Department of Otorhinolaryngology, General Hospital Civitanova Marche, Italy.
Acta Otorhinolaryngol Ital. 2012 Oct;32(5):326-8.
The aim of this study is to assess the use of a telescope with a high definition endoscopic video system as an alternative to the operating microscope in endoscopic laryngeal surgery. The system is economic, and allows optimal vision and improved surgeon comfort and ease. In exolaryngoscopy, the optic vitom is positioned in place of the microscope. An extracorporeal optical system (exoscope) is positioned 25 cm from the surgical field. Under exoscopic control, it is possible to use the same series of instruments using a long handle through the laryngoscope. The CO2 laser may also be used by fixing it coaxially to the optical system, and it is possible to use a classic set of microinstruments for phonosurgery. Endoscopic study with auto-fluorescence (NBI; narrow band imaging) can be easily used to visualize both precancerous and cancerous lesions. We treated 12 patients with benign and malign pathologies of the vocal cords; in all cases, the predicted result was reached, and the optic vitom showed its potential advantages in ease and comfort of the surgeon.
本研究旨在评估使用带有高清内镜视频系统的望远镜作为内镜喉部手术中手术显微镜的替代方案。该系统经济实惠，可提供最佳的视野，并提高外科医生的舒适度和便利性。在喉外视镜检查中，将光学视管定位在显微镜的位置。将体外光学系统（手术镜）放置在距手术区域 25 厘米处。在手术镜控制下，可以通过喉镜使用长把手使用同一系列的器械。还可以通过将 CO2 激光同轴固定到光学系统上来使用它，并且可以使用经典的一套微型仪器进行嗓音手术。使用自动荧光（NBI；窄带成像）进行内镜检查可以轻松地观察癌前病变和癌症病变。我们治疗了 12 例声带良性和恶性病变的患者；在所有情况下，都达到了预期的结果，光学视管显示出其在手术医生的便利性和舒适性方面的潜在优势。
