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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2023; 27(04): e620-e624
DOI: 10.1055/s-0042-1759604
Original Research

Evaluation of The Three-Dimensional Endoscopy in Basic and Extended Nasal Procedures: A Clinical and Cadaveric Study

Amr Kholief
1   Department of Otolaryngology-Head and Neck Surgery, Alexandria University Hospital, Alexandria, Egypt
2   Ear, Nose, and Throat Department, University Hospitals Birmingham NHS Foundation, Birmingham, United Kingdom
,
Ahmed Ali
1   Department of Otolaryngology-Head and Neck Surgery, Alexandria University Hospital, Alexandria, Egypt
,
Samy Elwany
1   Department of Otolaryngology-Head and Neck Surgery, Alexandria University Hospital, Alexandria, Egypt
,
Shahzada Ahmed
2   Ear, Nose, and Throat Department, University Hospitals Birmingham NHS Foundation, Birmingham, United Kingdom
,
Ahmed Youssef
1   Department of Otolaryngology-Head and Neck Surgery, Alexandria University Hospital, Alexandria, Egypt
2   Ear, Nose, and Throat Department, University Hospitals Birmingham NHS Foundation, Birmingham, United Kingdom
,
Mohamed Zahran 
1   Department of Otolaryngology-Head and Neck Surgery, Alexandria University Hospital, Alexandria, Egypt
› Author Affiliations Funding None.
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Abstract

Introduction The three-dimensional (3D) endoscope is considered a new surgical tool used in different approaches in intranasal and anterior skull base surgical procedures. There are many advantages of 3D over two-dimensional (2D) endoscopy that have been demonstrated in clinical applications, surgical training, and different experimental studies.

Objective To show the difference between using the 3D and 2D endoscopes during endonasal and anterior skull base surgery and its importance.

Methods Our study is divided into two phases (clinical and cadaveric phases). In the clinical study we, have performed 52 endonasal and anterior skull base surgical procedures (26 study cases and 26 control cases). We recorded accuracy, duration, and intraoperative complication for each case. The cadaveric study was performed on three cadavers. Differences in accuracy and dissection time were recorded using 3D and 2D endoscopy for each side chosen by randomization.

Results In the clinical study, the cases done by 3D endoscope were significantly faster and more accurate with less intraoperative complications compared with cases done using 2D endoscope. In cadaveric dissection, while using 3D endoscope, there was better depth of perception regarding the anatomical landmarks compared with 2D endoscope.

Conclusion Three-dimensional endoscopy is an advanced instrument that allows better training for the coming generation of ear, nose, and throat surgeons. Both clinical and cadaveric studies offer a promising outcome in both endonasal and anterior skull base surgery.

Keywords

three-dimensional endoscopy - skull base surgery - endoscopic sinus surgery


Publication History

Received: 10 September 2022

Accepted: 11 October 2022

Article published online:
14 September 2023

© 2023. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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