Exoscope-assisted Otologic Surgery During the COVID-19 Pandemic

Area of Science:

• Otolaryngology
• Surgical Technology
• Infectious Disease Control

Background:

• The COVID-19 pandemic necessitated re-evaluation of surgical safety protocols.
• Operating room practices require adaptation to mitigate infectious disease transmission.

Purpose of the Study:

• To describe the initial experience of using an exoscope for otologic surgery during the COVID-19 pandemic.
• To evaluate the safety and efficacy of exoscope-assisted otologic procedures in a pandemic setting.

Main Methods:

• Exoscope utilized for semi-urgent otologic surgeries.
• Implementation of comprehensive safety measures: complete eye protection, specialized "tent" drape, smoke evacuation with HEPA filter, and betadine irrigation.
• Comparison with prior experiences using surgical microscopes.

Main Results:

• Modified goggles provided complete eye protection and a 3D view of the surgical field.
• The implemented safety techniques were found to be simple and efficient.
• Exoscope use facilitated safe otologic surgery with enhanced visualization and protection.

Conclusions:

• Exoscope use in otologic surgery during the COVID-19 pandemic offers 3D visualization and essential eye protection.
• The "tent" drape, HEPA-filtered smoke evacuation, and betadine irrigation are valuable adjuncts for otologic surgical safety.