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European Archives of Oto-Rhino-Laryngology

Erschienen in:

29.07.2020 | COVID-19 | Short Communication Zur Zeit gratis

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)

verfasst von: Andrea Luigi Camillo Carobbio, Marta Filauro, Giampiero Parrinello, Francesco Missale, Giorgio Peretti

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 6/2021

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Abstract

Purpose

In the field of microsurgery, the use of conventional operating microscope, adopted in several disciplines, is not suitable with the full adoption of appropriate personal protective equipment (PPE), as goggles and face shields, needing the eyes to be at close contact with oculars.

Methods

Herein we present an exoscopic surgical setup, implemented for transoral laser microsurgery, by the VITOM® 3D-HD system.

Results

Our proposed exoscopic setting overcomes safety limits of the conventional operating microscope, being suitable with the adoption of full PPE necessary facing with suspected or confirmed positive SARS-CoV-2 patients needing urgent microsurgical procedures.

Conclusion

The use of protocols to reduce the virus spreading is mandatory to safely treat also patients potentially SARS-CoV-2 infected. The described surgical setup is advisable to manage urgent microsurgical procedures along the duration of the COVID-19 pandemic, being applicable PPE necessary to treat potentially or confirmed SARS-CoV-2-infected patients.

Guan W, Ni Z, Hu Y et al (2020) Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. https://doi.org/10.1056/nejmoa2002032CrossRefPubMedPubMedCentral

Kowalski LP, Sanabria A, Ridge JA et al (2020) COVID-19 pandemic: effects and evidence-based recommendations for otolaryngology and head and neck surgery practice. Head Neck. https://doi.org/10.1002/hed.26164CrossRefPubMedPubMedCentral

Practice BB (2020) Coronavirus disease 2019 (COVID-19) Situation Report – 85. World Heal Organ. https://doi.org/10.1001/jama.2020.2633CrossRef

Wei WE, Li Z, Chiew CJ et al (2020) Presymptomatic Transmission of SARS-CoV-2-Singapore. Morb Mortal Wkly Rep 69:411–415CrossRef

Lake MA (2020) What we know so far: COVID-19 current clinical knowledge and research. Clin Med 20:124–127. https://doi.org/10.7861/clinmed.2019-coronCrossRef

Remuzzi A, Remuzzi G (2020) COVID-19 and Italy: what next? Lancet 2:10–13. https://doi.org/10.1016/S0140-6736(20)30627-9CrossRef

Torretta S, Gaini LM, Pignataro L (2020) Why Italian ENT physicians should be aware of SARS-CoV-2. Acta Otorhinolaryngol Ital https://doi.org/10.14639/0392-100X-N0738CrossRefPubMedPubMedCentral

Takahashi S, Toda M, Nishimoto M et al (2018) Pros and cons of using ORBEYE^TM for microneurosurgery. Clin Neurol Neurosurg 174:57–62. https://doi.org/10.1016/j.clineuro.2018.09.010

Crosetti E, Arrigoni G, Manca A et al (2020) 3D Exoscopic Surgery (3Des) for Transoral Oropharyngectomy. Front Oncol 10:1–8. https://doi.org/10.3389/fonc.2020.00016CrossRef

10.

De Virgilio A, Iocca O, Di Maio P 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. https://doi.org/10.1016/j.ijom.2020.01.022CrossRefPubMed

11.

Rubini A, Di Gioia S, Marchioni D (2019) 3D exoscopic surgery of lateral skull base. Eur Arch Oto-Rhino-Laryngology 277:687–694. https://doi.org/10.1007/s00405-019-05736-7CrossRef

12.

Thamboo A, Lea J, Sommer DD, et al (2020) Clinical evidence based review and recommendations of aerosol generating medical procedures in otolaryngology - head and neck surgery during the COVID-19 pandemic. J Otolaryngol - head neck Surg = Le J d’oto-rhino-laryngologie Chir cervico-faciale https://doi.org/10.1186/s40463-020-00425-6

13.

Carobbio ALC, Parrinello G, Canevari FRM, Peretti G (2019) Potential role of the 3D-HD exoscopic system in transoral surgical treatment of oro-hypopharyngeal tumors as a feasible alternative to TORS - 7th world congress of the International Academy of Oral Oncology, Rome (Italy) 31 Aug–3 Sep 2019

14.

Smith S, Kozin ED, Kanumuri VV et al (2019) Initial experience with 3-dimensional exoscope-assisted transmastoid and lateral skull base surgery. Otolaryngol Head Neck Surg (United States) 160:364–367. https://doi.org/10.1177/0194599818816965CrossRef

15.

Oertel JM, Burkhardt BW (2017) Vitom-3D for Exoscopic Neurosurgery: Initial Experience in Cranial and Spinal Procedures. World Neurosurg 105:153–162. https://doi.org/10.1016/j.wneu.2017.05.109CrossRefPubMed

Titel: 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)
verfasst von: Andrea Luigi Camillo Carobbio
Marta Filauro
Giampiero Parrinello
Francesco Missale
Giorgio Peretti
Publikationsdatum: 29.07.2020
Verlag: Springer Berlin Heidelberg
Schlagwort: COVID-19
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 6/2021
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-020-06239-6

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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)