Video-Assisted Cleft Palate Surgery: Preclinical Comparison Between Endoscope- and Exoscope-Based Approaches.

IF 17.7 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-04-01 Epub Date: 2022-11-23 DOI:10.1177/10556656221139340

Karim Tewfik, Vittorio Rampinelli, Dante Burlini, Barbara Buffoli, Rita Rezzani, Alberto Deganello, Giovanni Felisati, Cesare Piazza

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Abstract

Using both endoscope and exoscope in cleft soft palate surgery is not widespread, despite the potential advantages related to view magnification, ergonomic posture of the surgeon, and involvement of the surgical team.

The aim of the current study is to compare endoscopic (Olympus Visera^©) and exoscopic (Karl-Storz Vitom^©) assistance in cleft soft palate surgery in a preclinical cadaver setting.

A formalin fixed specimen was dissected to mimic the anatomical conditions of a cleft soft palate.

Ten young surgeons with limited experience in transoral surgery were involved in the exercitation on the specimen.

The exercitation consisted of 4 tasks: (1) device setting; (2) identification of muscle plane; (3) muscle suturing; (4) oral mucosa suturing.

Participants were timed while performing each task both with exoscope and endoscope and asked to fill in 2 questionnaires related to the visual systems used (NASA Task Load System TLS and VAS 1-10).

All surgeons completed the 4 tasks with both the endoscope and exoscope. The execution times were similar except for faster setting of the exoscope. Participants felt that completing surgical exercises using the exoscope required less physical, intellectual, and temporal efforts compared to the endoscope. The exoscope was also more appreciated for its handling, 3D visualization, and limited encumbrance.

Exoscope scored better both at NASA TLS and VAS 1-10 and required a faster setting than endoscope. Further clinical in-vivo studies are required to explore the advantages of these devices in cleft palate repair.

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视频辅助腭裂手术：基于内窥镜和外窥镜方法的临床前比较。

本研究旨在比较内窥镜（奥林巴斯 Visera©）和外窥镜（卡尔-斯托兹 Vitom©）在临床前尸体软腭裂手术中的辅助作用。参与者在使用外窥镜和内窥镜完成每项任务时都要计时，并被要求填写两份与所使用的视觉系统有关的问卷（NASA 任务负荷系统 TLS 和 VAS 1-10）。所有外科医生都使用内窥镜和外窥镜完成了 4 项任务，除了外窥镜的设置速度更快以外，其他任务的执行时间都差不多。参与者认为，与内窥镜相比，使用外窥镜完成手术练习所需的体力、智力和时间更少。外窥镜在 NASA TLS 和 VAS 1-10 评分上都更高，而且比内窥镜需要更快的设置。要探索这些设备在腭裂修复中的优势，还需要进一步的体内临床研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.

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