{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T03:18:54Z","timestamp":1773112734675,"version":"3.50.1"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004769","name":"Universit\u00e0 degli Studi di Pavia","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004769","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>The Karl Storz Company recently introduced a new exoscopic system equipped with new features and improvements compared to older counterparts. The endpoints of this study are to evaluate the new VITOM<jats:sup>\u00ae<\/jats:sup> Eagle system and compare it to the older VITOM<jats:sup>\u00ae<\/jats:sup> 3D for micro-laryngeal surgery, to analyze the new features of the latest Karl Storz\u2019s product and determine whether these upgrades provide a significant advantage to surgery of the laryngeal district.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Participants simulated CO<jats:sub>2<\/jats:sub> Transoral Laser Microsurgery (CO<jats:sub>2<\/jats:sub> TOLMS) procedures on 3D-printed laryngeal models firstly with both the VITOM<jats:sup>\u00ae<\/jats:sup> 3D and VITOM<jats:sup>\u00ae<\/jats:sup> Eagle. At the end of both sessions 2 questionnaires were administered: the first generic 3-item questionnaire comparing evaluating exoscopic and microscopic technology, the second questionnaire involved 8 items related to device quality.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Overall the new VITOM<jats:sup>\u00ae<\/jats:sup> Eagle resulted superior to the older VITOM<jats:sup>\u00ae<\/jats:sup> 3D, there were statistically significant differences in scores evaluating the image quality (<jats:italic>p<\/jats:italic>\u2009=\u20090.002), magnification rate (<jats:italic>p<\/jats:italic>\u2009=\u20090.002), and luminance (<jats:italic>p<\/jats:italic>\u2009=\u20090.047). In addition, according to questionnaires results, senior Otolaryngologists appeared to be slightly less inclined to a complete transition to exoscopy when compared to young surgeons.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>The results of this study demonstrate how the new VITOM<jats:sup>\u00ae<\/jats:sup> Eagle significantly outperforms the older VITOM<jats:sup>\u00ae<\/jats:sup> 3D. The upgrades discussed, have the potential of leading to better surgical outcomes by providing surgeons with better tools to navigate complex anatomical districts. Furthermore, results from this study highlighted how exoscopy is affecting the surgical training of young surgeons.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00405-025-09293-0","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T14:55:42Z","timestamp":1741964142000},"page":"4211-4215","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["First experience with VITOM eagle in micro-laryngeal surgery on 3D-printed laryngeal models: important improvements in exoscopic technology"],"prefix":"10.1007","volume":"282","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4977-371X","authenticated-orcid":false,"given":"E.","family":"Errico","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Mauramati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Bertino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Robiolio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0092-599X","authenticated-orcid":false,"given":"M. V.","family":"Veneroni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Benazzo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Gelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,3,14]]},"reference":[{"issue":"9","key":"9293_CR1","doi-asserted-by":"publisher","first-page":"1865","DOI":"10.1007\/s10103-020-03221-w","volume":"36","author":"ALC Carobbio","year":"2021","unstructured":"Carobbio ALC, Missale F, Fragale M et al (2021) Transoral laser microsurgery: feasibility of a new exoscopic HD-3D system coupled with free beam or fiber laser. Lasers Med Sci 36(9):1865\u20131872. https:\/\/doi.org\/10.1007\/s10103-020-03221-w","journal-title":"Lasers Med Sci"},{"issue":"1","key":"9293_CR2","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1002\/lary.28675","volume":"131","author":"A De Virgilio","year":"2021","unstructured":"De Virgilio A, Costantino A, Mondello T et al (2021) Pre-Clinical experience with the VITOM 3D and the ARTip cruise system for Micro\u2010Laryngeal surgery. Laryngoscope 131(1):136\u2013138. https:\/\/doi.org\/10.1002\/lary.28675","journal-title":"Laryngoscope"},{"issue":"1","key":"9293_CR3","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1016\/j.jvoice.2021.07.008","volume":"38","author":"G Cantarella","year":"2024","unstructured":"Cantarella G, Pignataro LA, High-Definition (2024) 3-Dimensional exoscope with the ARTip cruise system as an effective new tool for phonosurgery: A preliminary report. 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Laryngoscope Published Online September 12. https:\/\/doi.org\/10.1002\/lary.31767","DOI":"10.1002\/lary.31767"},{"issue":"1","key":"9293_CR6","doi-asserted-by":"publisher","first-page":"S3","DOI":"10.14639\/0392-100X-suppl.1-44-2024-N2850","volume":"44","author":"C Piazza","year":"2024","unstructured":"Piazza C, Gennarini F, Montenegro C et al (2024) Transoral laser exoscopic surgery of the larynx: state of the Art and comparison with traditional transoral laser microsurgery. Acta Otorhinolaryngol Ital 44(1):S3\u2013S11. https:\/\/doi.org\/10.14639\/0392-100X-suppl.1-44-2024-N2850","journal-title":"Acta Otorhinolaryngol Ital"},{"issue":"11","key":"9293_CR7","doi-asserted-by":"publisher","first-page":"1261","DOI":"10.1177\/00034894211063741","volume":"131","author":"A De Virgilio","year":"2022","unstructured":"De Virgilio A, Costantino A, Mercante G et al (2022) High-Definition 3-D exoscope for Micro-Laryngeal surgery: A preliminary clinical experience in 41 patients. Annals Otology Rhinology Laryngology 131(11):1261\u20131266. https:\/\/doi.org\/10.1177\/00034894211063741","journal-title":"Annals Otology Rhinology Laryngology"},{"issue":"9","key":"9293_CR8","doi-asserted-by":"publisher","first-page":"2589","DOI":"10.1007\/s00405-020-06014-7","volume":"277","author":"A De Virgilio","year":"2020","unstructured":"De Virgilio A, Costantino A, Ebm C et al (2020) High definition three-dimensional exoscope (VITOM 3D) for microsurgery training: a preliminary experience. Eur Arch Otorhinolaryngol 277(9):2589\u20132595. https:\/\/doi.org\/10.1007\/s00405-020-06014-7","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"10","key":"9293_CR9","doi-asserted-by":"publisher","first-page":"3723","DOI":"10.1007\/s00405-017-4708-3","volume":"274","author":"M Remacle","year":"2017","unstructured":"Remacle M, Arens C, Eldin MB et al (2017) Laser-assisted surgery of the upper aero-digestive tract: a clarification of nomenclature. A consensus statement of the European laryngological society. Eur Arch Otorhinolaryngol 274(10):3723\u20133727. https:\/\/doi.org\/10.1007\/s00405-017-4708-3","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"6","key":"9293_CR10","doi-asserted-by":"publisher","first-page":"1730","DOI":"10.21037\/jtd.2017.05.75","volume":"9","author":"SS Mayya","year":"2017","unstructured":"Mayya SS, Monteiro AD, Ganapathy S (2017) Types of biological variables. J Thorac Dis 9(6):1730\u20131733. https:\/\/doi.org\/10.21037\/jtd.2017.05.75","journal-title":"J Thorac Dis"},{"key":"9293_CR11","unstructured":"Karl Storz SE (2023) & Co. KG (Tuttlingen G. 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