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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: [email protected] Fax: +60 379 556 963
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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

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Footnotes

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

References

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