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A three-dimensional exoscope system for bilateral simultaneous cochlear implant surgery: how I do it.
S H Tan1, J Kulasegarah1, N Prepageran1
1Department of Otolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
The Journal of Laryngology and Otology
|January 7, 2022
Summary
This study shows that using a 3D exoscope for simultaneous bilateral cochlear implant surgery is safe and effective. This advanced technology offers a viable alternative to traditional operating microscopes in ear surgery.
Area of Science:
- Otolaryngology
- Surgical Technology
Background:
- Reports the first simultaneous bilateral cochlear implant surgery using only a 3D exoscope.
- Discusses the optimal setup and feasibility of 3D exoscopic ear surgery as a microscope alternative.
Observation:
- The Vitom 3D exoscope system was utilized for the procedure.
- Surgery was completed successfully without complications.
Findings:
- Operation time and patient outcomes were comparable to microscope-assisted surgeries.
- The 3D exoscope proved to be a viable alternative for this otological case.
Implications:
- 3D exoscopic technique shows promise for future otological procedures.
- Careful case selection is crucial for maintaining exposure, efficiency, and patient safety.

