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Abstract

Medicine

An Integrated (Microscopic/Endoscopic) Dissection Ear Surgery Course

Published: December 4th, 2021

DOI:

10.3791/62653

1Department of Otolaryngology Head and Neck Surgery, University Hospital of Modena, 2Department of Otolaryngology Head and Neck Surgery, IRCCS Azienda Ospedaliero Universitaria di Bologna, 3Department of Specialist, Diagnostic and Experimental Medicine, Alma Mater Studiorum University

Abstract

Traditionally, otologic surgical training consisted of microscopic cadaveric dissections. However, during the last decades the endoscope has significantly changed the surgical perspective in the otologic field. Thus, the modern ear and lateral skull base surgeon should master the entire spectrum of endoscopic and microscopic approaches, with the aim of tailoring the procedure and guaranteeing the best possible functional outcome. This work proposes a step-by-step guided and illustrated dissection course, including indications for the setup of the cadaver lab and the integration of the microscope and endoscope to enhance the use of both instruments. The alternation of the endoscope and microscope allows the novice to train the correct handling of the instruments in the surgical field under both optical views. This aspect is of utmost importance since it is not advisable to start off a technique without practicing the other one, as both are important and complementary in the modern otologic surgery setting.

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