Article ; Online: Comparison between the high-definition 3D exoscope and the operating microscope in head and neck reconstruction.
International journal of oral and maxillofacial surgery
2023 Volume 53, Issue 6, Page(s) 475–481
Abstract: The purpose of this study was to compare the three-dimensional (3D) operating exoscope (OE) with the conventional operating microscope (OM) in head and neck reconstruction. A retrospective cohort study was performed including 50 consecutive patients with ...
| Abstract | The purpose of this study was to compare the three-dimensional (3D) operating exoscope (OE) with the conventional operating microscope (OM) in head and neck reconstruction. A retrospective cohort study was performed including 50 consecutive patients with no history of previous surgery or irradiation (32 male, 18 female; mean age 59.2 ± 13.3 years), who underwent free flap head and neck reconstruction using a 3D OE (n = 25; OE group) or conventional OM (n = 25; OM group). The mean total operative time was 8.0 ± 1.53 h in the OE group and 7.6 ± 1.52 h in the OM group (P = 0.86). The median (interquartile range) anastomosis time was 78.0 (63.0-91.5) minutes in the OE group and 90.0 (75.5-115.0) minutes in the OM group (P = 0.06). The final free flap survival rate was 100%. Only seven patients experienced a free flap reconstruction-related complication, and they were similarly distributed between the two groups (four in the OE group, three in the OM group; P = 0.68). Secondary outcomes (length of hospital stay, tracheostomy dependence, feeding tube dependence) were comparable in the two groups (P > 0.05). The 3D OE is a viable alternative to the conventional OM for performing standard head and neck free flap reconstructive procedures. |
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| MeSH term(s) | Humans ; Male ; Middle Aged ; Female ; Retrospective Studies ; Free Tissue Flaps ; Plastic Surgery Procedures/methods ; Plastic Surgery Procedures/instrumentation ; Head and Neck Neoplasms/surgery ; Microscopy/instrumentation ; Operative Time ; Imaging, Three-Dimensional/methods ; Treatment Outcome ; Length of Stay ; Postoperative Complications ; Microsurgery/instrumentation ; Microsurgery/methods ; Aged | ||||||||||
| Language | English | ||||||||||
| Publishing date | 2023-12-04 | ||||||||||
| Publishing country | Denmark | ||||||||||
| Document type | Journal Article ; Comparative Study | ||||||||||
| ZDB-ID | 353721-3 | ||||||||||
| ISSN | 1399-0020 ; 0901-5027 | ||||||||||
| ISSN (online) | 1399-0020 | ||||||||||
| ISSN | 0901-5027 | ||||||||||
| DOI | 10.1016/j.ijom.2023.11.004 | ||||||||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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