Department of Otolaryngology-Head and Neck Surgery, University of Arizona College of Medicine, 1501 North Campbell Avenue, Tucson, AZ 85724, USA.
Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA.
Otolaryngol Clin North Am. 2021 Feb;54(1):65-74. doi: 10.1016/j.otc.2020.09.005.
Endoscopic ear surgery (EES) has become an integral part of otologic surgery. Training in EES involves learning fundamental techniques for endoscopic visualization, becoming proficient at one-handed dissection, mastering use of instruments designed for endoscopic ear surgery, and learning to optimize the operating room setup specifically for EES. Despite the steep learning curve, EES offers several advantages over the microscope for otologic procedures. With the rise in the demand for minimally invasive approaches, EES has a clear role in the future of otologic surgery. Identifying strategies to improve the training process of EES for the novice and experienced otolaryngologist is paramount.
内镜耳科手术 (EES) 已成为耳科学术的重要组成部分。EES 的培训涉及学习内镜可视化的基本技术,熟练掌握单手解剖技术,掌握专为内镜耳科手术设计的器械的使用,并学会专门针对 EES 优化手术室设置。尽管学习曲线陡峭,但 EES 在耳科手术中相对于显微镜具有多项优势。随着对微创方法需求的增加,EES 在耳科学术的未来中具有明确的作用。确定提高新手和经验丰富的耳鼻喉科医生 EES 培训过程的策略至关重要。