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Novel three-dimensional image system for endoscopic ear surgery

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objective

The objective of this study was to evaluate the clinical outcomes of conventional two-dimensional (2D) endoscope with a novel computer-based three-dimensional (3D) imaging system for otologic surgical procedures.

Methods

A conventional 2D monocular endoscope with a novel computer-based 3D imaging system was applied to 18 otologic surgical procedures, including chronic otitis media (COM), cholesteatoma, otosclerosis, external canal osteoma and cochlear implant. Operation duration and complications of COM and attic cholesteatoma were recorded to compare 2D and 3D endoscopic ear surgery. Questionnaires were completed by 35 observers participating in the procedures and were used to evaluate clinical and potential side effects.

Results

The surgical procedures were performed smoothly for all patients. No patient required switching to conventional 2D endoscopic surgery. No significant differences were apparent in operation duration using the 3D imaging system for chronic otitis media and attic cholesteatoma compared with conventional 2D endoscopic ear surgery. Thirty-five observers completed the questionnaires. Most of them agreed that this 3D imaging system enabled them to perceive stereoscopic vision (94%), provide superior depth perception (85%). Furthermore, 97.1% reported no visual fatigue or discomfort when observing the 3D images.

Conclusion

Our study demonstrated that the computer-based 3D imaging system enables the application of 3D vision technology to otologic surgery. The system has no obvious side effects, such as visual fatigue or time delay. It not only facilitates performing the related surgical procedures but also helps in teaching and learning endoscopic ear surgeries.

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Funding

This work was supported, in part, by Chang Gung Memorial Hospital under Grant Nos. CMRPG3C1711-3, CMRPG3E0981 and by the National Science Council of the Republic of China (Taiwan) under Grant No. 102-2221-E-182A-004.

Author information

Authors and Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery and Communication Enhancement Center, Chang Gung Memorial Hospital and Chang Gung University, Tao-Yuan, Taiwan

    Chin-Kuo Chen

  2. Department of Otolaryngology, Head and Neck Surgery, Mackay Memorial Hospital, Taipei, Taiwan

    Li-Chun Hsieh

  3. Department of Audiology and Speech Language Pathology, Mackay Medical College, Taipei, Taiwan

    Li-Chun Hsieh

  4. Department of Medical Education, Chang Gung Memorial Hospital and Chang Gung University, Tao-Yuan, Taiwan

    Tsun-Hao Hsu

Authors
  1. Chin-Kuo Chen
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  2. Li-Chun Hsieh
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  3. Tsun-Hao Hsu
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Corresponding author

Correspondence to Li-Chun Hsieh.

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Conflict of interest

All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.

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Chen, CK., Hsieh, LC. & Hsu, TH. Novel three-dimensional image system for endoscopic ear surgery. Eur Arch Otorhinolaryngol 275, 2933–2939 (2018). https://doi.org/10.1007/s00405-018-5153-7

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  • DOI: https://doi.org/10.1007/s00405-018-5153-7

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