3D 4K exoscope in snore surgery simulation: pre-clinical experience

Sleep Breath. 2023 Jun;27(3):1119-1124. doi: 10.1007/s11325-022-02684-1. Epub 2022 Jul 28.

Abstract

Purpose: The application of 3D exoscopic technology is spreading worldwide, in several surgical scenarios. In this study, we present the first-time use of the exoscopic system (VITOM® and Versacrane™) in a cadaver simulation of transoral Snore Surgery.

Methods: All participants (n = 14) were asked to perform 2 exercises that simulate tasks required in Snore Surgery, they were then administered a questionnaire assessing their evaluation of the applied exoscopic technology. Participants were divided into groups according to age and experience.

Results: Mean zooming and focusing time was higher in young surgeons than in seniors, and similar results were obtained for mean procedural times. The responses to the questionnaire showed that in the vast majority (86%), the exoscopic technology was well rated.

Conclusion: The exoscope can be considered a useful tool, thanks to its magnifying power and high-definition images, as well as for its indirect ability to enhance staff involvement in the procedure and for educational purposes.

Keywords: Exoscope; Obstructive sleep apnea; Pharyngoplasty; Snore surgery; Upper-airway surgery.