Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA.
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA.
Otolaryngol Clin North Am. 2021 Feb;54(1):45-57. doi: 10.1016/j.otc.2020.09.009.
Because endoscopic technology has matured over the past several decades, ear surgeons have increasingly used endoscopy to address some of the limitations of operative microscopy. The wide field of view and high-resolution images provided by endoscopes allow for improved visualization of the tympanic cavity using minimally invasive surgical portals compared with the standard operative binocular microscope. The endoscope is becoming an essential tool in the otologist's armamentarium. In this article, the authors discuss rationale for endoscopic ear surgery, terminology and classification, surgical indications, essential equipment, surgical ergonomics, and practical steps to incorporate endoscopic ear surgery into practice.
由于内镜技术在过去几十年中已经成熟，耳科医生越来越多地使用内镜来解决手术显微镜的一些局限性。与标准手术双目显微镜相比，内镜提供的宽视野和高分辨率图像允许使用微创外科通道改善对鼓室的可视化。内镜已成为耳科医生器械包中的重要工具。在本文中，作者讨论了内镜耳部手术的基本原理、术语和分类、手术适应证、基本设备、手术人体工程学以及将内镜耳部手术纳入实践的实用步骤。
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