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New surgical frontiers for 4K 3D-exoscope in paediatric head and neck surgery

Purpose To define the interest, advantages, and disadvantages of the use of a 3D-exoscope in paediatric ENT surgery. Methods Four surgeons with experience in paediatric surgery completed a questionnaire following each surgery performed under 3D-exoscope to evaluate the contribution of the tool compa...

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2023-04, Vol.280 (4), p.2033-2041
Main Authors: Chebib, Emilien, Benoit, Charlotte, Bois, Emilie, Teissier, Natacha, Van Den Abbeele, Thierry
Format: Article
Language:English
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Summary:Purpose To define the interest, advantages, and disadvantages of the use of a 3D-exoscope in paediatric ENT surgery. Methods Four surgeons with experience in paediatric surgery completed a questionnaire following each surgery performed under 3D-exoscope to evaluate the contribution of the tool compared to the usual practice (microscope or magnifying loupes). Surgeries were separated into three groups: otology, transoral and cleft palate surgery, and open head and neck surgery. Results Between June 2021 and June 2022, 151 paediatric surgeries were included in this study. Among them, 93 (62%) otologic surgeries, 35 (23%) transoral surgeries, and 23 (15%) head and neck surgeries were performed. The median age at surgery was 68 months (interquartile range 19–135 months). For otologic surgeries, the mean scores (/100) for the contribution of the exoscope compared to the microscope were 68.4(± 23.2). For transoral and cleft palate surgery, the mean score (/100) for the contribution of the use of the exoscope compared to the magnifying loupes was 92.9 (± 8.6), whereas for open head and neck surgeries, the mean score (/100) was 89.5 (± 7.2). Conclusion 3D-exoscopy appears to be a relevant tool for paediatric head and neck surgery, applicable in otologic, transoral, and cervical fields. It presents educational and ergonomic advantages and improves surgical team communication.
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-022-07785-x