Abstract
Purpose
The application of 3D exoscopic technology is spreading worldwide, in several surgical scenarios. In this study, we present the first-time use of the exoscopic system (VITOM® and Versacrane™) in a cadaver simulation of transoral Snore Surgery.
Methods
All participants (n = 14) were asked to perform 2 exercises that simulate tasks required in Snore Surgery, they were then administered a questionnaire assessing their evaluation of the applied exoscopic technology. Participants were divided into groups according to age and experience.
Results
Mean zooming and focusing time was higher in young surgeons than in seniors, and similar results were obtained for mean procedural times. The responses to the questionnaire showed that in the vast majority (86%), the exoscopic technology was well rated.
Conclusion
The exoscope can be considered a useful tool, thanks to its magnifying power and high-definition images, as well as for its indirect ability to enhance staff involvement in the procedure and for educational purposes.
Similar content being viewed by others
Data availability
All data generated or analyzed during this study are included in this published article.
References
De Virgilio A, Costantino A, Mondello T et al (2021) Pre-clinical experience with the VITOM 3D and the ARTip Cruise System for micro-laryngeal surgery. Laryngoscope 131(1):136–138. https://doi.org/10.1002/lary.28675
De Virgilio A, Iocca O, Di MP et al (2020) Free flap microvascular anastomosis in head and neck reconstruction using a 4K three-dimensional exoscope system ( VITOM 3D ). Int J Oral Maxillofac Surg 2020:1–5. https://doi.org/10.1016/j.ijom.2020.01.022
Pirola F, De Virgilio A, Di Bari M et al (2020) Applying the exoscope to lacrimal surgery: preliminary experience. ORL - J Oto-Rhino-Laryngology, Head Neck Surg. https://doi.org/10.1159/000513529
Carobbio ALC, Filauro M, Parrinello G, Missale F, Peretti G (2020) Microsurgical procedures during COVID-19 pandemic: the VITOM® 3D-HD exoscopic system as alternative to the operating microscope to properly use personal protective equipment (PPE). Eur Arch Oto-Rhino-Laryngology 0123456789:6–9. https://doi.org/10.1007/s00405-020-06239-6
De Virgilio A, Mercante G, Gaino F et al (2019) Preliminary clinical experience with the 4 K3-dimensional microvideoscope (VITOM 3D) system for free flap head and neck reconstruction. Head Neck 42(1):138–140. https://doi.org/10.1002/hed.25979
Ferreli F, Di Bari M, Mercante G, De Virgilio A, Spriano G (2021) 3D 4K VITOM-assisted transoral removal of distal stone in the Wharton’s duct. Am J Otolaryngol - Head Neck Med Surg 42(2):102821. https://doi.org/10.1016/j.amjoto.2020.102821
Iannella G, Lechien JR, Perrone T et al (2022) Barbed reposition pharyngoplasty (BRP) in obstructive sleep apnea treatment: state of the art. Am J Otolaryngol - Head Neck Med Surg 43(1):103197. https://doi.org/10.1016/j.amjoto.2021.103197
De Virgilio A, Costantino A, Ebm C et al (2020) High definition three-dimensional exoscope (VITOM 3D) for microsurgery training: a preliminary experience. Eur Arch Oto-Rhino-Laryngology 277(9):2589–2595. https://doi.org/10.1007/s00405-020-06014-7
Colombo G, Di Bari M, Canzano F et al (2021) 3D-4K exoscope-assisted temporal bone dissection: a new frontier in surgical training. Eur Arch Oto-Rhino-Laryngology 279(8):3875–3880. https://doi.org/10.1007/s00405-021-07137-1
Colombo G, Ferreli F, Di Bari M et al (2021) Introducing the high-definition 3D exoscope in ear surgery: preliminary analysis of advantages and limits compared with operative microscope. Eur Arch Oto-Rhino-Laryngology 278(11):4217–4223. https://doi.org/10.1007/s00405-020-06510-w
Rossini Z, Cardia A, Milani D, Lasio GB, Angelo VD (2017) Video Telescope Operating Monitor (VITOM) 3D: preliminary experience in cranial surgery. Technical Case Report. World Neurosurg 107:663–667. https://doi.org/10.1016/j.wneu.2017.08.083
Palumbo VD, Fazzotta S, Damiano G, Lo Monte AI (2018) VITOM® 3D system in surgeon microsurgical vascular training: our model and experience. J Vasc Access 19(1):108–109. https://doi.org/10.5301/jva.5000825
Acknowledgements
We thank Simone Di Bari for his help with the English language revision of the manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethics approval and consent to participate
All procedures performed were in accordance with the ethical standards of the institutional research committee (Humanitas Clinical and Research Center) and with the 1964 Helsinki declaration and its later amendments. Informed consent was obtained from all individual participants included in the study.
Conflict of interest
The authors declare no competing interests.
Additional information
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Supplementary file1 (MP4 259135 KB)
Rights and permissions
About this article
Cite this article
Pirola, F., Leone, F., Di Bari, M. et al. 3D 4K exoscope in snore surgery simulation: pre-clinical experience. Sleep Breath 27, 1119–1124 (2023). https://doi.org/10.1007/s11325-022-02684-1
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11325-022-02684-1