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Using a 4K three-dimensional exoscope system (Vitom 3D) for mastoid surgery during the coronavirus disease 2019 pandemic

Part of: JLO Coronavirus Collection

Published online by Cambridge University Press:  01 February 2021

M Ally ,
P Kullar ,
G Mochloulis  and
A Vijendren
M Ally*
Affiliation:
Department of ENT Surgery, Lister Hospital, Coreys Mill Ln, Stevenage SG1 4AB, East and North Hertfordshire NHS Trust, UK
P Kullar
Affiliation:
Department of ENT Surgery, Lister Hospital, Coreys Mill Ln, Stevenage SG1 4AB, East and North Hertfordshire NHS Trust, UK
G Mochloulis
Affiliation:
Department of ENT Surgery, Lister Hospital, Coreys Mill Ln, Stevenage SG1 4AB, East and North Hertfordshire NHS Trust, UK
A Vijendren
Affiliation:
Department of ENT Surgery, Lister Hospital, Coreys Mill Ln, Stevenage SG1 4AB, East and North Hertfordshire NHS Trust, UK
*
Author for correspondence: Ms Munira Ally, Department of ENT Surgery, Lister Hospital, Stevenage, East and North Hertfordshire NHS Trust, UK E-mail: munira.ally@nhs.net
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Abstract

Objective

Microscopic surgery is currently considered the ‘gold standard’ for middle-ear, mastoid and lateral skull base surgery. The coronavirus disease 2019 pandemic has made microscopic surgery more challenging to perform. This work aimed to demonstrate the feasibility of the Vitom 3D system, which integrates a high-definition (4K) view and three-dimensional technology for ear surgery, within the context of the pandemic.

Method

Combined approach tympanoplasty and ossiculoplasty were performed for cholesteatoma using the Vitom 3D system exclusively.

Results

Surgery was performed successfully. The patient made a good recovery, with no evidence of residual disease at follow up. The compact system has excellent depth of field, magnification and colour. It enables ergonomic work, improved work flow, and is ideal for teaching and training.

Conclusion

The Vitom 3D system is considered a revolutionary alternative to microscope-assisted surgery, particularly in light of coronavirus disease 2019. It allows delivery of safe otological surgery, which may aid in continuing elective surgery.

Keywords

COVID-19MastoidMiddle EarCholesteatomaTympanoplasty
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 3 , March 2021 , pp. 273 - 275
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Ms M Ally takes responsibility for the integrity of the content of the paper

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