Evidence map›Paper›PMID 32447494›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2020

Surgical implications of 3D vs 2D endoscopic ear surgery: a case-control study.

Giulia Molinari, Talisa Ragonesi, Sara-Lynn Hool, Georgios Mantokoudis, Livio Presutti, Marco Caversaccio, Lukas Anschuetz

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Endoscopic transcanal management of tympanosclerosis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Article
  4. Review
  5. Use of IMAGE1 S technology for detection of cholesteatoma in endoscopic ear surgery: a retrospective case series on 45 patients.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Giulia MolinariDepartment of Otolaryngology Head and Neck Surgery, Inselspital, University Hospital and University of Bern, Freiburgstrasse 15, 3010, Bern, Switzerland. dr.giuliamolinari@gmail.com.ORCID http://orcid.org/0000-0002-3402-4364
Talisa RagonesiDepartment of Otolaryngology Head and Neck Surgery, Inselspital, University Hospital and University of Bern, Freiburgstrasse 15, 3010, Bern, Switzerland.
Sara-Lynn HoolDepartment of Otolaryngology Head and Neck Surgery, Inselspital, University Hospital and University of Bern, Freiburgstrasse 15, 3010, Bern, Switzerland.
Georgios MantokoudisDepartment of Otolaryngology Head and Neck Surgery, Inselspital, University Hospital and University of Bern, Freiburgstrasse 15, 3010, Bern, Switzerland.
Livio PresuttiDepartment of Otolaryngology Head and Neck Surgery, University Hospital of Modena, Modena, Italy.
Marco CaversaccioDepartment of Otolaryngology Head and Neck Surgery, Inselspital, University Hospital and University of Bern, Freiburgstrasse 15, 3010, Bern, Switzerland.
Lukas AnschuetzDepartment of Otolaryngology Head and Neck Surgery, Inselspital, University Hospital and University of Bern, Freiburgstrasse 15, 3010, Bern, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare 3D to 2D technology in endoscopic ear surgery (EES); to report surgeons' feedback on the use of 3D in EES; to describe the operative setting for 3D EES.

methodsA case-control study on EES was performed at a tertiary university center. All consecutive cases of 3D EES (case group) were matched to a control group operated with the standard 2D technique. Data on surgical approach, type of surgery, operative time, outcomes, and complications were compared between the two groups. After each surgery, the operating surgeons were asked to give a feedback on the use of 3D endoscopy, filling in a questionnaire based on 5-point Likert scales.

resultsNone of the 3D procedures was switched to 2D. Nor intraoperative or long-term complications were recorded. The operative time was similar in both groups. Postoperative hearing function did not show any statistically significant difference between 3 and 2D patients. Ninety-six percent of participants agreed or strongly agreed on better views of anatomy and pathology with the 3D technique. Discomfort induced by 3D vision was rarely reported.

conclusionSurgical and functional results from EES respectively performed with 3D and 2D systems are overall similar, suggesting that both techniques are safe and effective. According to the surgeons' feedback, 3D provides better depth perception and improved view of anatomy and pathology. Several surgeons are willing to use the 3D system for future EES. To guarantee the best 3D EES experience, the setting in the operating room plays a crucial role.

Indexed as

AdolescentAdultAgedCase-Control StudiesDepth PerceptionEndoscopyFemaleHumansImaging, Three-DimensionalIntraoperative ComplicationsMaleMiddle AgedOperative TimeOtologic Surgical ProceduresPostoperative ComplicationsPostoperative Period3D endoscopyEndoscopic ear surgeryOperative settingStereoscopic viewVisual discomfort

Identifiers

PMID32447494

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.