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耳科学中内镜的应用——印度视角及文献综述

Acceptance of Endoscopes in Otology - An Indian Perspective and Review of the Literature.

作者信息

Sharma Raman, Meher Ravi, Wadhwa Vikram, Soni Sanjay Vikram

机构信息

Department of ENT and Head and Neck Surgery, Lok Nayak Hospital, Maulana Azad Medical College, New Delhi, India.

出版信息

Int Arch Otorhinolaryngol. 2023 Mar 29;27(4):e713-e722. doi: 10.1055/s-0042-1759577. eCollection 2023 Oct.

DOI:10.1055/s-0042-1759577
PMID:37876680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10593540/
Abstract

The role of endoscopes in the ear, nose, and throat (ENT) field has been described since the 1980s; It started with endoscopic nasal surgeries, followed by otological and laryngological procedures, and, since then, it has experienced a rapid evolution. Endoscopes help otologists understand how to approach difficult areas of middle ear, as well as the physiology of middle ear cleft.  Despite the introduction of endoscopes in the field of otology, microscopes are still widely used in clinics and in operation theaters either alone or with endoscopes. The present study, which was conducted amongst otologists in India, is on their experience with and knowledge of the use of the endoscope compared to microscopes.  A Google form-based questionnaire comprising 18 questions was developed and sent online to otologist all over the country. The final dataset included responses from 354 active otologists.  Out of 354 participants, only 3% had more than 5 years of experience in endoscopic ear surgery (EES), and 16.1% had never worked with an endoscope. Endoscopes were used in clinics and in operation theaters by 74.9% of the participants.  There has been a rise in the acceptance and use of endoscopes among Indian otologists and otology surgeons in last few decades.

摘要

自20世纪80年代以来,内窥镜在耳鼻喉(ENT)领域的作用就已被描述;它始于内窥镜鼻腔手术,随后是耳科和喉科手术,从那时起,它经历了快速发展。内窥镜有助于耳科医生了解如何处理中耳的困难区域以及中耳裂的生理学。尽管内窥镜已引入耳科领域,但显微镜在诊所和手术室中仍被广泛单独使用或与内窥镜一起使用。本研究在印度的耳科医生中进行,旨在了解他们与显微镜相比在内窥镜使用方面的经验和知识。开发了一份包含18个问题的基于谷歌表单的问卷,并在线发送给全国各地的耳科医生。最终数据集包括354名在职耳科医生的回复。在354名参与者中,只有3%的人在内窥镜耳科手术(EES)方面有超过5年的经验,16.1%的人从未使用过内窥镜。74.9%的参与者在诊所和手术室中使用内窥镜。在过去几十年中,印度耳科医生和耳科外科医生对内窥镜的接受度和使用率有所上升。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aca/10593540/fd56690679ce/10-1055-s-0042-1759577-i221336-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aca/10593540/f31d36f2c3d8/10-1055-s-0042-1759577-i221336-1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aca/10593540/ea58b13d545d/10-1055-s-0042-1759577-i221336-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aca/10593540/c831b3cdf0ed/10-1055-s-0042-1759577-i221336-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aca/10593540/524d7e510c6b/10-1055-s-0042-1759577-i221336-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aca/10593540/5edec01075cb/10-1055-s-0042-1759577-i221336-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aca/10593540/fd56690679ce/10-1055-s-0042-1759577-i221336-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aca/10593540/f31d36f2c3d8/10-1055-s-0042-1759577-i221336-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aca/10593540/909954c02269/10-1055-s-0042-1759577-i221336-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aca/10593540/ea58b13d545d/10-1055-s-0042-1759577-i221336-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aca/10593540/c831b3cdf0ed/10-1055-s-0042-1759577-i221336-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aca/10593540/524d7e510c6b/10-1055-s-0042-1759577-i221336-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aca/10593540/5edec01075cb/10-1055-s-0042-1759577-i221336-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aca/10593540/fd56690679ce/10-1055-s-0042-1759577-i221336-7.jpg

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Am J Otolaryngol. 2021 Jul-Aug;42(4):102978. doi: 10.1016/j.amjoto.2021.102978. Epub 2021 Feb 16.
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Endoscopic visualisation of the round window during cochlear implantation.人工耳蜗植入术中圆窗的内镜可视化。
J Laryngol Otol. 2020 Mar;134(3):219-221. doi: 10.1017/S0022215120000067. Epub 2020 Mar 4.
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Otolaryngology residents' perceptions of endoscopic ear surgery during surgical training.
耳鼻喉科住院医师在外科培训期间对耳内镜手术的认知
J Laryngol Otol. 2020 Mar;134(3):233-240. doi: 10.1017/S0022215120000365. Epub 2020 Mar 2.
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Endoscopic ear surgery.耳内镜手术
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Comparative evaluation of round window niche accessibility pre-operatively on high-resolution computed tomography of the temporal bone with intra-operative findings.颞骨高分辨率计算机断层扫描术前对圆窗龛可及性的比较评估与术中发现
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