Current Trends in Endoscopic Ear Surgery

Tu, Leona J.; Fina, Manuela; Golub, Justin S.; Kazahaya, Ken; Quesnel, Alicia M.; Tawfik, Kareem O.; Cohen, Michael S.

doi:10.1097/ono.0000000000000023

Cited by 2 publications

(2 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, we can conjecture that results would be similar to that of residents with better performance with the OM given previous experience. Further evaluation may also benefit with comparison of the exoscope to the endoscope as endoscopic ear surgery is growing in the fields of otology and neurotology 23 …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Binocular microscopes versus exoscopes: Experiences and performance in simulated otologic surgery

Larkin,

Langlie,

Roldan

et al. 2023

Laryngoscope Investig Oto

View full text Add to dashboard Cite

ObjectivesExoscopes represent a promising alternative to conventional binocular microscopes (OM) in otology offering potential advantages such as enhanced ergonomics and a more compact device design. While previous research has demonstrated the effectiveness of exoscopes in various surgical specialties, their objective assessment in the field of otology remains limited. Therefore, this investigation aims to assess task‐based efficiency associated with exoscopes in the field of otology by use of simulated surgical models.MethodsA prospective cross‐over study design was used to compare an OM to an exoscope in otolaryngology residents and medical students. Participants performed five tasks on 3D‐printed ear models using both the exoscope and OM. Data collection included completion time, frequency of predefined errors, mental effort, and user experience. Subgroup analysis was performed based on level of experience.ResultsFourteen students and fifteen residents participated. Participants completed four of five tasks faster with the OM and there was no difference in number of errors committed. When separated by surgical experience, residents performed four of five tasks faster using the OM while students completed one of five tasks faster with the OM. Students committed more errors with the exoscope for one task with no difference in errors for residents. There was no difference in perceived difficulty performing tasks with either visualization system. Exit survey results showed more favorable opinions of the OM among residents and more favorable opinions of the exoscope among students.ConclusionsThe exoscope permits successful performance in simulated otologic tasks. Task performance and user experience between operative microscopes and exoscopes differ based on level of surgical experience.Level of Evidence2.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Further evaluation may also benefit with comparison of the exoscope to the endoscope as endoscopic ear surgery is growing in the fields of otology and neurotology. 23 …”

Section: Discussionmentioning

confidence: 99%

Binocular microscopes versus exoscopes: Experiences and performance in simulated otologic surgery

Larkin,

Langlie,

Roldan

et al. 2023

Laryngoscope Investig Oto

View full text Add to dashboard Cite

show abstract

Endoscopic and microscopic video modules are effective for teaching middle ear anatomy

Tu,

Nwosu,

Chieffe

et al. 2024

Laryngoscope Investig Oto

View full text Add to dashboard Cite

ObjectivesTo evaluate the efficacy of video modules in improving trainees' objective knowledge of middle ear anatomy and to compare the efficacy of using the endoscope to the microscope in video modules.MethodsMedical students and residents were recruited. Two videos reviewing middle ear anatomy were developed. One video was recorded using an endoscope and the other using a microscope. Subjects were randomly assigned to either the endoscopic or microscopic video module group. A 20‐question knowledge assessment designed to assess understanding of anatomic concepts was administered to all subjects prior to the intervention. After completing the endoscopic or microscopic video modules, subjects were administered the same knowledge assessment.ResultsOf the 62 subjects recruited, 32 were randomized to the endoscope group and 30 to the microscope group. Eleven subjects completed all components of the assessment in the endoscope group and nine in the microscope group. Subjects in the endoscope group demonstrated a mean 12.3% increase in assessment scores (SD 9.1%, p = .0008), compared to a mean 11.7% increase in assessment scores in the microscope group (SD 9.4%, p = .0002). When controlling for pretest scores, there was no significant difference in posttest performance between the two groups.ConclusionBrief video modules effectively improved objective short‐term knowledge of middle ear anatomy. Although both groups demonstrated a significant improvement in knowledge, there was no significant difference in the educational utility of endoscopic videos compared to microscopic videos. Further studies with larger sample sizes may help quantify which modalities are optimal for teaching.Level of EvidenceNA.

show abstract

Current Trends in Endoscopic Ear Surgery

Cited by 2 publications

References 61 publications

Binocular microscopes versus exoscopes: Experiences and performance in simulated otologic surgery

Binocular microscopes versus exoscopes: Experiences and performance in simulated otologic surgery

Endoscopic and microscopic video modules are effective for teaching middle ear anatomy

Contact Info

Product

Resources

About