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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. ConclusionĮX resulted safe and efficient in treating diseases of the middle ear in post-auricular approaches. Limits were a need of a large surgical corridor and the bright structures rendering in high magnification. Advantages of EX were lightness, maneuverability and compactness, less need of endoscopy during surgery, and teaching potential. In EX group, one complication occurred––a middle cranial fossa cerebrospinal fluid leak. No statistically significant difference was found between the two groups concerning ORst and operative time.
Same types of procedures were enrolled in OM group. Surgical procedures in EX group were nine tympanoplasties with mastoidectomy, 1 mastoidectomy for acute complicated mastoiditis, 1 revision miringoplasty, and 2 cochlear implants. Thirteen patients were included in each group. 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.
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MethodsĪ 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). 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.
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