{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T16:00:55Z","timestamp":1770739255594,"version":"3.49.0"},"reference-count":5,"publisher":"S. Karger AG","issue":"5","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ORL"],"published-print":{"date-parts":[[2021]]},"abstract":"<b><i>Purpose:<\/i><\/b> The aim of the study was to investigate the role of the exoscope as an assisting tool in endoscopic dacryocystorhinostomy (e-DCR). <b><i>Materials and Methods:<\/i><\/b> In this observational retrospective study, the application of the VITOM<sup>\u00ae<\/sup> exoscope was studied in a group of 21 patients undergoing mono- or bilateral DCR. The primary endpoint was to evaluate resolution of symptoms (epiphora\/dacryocystitis) at the 6-month follow-up and time for surgery. Qualitative features of the exoscope (intraoperative view of the surgical field) and comparison with the typical setting for DCR were analyzed as secondary endpoints. A questionnaire was administered to surgical team members (ENT surgeon, ophthalmologist, and scrub nurse) to evaluate the perceived quality of this new technology (12 items valued as \u201cgood\u201d = 2, \u201cacceptable\u201d = 1, and \u201cnot acceptable\u201d = 0). A questionnaire score of 24 out of 24 was valued as \u201ccompletely approved,\u201d score 20\u201323 as \u201cmoderately approved,\u201d and score \u226419 as \u201cweakly approved.\u201d Patients were divided into 3 consecutive groups, and questionnaire scores by each team member were analyzed for tendencies. Statistical analysis was performed to test significance at <i>p<\/i> &#x3c; 0.05. Local Ethical Committee approval was obtained. <b><i>Results:<\/i><\/b> No significant differences were found between exoscope-set DCR and classic setting for concerned patient outcomes (failure rate: 3.2 vs. 3.8%, respectively, <i>p<\/i> = 0.896) and mean time for surgery (20\u2019 vs. 23\u2019, respectively, <i>p<\/i> = 0.091). The exoscope was valued by surgical team members as \u201ccompletely approved\u201d in 55.5% of cases, \u201cmoderately approved\u201d in 39.7%, and \u201cweakly approved\u201d in 4.8%. Questionnaire scores by the ENT, ophthalmologist, and scrub nurse showed an average increase in the 3 consecutive groups (<i>p<\/i> = 0.119, <i>p<\/i> = 0.024, and <i>p<\/i> &#x3c; 0.001, respectively). <b><i>Conclusions:<\/i><\/b> The exoscope is a new tool that may support e-DCR. It has no effects on symptom outcomes (epiphora\/dacryocystitis) and time for surgery compared to classic DCR. Based on self-perception, this new technology was accepted by all team members. <\/jats:p>","DOI":"10.1159\/000513529","type":"journal-article","created":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T21:06:26Z","timestamp":1617051986000},"page":"381-386","source":"Crossref","is-referenced-by-count":10,"title":["Applying the Exoscope to Lacrimal Surgery: Preliminary Experience"],"prefix":"10.1159","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8925-6341","authenticated-orcid":false,"given":"Francesca","family":"Pirola","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armando","family":"De Virgilio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"Di Maria","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Russo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Di Bari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Costantino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Ferreli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Mercante","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Colombo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Spriano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Malvezzi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2021,3,18]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200201000-00013"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sjopt.2010.10.012"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.3109\/01676830.2013.842253"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-009-1000-1"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2008.22.3149"}],"container-title":["ORL"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/513529","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/513529","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:15:19Z","timestamp":1745424919000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000513529"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":5,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,9,22]]},"published-print":{"date-parts":[[2021,9,28]]}},"URL":"https:\/\/doi.org\/10.1159\/000513529","archive":["Portico"],"relation":{},"ISSN":["0301-1569","1423-0275"],"issn-type":[{"value":"0301-1569","type":"print"},{"value":"1423-0275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021]]}}}