{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T07:37:48Z","timestamp":1777621068729,"version":"3.51.4"},"reference-count":32,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Newer optical systems such as 3D exoscopes are now being utilized for magnification and visualization in surgical fields like neurosurgery and otolaryngology. We seek to compare operative times and clinical outcomes between the operating exoscope (OE) and traditional operating microscopes (OM) for microlaryngeal surgery (MLS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective, single\u2010center review of patients who underwent MLS from 2019 to 2024 using the OE or OM, comparing operative times and voice outcome measures including patient subjective vocal quality, OMNI vocal effort, and GRBAS scales.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eighty\u2010four (45 OE and 39 OM) patients underwent MLS for primarily phonotraumatic vocal fold lesions. There were no statistically significant differences in operative time (in minutes) between OE versus OM cohorts: setup time (22 vs. 21,\n                      <jats:italic>p<\/jats:italic>\n                      value\u2009=\u20090.54), procedure length (46 vs. 49,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.45), and total patient time in OR (83 vs. 86,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.57). There were no significant differences in pre\u2010operative voice assessments between the OE and OM cohorts. There were also no significant differences in post\u2010operative (4\u20136\u2009weeks) subjective vocal quality (7.8 vs. 7.5,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.57), OMNI vocal effort (3.1 vs. 3.9,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.28), or GRBAS scale (G: 0.80 vs. 0.85,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.74; R: 0.82 vs. 0.72,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.46; B: 0.26 vs. 0.41,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.24; A: 0.18 vs. 0.10,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.36; S: 0.56 vs. 0.51,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.75). There were no serious intraoperative or postoperative complications in either cohort.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This is the first study directly comparing the OE to the OM in MLS. Our findings demonstrate non\u2010inferiority of the OE compared to the OM for operative times and voice outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.32374","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T07:59:25Z","timestamp":1751356765000},"page":"4272-4278","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Exoscope and Microscope Show Equivalence in Operative Times and Outcomes for Microlaryngeal Surgery"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8665-2725","authenticated-orcid":false,"given":"Zain","family":"Mehdi","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Houston Methodist Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Kibel","sequence":"additional","affiliation":[{"name":"Texas A&amp;M University School of Medicine, Texas A&amp;M University Health Science Center  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nishat","family":"Momin","sequence":"additional","affiliation":[{"name":"University of Texas Medical Branch  Galveston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6172-7898","authenticated-orcid":false,"given":"Heli","family":"Majeethia","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Houston Methodist Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5040-4308","authenticated-orcid":false,"given":"Yin","family":"Yiu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Houston Methodist Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,1]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2017.02.010"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30929"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24740"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23189"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23197"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2004\/042)"},{"issue":"3","key":"e_1_2_7_8_1","first-page":"423","article-title":"Voice\u2010Related Quality of Life in Patients With Benign Vocal Fold Lesions","volume":"37","author":"Leeper W. 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