High-definition 3D exoscope-assisted soft palate excision and reconstruction

Area of Science:

• Surgical Technology
• Otolaryngology
• Head and Neck Surgery

Background:

• The 3D exoscope is an advanced visualization tool initially used for microvascular anastomoses.
• Transoral surgery often presents challenges due to limited surgical field visualization.
• Exploring novel applications for the 3D exoscope in complex head and neck procedures is warranted.

Purpose of the Study:

• To evaluate the utility of the 3D exoscope in transoral tumor excision and reconstruction.
• To assess the impact of the 3D exoscope on surgical precision and visualization during transoral procedures.
• To determine the benefits of 3D exoscope technology for surgical ergonomics and education in transoral surgery.

Main Methods:

• The 3D exoscope was employed for the transoral excision of a soft palate tumor.
• Free flap harvesting and microvascular anastomosis were performed using the 3D exoscope for reconstruction.
• The surgical procedure encompassed tumor removal, flap harvesting, inset, and microvascular repair.

Main Results:

• The 3D exoscope provided excellent visualization of the surgical field throughout the transoral procedure.
• Optimal surgical precision was achieved in tumor excision, flap harvesting, and microvascular anastomosis.
• The technology facilitated improved surgeon ergonomics and provided a clear view for trainees.

Conclusions:

• The 3D exoscope significantly enhances visualization and precision in transoral tumor excision and reconstruction.
• This technology offers benefits for surgical ergonomics and medical education in head and neck procedures.
• The 3D exoscope is a valuable tool for complex transoral demolition and reconstruction phases.