{"title":"How I do it: application of endoscopic underwater technique in exoscopic cochlear implantation.","authors":"Sida Huang, Bin Xiong, Yong Cui","doi":"10.1017/S0022215125103010","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To address the challenge of observing the round window niche during exoscopic cochlear implantation, an assisted endoscopic underwater drilling technique was developed.</p><p><strong>Methods: </strong>To improve visibility, we introduced an endoscopic underwater technique after posterior tympanotomy for enhanced visualization of round window area. The procedure transitions between the exoscope and endoscope, with saline irrigation clearing bone dust and blood.</p><p><strong>Results: </strong>Operation times were slight longer, but it offered enhanced safety and ergonomic advantages.</p><p><strong>Conclusion: </strong>This technique enhances clarity for safe manipulation of the round window area, improving cochlear implantation outcomes by optimizing surgical precision and reducing complications.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-3"},"PeriodicalIF":0.8000,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Laryngology and Otology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/S0022215125103010","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: To address the challenge of observing the round window niche during exoscopic cochlear implantation, an assisted endoscopic underwater drilling technique was developed.
Methods: To improve visibility, we introduced an endoscopic underwater technique after posterior tympanotomy for enhanced visualization of round window area. The procedure transitions between the exoscope and endoscope, with saline irrigation clearing bone dust and blood.
Results: Operation times were slight longer, but it offered enhanced safety and ergonomic advantages.
Conclusion: This technique enhances clarity for safe manipulation of the round window area, improving cochlear implantation outcomes by optimizing surgical precision and reducing complications.
期刊介绍:
The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.