Cochlear ImplantsMastoidectomyMicroscopyCochlear Implantation
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 4 , April 2022 , pp. 360 - 362
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr S H Tan takes responsibility for the integrity of the content of the paper

References

Chen, CK, Hsieh, LC, Hsu, TH. Novel three-dimensional image system for endoscopic ear surgery. Eur Arch Otorhinolaryngol 2018;275:2933–9CrossRefGoogle ScholarPubMed
Smith, S, Kozin, ED, Kanumuri, VV, Barber, SR, Backous, D, Nogueira, JF et al. Initial experience with 3-dimensional exoscope-assisted transmastoid and lateral skull base surgery. Otolaryngol Head Neck Surg 2019;160:364–7CrossRefGoogle ScholarPubMed
Garneau, JC, Laitman, BM, Cosetti, MK, Hadjipanayis, C, Wanna, G. The use of the exoscope in lateral skull base surgery: advantages and limitations. Otol Neurotol 2019;40:236–40CrossRefGoogle ScholarPubMed
Colombo, G, Ferreli, F, Di Bari, M, Cugini, G, Miceli, S, De Virgilio, A et al. Introducing the high-definition 3D exoscope in ear surgery: preliminary analysis of advantages and limits compared with operative microscope. Eur Arch Otorhinolaryngol 2021;278:4217–2310.1007/s00405-020-06510-wCrossRefGoogle ScholarPubMed
Rubini, A, Di Gioia, S, Marchioni, D. 3D exoscopic surgery of lateral skull base. Eur Arch Otorhinolaryngol 2020;277:687–94CrossRefGoogle ScholarPubMed
Babar-Craig, H, Banfield, G, Knight, J. Prevalence of back and neck pain amongst ENT consultants: national survey. J Laryngol Otol 2003;117:979–82CrossRefGoogle ScholarPubMed