Department of Otorhinolaryngology, Ospedale Forlanini.
Department of Otorhinolaryngology, Ospedale Nuovo di Legnano, ASST Ovest Milanese, Milan, Italy.
J Craniofac Surg. 2021;32(2):e138-e141. doi: 10.1097/SCS.0000000000006875.
In this report, we present our experience with the VITOM 3D system for parotid gland surgery. A retrospective review of 9 consecutive VITOM 3D-assisted parotidectomies was carried out. All of the cases included had benign pathology. Eight of the tumors were in the superficial lobe whereas one case arose in the deep lobe. Superficial parotidectomy type II, according to the ESGS classification, was performed in 5 cases (55.6%): type I-II in 2 cases (22.2%), type I and III in 1 case respectively (11.1%). The postoperative period was uneventful for all of the patients, and no cases of postoperative temporary or definite facial nerve palsy or other complications were reported. The mean operating time was 145 minutes (range 135-165 minutes). Asthenopia never occurred, and there were no cases in which the first surgeon, the assistants, or the nurses needed to interrupt the 3D vision. VITOM 3D has been demonstrated to be safe and effective for parotid gland surgery. The main advantages of VITOM 3D are improved visualization, ergonomics, versatility, training, and education. The drawbacks are related to asthenopia and the learning curve, even though, in our experience, the impact of these factors is minimal.
在本报告中，我们介绍了使用 VITOM 3D 系统进行腮腺手术的经验。对 9 例连续接受 VITOM 3D 辅助腮腺切除术的病例进行了回顾性分析。所有病例均为良性病变。8 例肿瘤位于浅叶，1 例位于深叶。根据 ESGS 分类，我们进行了 5 例（55.6%）的腮腺浅叶 II 型切除术：2 例（22.2%）为 I-II 型，1 例为 I 型和 III 型。所有患者术后均无并发症，无暂时性或永久性面瘫发生。平均手术时间为 145 分钟（范围 135-165 分钟）。无眼疲劳发生，也没有第一手术者、助手或护士需要中断 3D 视觉的情况。VITOM 3D 已被证明可安全有效地用于腮腺手术。VITOM 3D 的主要优点是提高了可视化效果、改善了手术操作的舒适度、提高了通用性、有助于培训和教育。缺点与眼疲劳和学习曲线有关，尽管根据我们的经验，这些因素的影响很小。
