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Feasibility study of the Vitom 3D exoscope in ENT surgery using an animal model: relevance to coronavirus disease 2019

Part of: JLO Coronavirus Collection

Published online by Cambridge University Press:  17 June 2021

W Yeung ,
N Vakharia ,
C Johnatty ,
P Achar  and
A V Kasbekar
W Yeung*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK
N Vakharia
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK
C Johnatty
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK
P Achar
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK
A V Kasbekar
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK National Institute for Health Research (‘NIHR’) Nottingham Biomedical Research Centre, Nottingham, UK
*
Author for correspondence: Ms Winnie Yeung, Department of Otorhinolaryngology, Head and Neck Surgery, Nottingham University Hospitals NHS Trust, Derby Road, NottinghamNG7 2UH, UK E-mail: winnie.yeung@nhs.net
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Abstract

Objective

The application of a 4K display resolution three-dimensional exoscope system (Vitom 3D) was evaluated to determine the feasibility of adopting the system in ENT surgery in the coronavirus disease 2019 era and beyond.

Methods

Eighteen ENT surgeons performed structured otological tasks on fresh-frozen sheep heads using the Vitom 3D. Structured feedback of the participants’ experience was analysed.

Results

Seventy-four per cent and 94 per cent of participants reported that the Vitom 3D was ergonomic and comfortable to use respectively. Whilst colour fidelity and image quality were very good, 50 per cent of participants reported image distortion and pixilation at the highest magnification. All participants agreed that there was an increased educational value to exoscope technology. Half the participants preferred the microscope over the Vitom 3D for fine otological work, which may reflect the learning curve.

Conclusion

The Vitom 3D exoscope is a promising and viable alternative for performing otological surgery when using full personal protective equipment in the coronavirus disease 2019 era.

Keywords

COVID-19ExoscopePersonal Protective EquipmentOtologySurgerySafety
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 8 , August 2021 , pp. 710 - 717
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Ms W Yeung takes responsibility for the integrity of the content of the paper

References

Gordon, SA, Deep, NL, Jethanamest, D. Exoscope and personal protective equipment use for otologic surgery in the era of COVID-19. Otolaryngol Head Neck Surg 2020;163:179–81CrossRefGoogle ScholarPubMed
ENTUK and BSO Guidance for undertaking otological procedures during COVID-19 pandemic. In: https://www.entuk.org/guidance-undertaking-otological-procedures-during-covid-19-pandemic-0 [10 June 2021]Google Scholar
Lawrence, RJ, O'Donoghue, G, Kitterick, P, O'Donoghue, K, Hague, R, Mitchell, L et al. Recommended personal protective equipment for cochlear implant and other mastoid surgery during the COVID-19 era. Laryngoscope 2020;130:2693–910.1002/lary.29014CrossRefGoogle ScholarPubMed
Cheng, HT, Ma, H, Tsai, CH, Hsu, WL, Wang, TH. A three-dimensional stereoscopic monitor system in microscopic vascular anastomosis. Microsurgery 2012;32:571–4CrossRefGoogle ScholarPubMed
De Virgilio, A, Iocca, O, Di Maio, P, Mercante, G, Mondello, T, Yiu, P et al. Free flap microvascular anastomosis in head and neck reconstruction using a 4K three-dimensional exoscope system (VITOM 3D). Int J Oral Maxillofac Surg 2020;49:1169–73CrossRefGoogle Scholar
Ally, M, Kullar, P, Mochloulis, G, Vijendren, A. Using a 4K three-dimensional exoscope system (Vitom 3D) for mastoid surgery during the coronavirus disease 2019 pandemic. J Laryngol Otol 2021;135:273–5CrossRefGoogle ScholarPubMed
Carlucci, C, Fasanella, L, Ricci Maccarini, A. Exolaryngoscopy: a new technique for laryngeal surgery. Acta Otorhinolaryngol Ital 2012;5:326–8Google Scholar
Garneau, JC, Laitman, BM, Cosetti, MK, Hadjipanayis, C, Wanna, G. The use of the exoscope in lateral skull base surgery: advantages and limitations. Otol Neurotol 2019;40:236–4010.1097/MAO.0000000000002095CrossRefGoogle ScholarPubMed
Rubini, A, Di Gioia, S, Marchioni, D. 3D exoscopic surgery of lateral skull base. Eur Arch Otorhinolaryngol 2020;277:687–94CrossRefGoogle ScholarPubMed
Smith, S, Kozin, ED, Kanumuri, VV, Barber, SR, Backous, D, Flávio Nogueira, J et al. Initial experience with 3-dimensional exoscope-assisted transmastoid and lateral skull base surgery. Otolaryngol Head Neck Surg 2019;160:364–7CrossRefGoogle ScholarPubMed
Patel, NV, Ligas, B, Gandhi, S, Ellis, J, Ortiz, R, Costantino, P et al. Internal maxillary to middle cerebral artery bypass using an anterior tibial artery graft, performed using a 3-dimensional exoscope: 2-dimensional operative video. Oper Neurosurg (Hagerstown) 2020;19:E18710.1093/ons/opz379CrossRefGoogle ScholarPubMed
Patel, VA, Goyal, N. Using a 4K-3D Exoscope for upper airway stimulation surgery: proof-of-concept. Ann Otol Rhinol Laryngol 2020;129:695–8CrossRefGoogle ScholarPubMed
Kalmar, CL, Patel, VA, Slonimsky, G. Transoral floor of mouth lipoma resection: a technical multimedia analysis. Am J Otolaryngol 2020;41:10257210.1016/j.amjoto.2020.102572CrossRefGoogle ScholarPubMed
Garneau, JC, Laitman, BM, Cosetti, MK, Hadjipanayis, C, Wanna, GB. Repair of a temporal bone encephalocele with the surgical exoscope. Otol Neurotol 2020;41:561CrossRefGoogle ScholarPubMed
Kullar, P, Tanna, R, Ally, M, Vijendren, A, Mochloulis, G. VITOM 4K 3D exoscope: a preliminary experience in thyroid surgery. Cureus 2021;13:e12694Google ScholarPubMed
Gurr, A, Pearson, MD, Dazert, S. Lambs' temporal bone anatomy under didactic aspects [in Portuguese]. Braz J Otorhinolaryngol 2011;77:51–7CrossRefGoogle Scholar
Babar-Craig, H, Banfield, G, Knight, J. Prevalence of back and neck pain amongst ENT consultants: national survey. J Laryngol Otol 2003;117:979–82CrossRefGoogle ScholarPubMed
Ramakrishnan, VR, Montero, PN. Ergonomic considerations in endoscopic sinus surgery: lessons learned from laparoscopic surgeons. Am J Rhinol Allergy 2013;27:245–50CrossRefGoogle ScholarPubMed
Grant, KMK, Vo, T, Tiong, LU. The painful truth: work-related musculoskeletal disorders in Australian surgeons. Occup Med (Lond) 2020;70:60–310.1093/occmed/kqz155CrossRefGoogle ScholarPubMed
Read, JC, Bohr, I. User experience while viewing stereoscopic 3D television. Ergonomics 2014;57:1140–5310.1080/00140139.2014.914581CrossRefGoogle ScholarPubMed
Frykman, PK, Freedman, AL, Kane, TD, Cheng, Z, Petrosyan, M, Catchpole, K. A study of VITOM in pediatric surgery and urology: evaluation of technology acceptance and usability by operating team and surgeon musculoskeletal discomfort. J Laparoendosc Adv Surg Tech A 2017;27:191–6CrossRefGoogle ScholarPubMed
Péus, D, Dobrec, I, Pfiffner, F, Sim, JH. Comparison of sheep and human middle-ear ossicles: anatomy and inertial properties. J Comp Physiol A 2020;206:683–700CrossRefGoogle ScholarPubMed