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使用动物模型研究 ENT 手术中 Vitom 3D 手术显微镜的可行性:与 2019 年冠状病毒病的相关性。

Feasibility study of the Vitom 3D exoscope in ENT surgery using an animal model: relevance to coronavirus disease 2019.

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK.

Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK.

出版信息

J Laryngol Otol. 2021 Aug;135(8):710-717. doi: 10.1017/S0022215121001626. Epub 2021 Jun 17.

Abstract

OBJECTIVE

The application of a 4K display resolution three-dimensional exoscope system (Vitom 3D) was evaluated to determine the feasibility of adopting the system in ENT surgery in the coronavirus disease 2019 era and beyond.

METHODS

Eighteen ENT surgeons performed structured otological tasks on fresh-frozen sheep heads using the Vitom 3D. Structured feedback of the participants' experience was analysed.

RESULTS

Seventy-four per cent and 94 per cent of participants reported that the Vitom 3D was ergonomic and comfortable to use respectively. Whilst colour fidelity and image quality were very good, 50 per cent of participants reported image distortion and pixilation at the highest magnification. All participants agreed that there was an increased educational value to exoscope technology. Half the participants preferred the microscope over the Vitom 3D for fine otological work, which may reflect the learning curve.

CONCLUSION

The Vitom 3D exoscope is a promising and viable alternative for performing otological surgery when using full personal protective equipment in the coronavirus disease 2019 era.

摘要

目的

评估 4K 显示分辨率三维手术显微镜系统(Vitom 3D)的应用,以确定该系统在 2019 冠状病毒病时代及以后在耳鼻喉科手术中采用的可行性。

方法

18 名耳鼻喉科外科医生使用 Vitom 3D 在新鲜冷冻的羊头上进行结构化的耳部手术任务。分析参与者经验的结构化反馈。

结果

74%和 94%的参与者分别报告称,Vitom 3D 具有符合人体工程学的设计,使用起来舒适。尽管色彩保真度和图像质量非常好,但 50%的参与者报告在最高放大倍数下存在图像失真和像素化。所有参与者都认为内窥镜技术具有更高的教育价值。一半的参与者更喜欢显微镜而不是 Vitom 3D 进行精细的耳部手术,这可能反映了学习曲线。

结论

在 2019 冠状病毒病时代使用全面个人防护设备时,Vitom 3D 手术显微镜是一种有前途且可行的替代方案,可用于进行耳部手术。

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