Evidence map›Paper›PMID 35806924›Full record

ReviewJournal of clinical medicine2022

High Definition Three-Dimensional Exoscope (VITOM 3D) in E.N.T. Surgery: A Systematic Review of Current Experience.

Salvatore Ferlito, Ignazio La Mantia, Sebastiano Caruso, Giovanni Cammaroto, Carlos Miguel Chiesa-Estomba, Giannicola Iannella, Francesco Nocera, Angelo Ingrassia, Salvatore Cocuzza, Claudio Vicini and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
8.5field-weighted citation impact, top 2% of its field
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

30 citing papers in PubMed, 40 citations in OpenAlex.

  1. Prospective evaluation of the VITOM 3D exoscope in ear surgery compared with surgical microscopes: part II-optical performance, handling, workload and ergonomics.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 · 2026
    Trial
  2. Review
  3. Article
  4. Article
  5. Technological refinements in transoral laser exoscopic surgery: the VITOM EAGLE.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Article
  6. Review
  7. Article
  8. Does the visual system affect the learning curve of the Otosurgeon? A cadaveric study comparing microscopy vs exoscopy.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 · 2025
    Article
  9. The SAPIENS 3D-printed temporal bone model: a real tool for advanced otologic surgery education.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 · 2025
    Article
  10. Prospective study of the application of a 3D exoscope system (VITOM 3D) in ear surgery compared to conventional surgical microscopes: part I - analysis of objective parameters.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 · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Maximising efficiency with exoscopic surgery: a versatile approach for transoral laryngeal and oropharyngeal procedures.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2024
    Article
  15. A new 3D-printed temporal bone: 'the SAPIENS'-specific anatomical printed-3D-model in education and new surgical simulations.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 · 2024
    Article
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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

13 authors at 6 institutions in 4 countries.

Salvatore FerlitoDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" E.N.T. Section, University of Catania, 95123 Catania, Italy.ORCID 0000-0001-7136-9698
Ignazio La MantiaDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" E.N.T. Section, University of Catania, 95123 Catania, Italy.
Sebastiano CarusoDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" E.N.T. Section, University of Catania, 95123 Catania, Italy.
Giovanni CammarotoDepartment of Otolaryngology-Head and Neck Surgery, Morgagni Pierantoni Hospital, 47121 Forli, Italy.ORCID 0000-0002-1618-0048
Carlos Miguel Chiesa-EstombaDepartment of Otorhinolaryngology-Head and Neck Surgery, Hospital Universitario Donostia, 20014 San Sebastian, Spain.ORCID 0000-0001-9454-9464
Giannicola IannellaOtorhinolaryngology Department, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico, 00185 Rome, Italy.ORCID 0000-0003-1781-2809
Francesco NoceraDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" E.N.T. Section, University of Catania, 95123 Catania, Italy.
Angelo IngrassiaDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" E.N.T. Section, University of Catania, 95123 Catania, Italy.
Salvatore CocuzzaDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" E.N.T. Section, University of Catania, 95123 Catania, Italy.ORCID 0000-0002-6135-0958
Claudio ViciniDepartment of Otolaryngology-Head and Neck Surgery, Morgagni Pierantoni Hospital, 47121 Forli, Italy.
Stephane HansDepartment of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, School of Medicine, U.F.R. Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), 92150 Paris, France.
Jerome Rene LechienDepartment of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, School of Medicine, U.F.R. Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), 92150 Paris, France.ORCID 0000-0002-0845-0845
Antonino ManiaciDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" E.N.T. Section, University of Catania, 95123 Catania, Italy.ORCID 0000-0002-1251-0185
University of Catania · ITOspedale G.B. Morgagni - L.Pierantoni · ITBiogipuzkoa Health Research Institute · ESPoliclinico Umberto I · ITUniversité de Versailles Saint-Quentin-en-Yvelines · FRUniversity of Mons · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the last decade, technological growth has developed new devices for more precise surgery based on improved maneuverability, minimally invasive approaches, and magnification of the operating field. In this context, the exoscope has opened a new phase for more accurate and safer microsurgery, improving the perception of the volume of objects and the depth of structures for planning, targeting, and controlling fine movements. The exoscope could be used for middle ear, transcanal, transmastoid, and craniotomy procedures that require two-handed dissection, both to perform both totally VITOM-based techniques and coupled to traditional procedures with an operating microscope or endoscope. In addition, the VITOM 3D system allows the surgeon to work with high-definition images, which is essential in facial nerve surgery or submandibular salivary stone or tear surgery approaches, where magnification plays a fundamental role in surgical success and in reducing operating times. The 3D exoscope approach could also be included in traditional transoral procedures for oropharyngeal carcinoma. The exoscope may provide a relevant approach in teaching surgeons and nurses, allowing adequate training in non-oncological surgical procedures such as a tonsillectomy or lateral pharyngoplasty.

Indexed as

3DE.N.T. micro-surgeryexoscopehead and neck oncologymicroscope

Identifiers

PMID35806924
PMCPMC9267132
OpenAlexW4283373906

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.