McMaine Travis, Woo Brian, Julian Robert
Assistant Professor, Department of Oral and Maxillofacial Surgery, Dental College of Georgia, Augusta, GA.
Assistant Clinical Professor, Director, Head and Neck Oncology and Microvascular Fellowship, UCSF-Fresno, Fresno, CA.
J Oral Maxillofac Surg. 2023 Apr;81(4):511-514. doi: 10.1016/j.joms.2022.12.013. Epub 2022 Dec 29.
Recent innovations in camera and display technologies have created a new potential modus for the microvascular surgeon. An exoscope consists of cameras mounted to a flexible arm that broadcasts the image to a nearby high-definition monitor. This article details the experience using this emerging technology to perform microvascular anastomosis for 46 cases of head and neck free flaps reconstruction. The exoscope is compared against the operating microscope and we conclude that the exoscope is a viable substitute when performing microvascular anastomosis with some advantages in the areas of surgeon comfort and viewing angulation.
相机和显示技术的最新创新为微血管外科医生创造了一种新的潜在方式。外视镜由安装在柔性臂上的摄像头组成，可将图像传输到附近的高清显示器上。本文详细介绍了使用这项新兴技术对46例头颈部游离皮瓣重建进行微血管吻合的经验。将外视镜与手术显微镜进行了比较，我们得出结论，在外进行微血管吻合时，外视镜是一种可行的替代方案，在外科医生舒适度和观察角度方面具有一些优势。
