{"id":"https://openalex.org/W3205535918","doi":"https://doi.org/10.1111/coa.13881","title":"The utility of the exoscope compared to the operating microscope in simulated temporal bone surgery","display_name":"The utility of the exoscope compared to the operating microscope in simulated temporal bone surgery","publication_year":2021,"publication_date":"2021-10-23","ids":{"openalex":"https://openalex.org/W3205535918","doi":"https://doi.org/10.1111/coa.13881","mag":"3205535918","pmid":"https://pubmed.ncbi.nlm.nih.gov/34687146"},"language":"en","primary_location":{"id":"doi:10.1111/coa.13881","doi":"https://doi.org/10.1111/coa.13881","is_oa":false,"landing_page_url":"https://doi.org/10.1111/coa.13881","pdf_url":null,"source":{"id":"https://openalex.org/S12511572","display_name":"Clinical Otolaryngology","issn_l":"0307-7772","issn":["0307-7772","1365-2273","1749-4478","1749-4486"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Otolaryngology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://research.manchester.ac.uk/en/publications/c34ab21e-8947-4e3d-8be4-533e41d38914","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5003610225","display_name":"Simon Lloyd","orcid":"https://orcid.org/0000-0003-3433-0879","observed_orcids":["https://orcid.org/0000-0003-3433-0879"]},"institutions":[{"id":"https://openalex.org/I2799725268","display_name":"Manchester Academic Health Science Centre","ror":"https://ror.org/04rrkhs81","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2799725268"]},{"id":"https://openalex.org/I2801926401","display_name":"Manchester Royal Infirmary","ror":"https://ror.org/03kr30n36","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801926401","https://openalex.org/I4210092852"]},{"id":"https://openalex.org/I28407311","display_name":"University of Manchester","ror":"https://ror.org/027m9bs27","country_code":"GB","type":"education","lineage":["https://openalex.org/I28407311"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Simon K. W. Lloyd","raw_affiliation_strings":["Department of Otolaryngology Head and Neck Surgery Manchester Royal Infirmary Manchester University Hospitals NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK","Division of Cancer Sciences School of Medical Sciences University of Manchester Manchester UK"],"raw_orcid":"https://orcid.org/0000-0003-3433-0879","affiliations":[{"raw_affiliation_string":"Department of Otolaryngology Head and Neck Surgery Manchester Royal Infirmary Manchester University Hospitals NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK","institution_ids":["https://openalex.org/I2799725268","https://openalex.org/I2801926401"]},{"raw_affiliation_string":"Division of Cancer Sciences School of Medical Sciences University of Manchester Manchester UK","institution_ids":["https://openalex.org/I28407311"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071060882","display_name":"Emma J. Stapleton","orcid":"https://orcid.org/0000-0002-7763-9705","observed_orcids":["https://orcid.org/0000-0002-7763-9705"]},"institutions":[{"id":"https://openalex.org/I2799725268","display_name":"Manchester Academic Health Science Centre","ror":"https://ror.org/04rrkhs81","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2799725268"]},{"id":"https://openalex.org/I2801926401","display_name":"Manchester Royal Infirmary","ror":"https://ror.org/03kr30n36","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801926401","https://openalex.org/I4210092852"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Emma J. Stapleton","raw_affiliation_strings":["Department of Otolaryngology Head and Neck Surgery Manchester Royal Infirmary Manchester University Hospitals NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology Head and Neck Surgery Manchester Royal Infirmary Manchester University Hospitals NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK","institution_ids":["https://openalex.org/I2799725268","https://openalex.org/I2801926401"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014224596","display_name":"Kevin M.J. Green","orcid":"https://orcid.org/0000-0003-3922-4426","observed_orcids":["https://orcid.org/0000-0003-3922-4426"]},"institutions":[{"id":"https://openalex.org/I2799725268","display_name":"Manchester Academic Health Science Centre","ror":"https://ror.org/04rrkhs81","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2799725268"]},{"id":"https://openalex.org/I2801926401","display_name":"Manchester Royal Infirmary","ror":"https://ror.org/03kr30n36","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801926401","https://openalex.org/I4210092852"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Kevin Green","raw_affiliation_strings":["Department of Otolaryngology Head and Neck Surgery Manchester Royal Infirmary Manchester University Hospitals NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology Head and Neck Surgery Manchester Royal Infirmary Manchester University Hospitals NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK","institution_ids":["https://openalex.org/I2799725268","https://openalex.org/I2801926401"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010333810","display_name":"Jaya Nichani","orcid":"https://orcid.org/0000-0001-8530-9645","observed_orcids":["https://orcid.org/0000-0001-8530-9645"]},"institutions":[{"id":"https://openalex.org/I2799725268","display_name":"Manchester Academic Health Science Centre","ror":"https://ror.org/04rrkhs81","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2799725268"]},{"id":"https://openalex.org/I4210160221","display_name":"Royal Manchester Children's Hospital","ror":"https://ror.org/052vjje65","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210092852","https://openalex.org/I4210160221"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Jaya Nichani","raw_affiliation_strings":["Department of Paediatric Otolaryngology Royal Manchester Children's Hospital Manchester University Hospitals NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Paediatric Otolaryngology Royal Manchester Children's Hospital Manchester University Hospitals NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK","institution_ids":["https://openalex.org/I2799725268","https://openalex.org/I4210160221"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088034681","display_name":"Pournima Wagh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799725268","display_name":"Manchester Academic Health Science Centre","ror":"https://ror.org/04rrkhs81","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2799725268"]},{"id":"https://openalex.org/I2801926401","display_name":"Manchester Royal Infirmary","ror":"https://ror.org/03kr30n36","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801926401","https://openalex.org/I4210092852"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Pournima Wagh","raw_affiliation_strings":["Department of Otolaryngology Head and Neck Surgery Manchester Royal Infirmary Manchester University Hospitals NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology Head and Neck Surgery Manchester Royal Infirmary Manchester University Hospitals NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK","institution_ids":["https://openalex.org/I2799725268","https://openalex.org/I2801926401"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5016226429","display_name":"Simon Richard Mackenzie Freeman","orcid":"https://orcid.org/0000-0002-6430-2206","observed_orcids":["https://orcid.org/0000-0002-6430-2206"]},"institutions":[{"id":"https://openalex.org/I2799725268","display_name":"Manchester Academic Health Science Centre","ror":"https://ror.org/04rrkhs81","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2799725268"]},{"id":"https://openalex.org/I2801926401","display_name":"Manchester Royal Infirmary","ror":"https://ror.org/03kr30n36","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801926401","https://openalex.org/I4210092852"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Simon R. Freeman","raw_affiliation_strings":["Department of Otolaryngology Head and Neck Surgery Manchester Royal Infirmary Manchester University Hospitals NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology Head and Neck Surgery Manchester Royal Infirmary Manchester University Hospitals NHS Foundation Trust Manchester Academic Health Science Centre Manchester UK","institution_ids":["https://openalex.org/I2799725268","https://openalex.org/I2801926401"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4200,"currency":"USD","value_usd":4200},"apc_paid":null,"fwci":1.3905,"has_fulltext":false,"cited_by_count":11,"citation_normalized_percentile":{"value":0.80619323,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"47","issue":"1","first_page":"100","last_page":"106"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.5199999809265137,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.5199999809265137,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10861","display_name":"Ear Surgery and Otitis Media","score":0.4108999967575073,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11984","display_name":"Anatomy and Medical Technology","score":0.02290000021457672,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/exoscope","display_name":"exoscope","score":0.9739999771118164},{"id":"https://openalex.org/keywords/operating-microscope","display_name":"operating microscope","score":0.9660000205039978},{"id":"https://openalex.org/keywords/temporal-bone-surgery","display_name":"temporal bone surgery","score":0.9409999847412109},{"id":"https://openalex.org/keywords/surgical-simulation","display_name":"surgical simulation","score":0.6029999852180481},{"id":"https://openalex.org/keywords/3d-visualization","display_name":"3D visualization","score":0.640999972820282},{"id":"https://openalex.org/keywords/personal-protective-equipment","display_name":"personal protective equipment","score":0.8939999938011169},{"id":"https://openalex.org/keywords/depth-perception","display_name":"depth perception","score":0.746999979019165},{"id":"https://openalex.org/keywords/image-quality","display_name":"image quality","score":0.7710000276565552},{"id":"https://openalex.org/keywords/surgical-ergonomics","display_name":"surgical ergonomics","score":0.8130000233650208},{"id":"https://openalex.org/keywords/surgeon-comfort","display_name":"surgeon comfort","score":0.6840000152587891},{"id":"https://openalex.org/keywords/learning-curve","display_name":"learning curve","score":0.531000018119812}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8376238346099854},{"id":"https://openalex.org/C2781453537","wikidata":"https://www.wikidata.org/wiki/Q909674","display_name":"Operating microscope","level":2,"score":0.5728987455368042},{"id":"https://openalex.org/C67649825","wikidata":"https://www.wikidata.org/wiki/Q196538","display_name":"Microscope","level":2,"score":0.4254066050052643},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4056517481803894},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.12054756283760071}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008853","descriptor_name":"Microscopy","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D008866","descriptor_name":"Microsurgery","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D013506","descriptor_name":"Otologic Surgical Procedures","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D013701","descriptor_name":"Temporal Bone","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D021621","descriptor_name":"Imaging, Three-Dimensional","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1111/coa.13881","doi":"https://doi.org/10.1111/coa.13881","is_oa":false,"landing_page_url":"https://doi.org/10.1111/coa.13881","pdf_url":null,"source":{"id":"https://openalex.org/S12511572","display_name":"Clinical Otolaryngology","issn_l":"0307-7772","issn":["0307-7772","1365-2273","1749-4478","1749-4486"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Otolaryngology","raw_type":"journal-article"},{"id":"pmid:34687146","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34687146","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery","raw_type":"Comparative Study"},{"id":"pmh:oai:pure.atira.dk:openaire/c34ab21e-8947-4e3d-8be4-533e41d38914","doi":null,"is_oa":true,"landing_page_url":"https://research.manchester.ac.uk/en/publications/c34ab21e-8947-4e3d-8be4-533e41d38914","pdf_url":null,"source":{"id":"https://openalex.org/S4306400662","display_name":"Research Explorer (The University of Manchester)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I28407311","host_organization_name":"University of Manchester","host_organization_lineage":["https://openalex.org/I28407311"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Lloyd, S K W, Stapleton, E J, Green, K, Nichani, J, Wagh, P & Freeman, S R 2021, 'The utility of the exoscope compared to the operating microscope in simulated temporal bone surgery', Clinical Otolaryngology, vol. 47, no. 1, pp. 100-106. https://doi.org/10.1111/COA.13881","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"pmh:oai:pure.atira.dk:openaire/c34ab21e-8947-4e3d-8be4-533e41d38914","doi":null,"is_oa":true,"landing_page_url":"https://research.manchester.ac.uk/en/publications/c34ab21e-8947-4e3d-8be4-533e41d38914","pdf_url":null,"source":{"id":"https://openalex.org/S4306400662","display_name":"Research Explorer (The University of Manchester)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I28407311","host_organization_name":"University of Manchester","host_organization_lineage":["https://openalex.org/I28407311"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Lloyd, S K W, Stapleton, E J, Green, K, Nichani, J, Wagh, P & Freeman, S R 2021, 'The utility of the exoscope compared to the operating microscope in simulated temporal bone surgery', Clinical Otolaryngology, vol. 47, no. 1, pp. 100-106. https://doi.org/10.1111/COA.13881","raw_type":"info:eu-repo/semantics/article"},"sustainable_development_goals":[{"score":0.8371999859809875,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":12,"referenced_works":["https://openalex.org/W2016368343","https://openalex.org/W2059758810","https://openalex.org/W2908063077","https://openalex.org/W2910746918","https://openalex.org/W2912084288","https://openalex.org/W2944133614","https://openalex.org/W2947484962","https://openalex.org/W2990371533","https://openalex.org/W3021462061","https://openalex.org/W3045997721","https://openalex.org/W3195489273","https://openalex.org/W3196636791"],"related_works":["https://openalex.org/W4389622277","https://openalex.org/W4385891868","https://openalex.org/W3091094269","https://openalex.org/W4408884590","https://openalex.org/W4410261379","https://openalex.org/W3167588405","https://openalex.org/W4224300008","https://openalex.org/W7134243119","https://openalex.org/W4385147124","https://openalex.org/W3133399557"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"objectively":[2],"assess":[3],"the":[4,35,107,119,136,155,164,172,176],"utility":[5,49],"of":[6,50,76,86,113,154,174,178],"an":[7,161],"exoscope":[8,44,53,78,96,156],"during":[9],"simulated":[10,26],"otological":[11,168],"surgery.":[12],"DESIGN:":[13],"Cohort":[14],"study.":[15],"SETTING:":[16],"Tertiary":[17],"referral":[18],"otolaryngology":[19],"centre.":[20],"PARTICIPANTS:":[21],"Seven":[22],"experienced":[23],"otologists":[24],"undertook":[25],"temporal":[27,32],"bone":[28],"surgery":[29,169],"on":[30],"plastic":[31],"bones":[33],"using":[34,56],"Zeiss":[36],"Kinevo":[37],"microscope":[38,42,51,108,120,137,166],"with":[39,64,123,171],"both":[40,185],"a":[41,57,147],"and":[43,52,65,84,88,92,115,127,181,187],"facility.":[45],"OUTCOME":[46],"MEASURES:":[47],"The":[48,95],"was":[54],"compared":[55],"Likert":[58],"scale":[59],"from":[60],"1":[61],"to":[62,145,163],"10":[63],"without":[66],"PPE.":[67],"Attributes":[68],"assessed":[69],"included":[70],"image":[71,87,110],"quality,":[72,111],"depth":[73,139],"perception,":[74],"adequacy":[75,85],"view,":[77],"positioning,":[79],"surgeon":[80,82,125,186],"comfort,":[81],"safety":[83],"protection":[89],"for":[90,109,121,138,184],"assistants":[91],"observers.":[93],"RESULTS:":[94],"in":[97,167],"3D":[98],"mode":[99],"performed":[100],"as":[101,103,133,135,160],"well":[102],"or":[104],"better":[105,182],"than":[106],"field":[112],"view":[114],"manoeuvrability.":[116],"It":[117,130],"outperformed":[118],"compatibility":[122],"PPE,":[124],"comfort":[126],"assistant/observer":[128],"experience.":[129],"scored":[131],"almost":[132],"highly":[134],"perception.":[140],"CONCLUSION:":[141],"There":[142],"is":[143],"likely":[144],"be":[146],"learning":[148],"curve":[149],"but":[150,170],"this":[151],"initial":[152],"assessment":[153],"shows":[157],"significant":[158],"potential":[159],"alternative":[162],"operating":[165],"advantage":[173],"allowing":[175],"use":[177],"appropriate":[179],"PPE":[180],"ergonomics":[183],"assistant/observer.":[188]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":1}],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2021-10-25T00:00:00"}
