A three-dimensional exoscope system for bilateral simultaneous cochlear implant surgery: how I do it
Document Type
Article
Publication Date
4-1-2022
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 Implants, Mastoidectomy, Microscopy, Cochlear Implantation
Divisions
otorhino
Funders
None
Publication Title
Journal of Laryngology and Otology
Volume
136
Issue
4
Publisher
Cambridge Univ Press
Publisher Location
EDINBURGH BLDG, SHAFTESBURY RD, CB2 8RU CAMBRIDGE, ENGLAND