Otolaryngology Online Journal

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Short Communication - Otolaryngology Online Journal (2023) Volume 13, Issue 4

Heads-up A medical procedure Endoscopes and Exoscopes for Otology and Neurotology in the Period of the Coronavirus Pandemic

Daniel Lee *

Department of Otolaryngology, Harvard Medical University, Boston, USA

*Corresponding Author:
Daniel Lee
Department of Otolaryngology
Harvard Medical University, Boston, USA
E-mail: danielee@harvard.in

Received: 04-June-2023, Manuscript No. jorl-23-108585; Editor assigned: 06-June-2023, PreQC No. jorl-23-108585(PQ); Reviewed: 22-June-2023, QC No. jorl-23-108585; Revised: 26-Mar-2023, Manuscript No. jorl-23-108585(R); Published: 04-July-2023, DOI: 10.35841/2250-0359.13.4.331

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Another period of careful representation and amplification is ready to upset the area of otology and neurotology. The once progressive advantages of the binocular magnifying lens currently are imparted to unbending endoscopes and exoscopes. These 2 modalities are correlative. The endoscope further develops perception of the secret breaks through the outer hear-able channel or waterway up mastoidectomies. The exoscope gives a vivid visual encounter and prevalent ergonomics contrasted and binocular microscopy. Endoscopes and exoscopes are ready to upset the norm of care for careful perception and amplification in otology and neurotology [1].

The area of otology and neurotology requires analyzation at high amplification to guarantee effective administration of center ear and mastoid sickness and conservation of anatomic designs. The ideal technique for representation ought to give an unhindered wide field of view and fantastic ergonomics. Albeit the binocular magnifying lens stays the foundation of careful light and amplification, progresses in video innovation have empowered the utilization of heads-up strategies presented by endoscopes and exoscopes. The endoscope is ideal while using little careful hallways to get to the secret openings of the center ear. The computerized extracorporeal scope, or exoscope, is corresponding to the endoscope and was intended to supplant the working magnifying instrument. The exoscopes can be utilized for transcanal, transmastoid, and craniotomy systems requiring two gave analyzation. When contrasted and the magnifying lens, these two heads-up modalities give a vivid careful view, more noteworthy profundity of field, further developed ergonomics, and improved similarity with individual defensive gear (PPE) [2].

The customary binocular magnifying instrument enormously progressed the area of otology and neurotology by giving a steady, enlightened, amplified, and 3-layered (three dimensional) perspective on ear and skull base life systems. The capacity to perform two gave analyzation under high amplification worked with more exact control of fragile ear structures, prompting the refinement of strategies, like the tympanoplasty and Stapedectomy [3].

The optical framework likewise is a long way from the careful field, and amplification and enlightenment are expected to expand picture quality. Field of view and profundity of field, in any case, decline as amplification increments, and anatomic limits can deter light transmission. Thus, the magnifying instrument has a shallow profundity of field and thin field of view, requiring delicate tissue and hard analyzation to defeat these impediments. These requirements require continuous changes intraoperatively. A recent report found that neurosurgeons utilized the magnifying instrument handgrip controls to change central length, zoom, or position a normal of once at regular intervals, which represented 8% of the all-out case time. Surprisingly, specialists changed a few ways of behaving to forestall loss of arrangement and further requirement for minute correction, for example, abstaining from turning away from the oculars during handoffs, keeping up with unergonomic body stances, and, surprisingly, working utilizing a nonfocused view or at the edge of the field of view [4].

The endoscope has turned into a fundamental device in numerous otolaryngologic disciplines, including rhinology. In otology and neurotology, endoscopes have progressed from an observational instrument (otoendoscopy) to an employable one (endoscopic ear medical procedure [EES]) at a developing number of focuses. Despite the fact that there has been a fast expansion in the reception of EES inside the past decade, 3 the endoscope keeps on creating banter among specialists as an essential methodology for performing center ear medical procedure. A large number of the contentions raised against EES match those made by rhinologists when the Hopkins pole telescope was presented for sinus medical procedure.

The binocular magnifying lens altered present day medical procedure changed the area of otology and neurotology. Notwithstanding its authentic significance, the customary working magnifying lens has a few huge disadvantages contrasted and the cutting edge endoscope and exoscope. Minute medical procedure is performed utilizing a heads-down pose that has been related with outer muscle torment and inability, and the tiny view is restricted by the size and state of little careful passages [5].


The endoscope and exoscope are ergonomically better than the working magnifying lens, beating a significant number of its limits and yielding equivalent or further developed results. The endoscope further develops access through little careful halls, while the exoscope is the most ideal for huge careful hallways, making them corresponding modalities. Amidst the ongoing Coronavirus pandemic, heads-up a medical procedure is ideal because of similarity with mask PPE. The endoscope gives extra security by restoring the outside hear-able trench as a negligible access careful hallway, subsequently keeping away from spray creating mastoidectomies. These benefits make the endoscope and exoscope significant devices for the advanced time of otology and neurotology.


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