背景:在一些报道中,外泌镜已用于耳神经外科手术。然而,目前大多数耳部手术都是用显微镜或内窥镜进行的。这项研究的目的是介绍我们在机构中使用该工具的主观和客观经验。
方法:纳入15例连续患者的16只不同严重程度和病情的耳朵。向不同的参与者发送了一份包含12个问题的问卷,包括外科医生,居民,医学生,在手术室给护士擦洗.计算并分析各项目的总分和平均分。
结果:对13例患者和14例手术进行了唯一的腹腔镜手术。在一名患者中使用了内窥镜检查和显微镜检查的组合。分别。没有并发症。大多数患者实现了听力恢复或疾病摘除。20名手术室参与者填写了问卷。各组间差异无统计学意义。在图像质量方面报告了高评级,立体效果,放大率,和外科医生一样的视野。在与有限的工作空间有关的项目中报告了更糟糕的评级,通过视频观察增加眼睛疲劳,和集中难度。
结论:耳镜手术是可行的,安全,有效管理涉及外耳的各种耳科疾病,中耳,乳突,和侧颅底。其高清图像质量,立体效果,足够的放大率,可靠性和教学价值使其成为普通耳部手术的潜在工具。可以预期对当前缺点的进一步改进。
Exoscope has been used in otoneurologic surgery in several reports. However, most ear surgeries are performed using either microscope or endoscopy today. The purpose of this study is to present our subjective and objective experience of using this instrument in our institution.
Sixteen ears with different severity and condition in 15 consecutive patients were enrolled. A questionnaire with 12 questions was sent to different participants, including surgeons, residents, medical students, and scrub nurses in the operation room. The total score and average score of each item were calculated and analyzed.
Exclusive exoscopic operation was performed on 13 patients with 14 procedures. A combination of endoscopy-exoscope and microscope-exoscope was used in one patient, respectively. There were no complications. Hearing recovery or disease extirpation was achieved in most patients. Twenty participants in the operation room filled out the questionnaire. There was no significant difference between the different groups. High ratings were reported in terms of image quality, stereoscopic effects, magnification rate, and the same field of view as the surgeon. Worse ratings were reported in items related to limited working space, increase in eye strain by video observation, and focusing difficulty.
Exoscopic ear surgery is feasible, safe, and effective in managing various otologic conditions involving external ear, middle ear, mastoid, and lateral skull base. Its high-definition image quality, stereoscopic effects, sufficient magnification, reliability and teaching value made it a potential instrument in general ear surgeries. Further improvements to current drawbacks can be anticipated.