{"id":"https://openalex.org/W7225315737","doi":"https://doi.org/10.3390/jcm15218625","title":"Use of the ORBEYE\u2122 Exoscope for the Treatment of Presumed Postoperative Cholesteatoma of the External Auditory Canal: A Case Report","display_name":"Use of the ORBEYE\u2122 Exoscope for the Treatment of Presumed Postoperative Cholesteatoma of the External Auditory Canal: A Case Report","publication_year":2026,"publication_date":"2026-11-05","ids":{"openalex":"https://openalex.org/W7225315737","doi":"https://doi.org/10.3390/jcm15218625"},"language":"en","primary_location":{"id":"doi:10.3390/jcm15218625","doi":"https://doi.org/10.3390/jcm15218625","is_oa":true,"landing_page_url":"https://doi.org/10.3390/jcm15218625","pdf_url":null,"source":{"id":"https://openalex.org/S2737969411","display_name":"Journal of Clinical Medicine","issn_l":"2077-0383","issn":["2077-0383"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3390/jcm15218625","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5001503138","display_name":"Carlotta Liberale","orcid":"https://orcid.org/0000-0003-4285-6862","observed_orcids":["https://orcid.org/0000-0003-4285-6862"]},"institutions":[{"id":"https://openalex.org/I4210109058","display_name":"Azienda Ospedaliero-Universitaria di Modena","ror":"https://ror.org/01hmmsr16","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210109058"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"Carlotta Liberale","raw_affiliation_strings":["Department of Otolaryngology-Head and Neck Surgery, University Hospital of Modena, Azienda Ospedaliero-Universitaria di Modena, 41125 Modena, Italy"],"raw_orcid":"https://orcid.org/0000-0003-4285-6862","affiliations":[{"raw_affiliation_string":"Department of Otolaryngology-Head and Neck Surgery, University Hospital of Modena, Azienda Ospedaliero-Universitaria di Modena, 41125 Modena, Italy","institution_ids":["https://openalex.org/I4210109058"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093348461","display_name":"Arianna Burato","orcid":"https://orcid.org/0009-0005-7682-7690","observed_orcids":["https://orcid.org/0009-0005-7682-7690"]},"institutions":[{"id":"https://openalex.org/I4210097083","display_name":"IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola","ror":"https://ror.org/00t4vnv68","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210097083"]},{"id":"https://openalex.org/I9360294","display_name":"University of Bologna","ror":"https://ror.org/01111rn36","country_code":"IT","type":"education","lineage":["https://openalex.org/I9360294"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Arianna Burato","raw_affiliation_strings":["Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40138 Bologna, Italy","Otolaryngology and Audiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40138 Bologna, Italy","institution_ids":["https://openalex.org/I9360294"]},{"raw_affiliation_string":"Otolaryngology and Audiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy","institution_ids":["https://openalex.org/I4210097083"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081341480","display_name":"Livio Presutti","orcid":"https://orcid.org/0000-0002-2752-132X","observed_orcids":["https://orcid.org/0000-0002-2752-132X"]},"institutions":[{"id":"https://openalex.org/I4210097083","display_name":"IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola","ror":"https://ror.org/00t4vnv68","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210097083"]},{"id":"https://openalex.org/I9360294","display_name":"University of Bologna","ror":"https://ror.org/01111rn36","country_code":"IT","type":"education","lineage":["https://openalex.org/I9360294"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Livio Presutti","raw_affiliation_strings":["Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40138 Bologna, Italy","Otolaryngology and Audiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40138 Bologna, Italy","institution_ids":["https://openalex.org/I9360294"]},{"raw_affiliation_string":"Otolaryngology and Audiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy","institution_ids":["https://openalex.org/I4210097083"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047368599","display_name":"Giuseppe Mercante","orcid":"https://orcid.org/0000-0002-1009-7892","observed_orcids":["https://orcid.org/0000-0002-1009-7892"]},"institutions":[{"id":"https://openalex.org/I4210097083","display_name":"IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola","ror":"https://ror.org/00t4vnv68","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210097083"]},{"id":"https://openalex.org/I9360294","display_name":"University of Bologna","ror":"https://ror.org/01111rn36","country_code":"IT","type":"education","lineage":["https://openalex.org/I9360294"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Giuseppe Mercante","raw_affiliation_strings":["Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40138 Bologna, Italy","Otolaryngology and Audiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40138 Bologna, Italy","institution_ids":["https://openalex.org/I9360294"]},{"raw_affiliation_string":"Otolaryngology and Audiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy","institution_ids":["https://openalex.org/I4210097083"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102983199","display_name":"Giulia Molinari","orcid":"https://orcid.org/0000-0002-3402-4364","observed_orcids":["https://orcid.org/0000-0002-3402-4364"]},"institutions":[{"id":"https://openalex.org/I4210097083","display_name":"IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola","ror":"https://ror.org/00t4vnv68","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210097083"]},{"id":"https://openalex.org/I9360294","display_name":"University of Bologna","ror":"https://ror.org/01111rn36","country_code":"IT","type":"education","lineage":["https://openalex.org/I9360294"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Giulia Molinari","raw_affiliation_strings":["Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40138 Bologna, Italy","Otolaryngology and Audiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40138 Bologna, Italy","institution_ids":["https://openalex.org/I9360294"]},{"raw_affiliation_string":"Otolaryngology and Audiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy","institution_ids":["https://openalex.org/I4210097083"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5001503138"],"corresponding_institution_ids":["https://openalex.org/I4210109058"],"apc_list":{"value":2600,"currency":"CHF","value_usd":3137},"apc_paid":{"value":2600,"currency":"CHF","value_usd":3137},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"15","issue":"21","first_page":"8625","last_page":"8625"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10861","display_name":"Ear Surgery and Otitis Media","score":0.8881999850273132,"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"}},"topics":[{"id":"https://openalex.org/T10861","display_name":"Ear Surgery and Otitis Media","score":0.8881999850273132,"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/T14326","display_name":"Ear and Head Tumors","score":0.062199998646974564,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"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/T11866","display_name":"Reconstructive Facial Surgery Techniques","score":0.009399999864399433,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/external-auditory-canal-cholesteatoma","display_name":"external auditory canal cholesteatoma","score":0.9700000286102295},{"id":"https://openalex.org/keywords/hearing-preservation","display_name":"hearing preservation","score":0.7110000252723694},{"id":"https://openalex.org/keywords/temporal-bone-erosion","display_name":"temporal bone erosion","score":0.7260000109672546},{"id":"https://openalex.org/keywords/cerebrospinal-fluid-leak","display_name":"cerebrospinal fluid leak","score":0.8659999966621399},{"id":"https://openalex.org/keywords/middle-cranial-fossa","display_name":"middle cranial fossa","score":0.8659999966621399},{"id":"https://openalex.org/keywords/air-bone-gap","display_name":"air-bone gap","score":0.8159999847412109},{"id":"https://openalex.org/keywords/hearing-outcomes","display_name":"hearing outcomes","score":0.33399999141693115}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9853000044822693},{"id":"https://openalex.org/C2780725665","wikidata":"https://www.wikidata.org/wiki/Q558230","display_name":"Cholesteatoma","level":2,"score":0.8428999781608582},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6729999780654907},{"id":"https://openalex.org/C2775862295","wikidata":"https://www.wikidata.org/wiki/Q2660911","display_name":"Dissection (medical)","level":2,"score":0.5670999884605408},{"id":"https://openalex.org/C2780868646","wikidata":"https://www.wikidata.org/wiki/Q4462424","display_name":"Mastoidectomy","level":3,"score":0.529699981212616},{"id":"https://openalex.org/C2992646295","wikidata":"https://www.wikidata.org/wiki/Q1439390","display_name":"Middle fossa","level":2,"score":0.5268999934196472},{"id":"https://openalex.org/C2780378346","wikidata":"https://www.wikidata.org/wiki/Q1349983","display_name":"Leak","level":2,"score":0.5242000222206116},{"id":"https://openalex.org/C2777939775","wikidata":"https://www.wikidata.org/wiki/Q16313","display_name":"Temporal bone","level":2,"score":0.5177000164985657},{"id":"https://openalex.org/C3019630126","wikidata":"https://www.wikidata.org/wiki/Q258328","display_name":"Auditory canal","level":2,"score":0.4715999960899353},{"id":"https://openalex.org/C2776366295","wikidata":"https://www.wikidata.org/wiki/Q2033422","display_name":"Myringoplasty","level":3,"score":0.4287000000476837},{"id":"https://openalex.org/C2779115750","wikidata":"https://www.wikidata.org/wiki/Q5064113","display_name":"Cerebrospinal fluid leak","level":3,"score":0.4018999934196472},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3889999985694885},{"id":"https://openalex.org/C2778050454","wikidata":"https://www.wikidata.org/wiki/Q1439390","display_name":"Middle cranial fossa","level":2,"score":0.3476000130176544},{"id":"https://openalex.org/C2777846895","wikidata":"https://www.wikidata.org/wiki/Q501553","display_name":"Middle ear","level":2,"score":0.3474000096321106},{"id":"https://openalex.org/C2778673415","wikidata":"https://www.wikidata.org/wiki/Q25339838","display_name":"Bone erosion","level":3,"score":0.34540000557899475},{"id":"https://openalex.org/C2778987889","wikidata":"https://www.wikidata.org/wiki/Q1394389","display_name":"Dura mater","level":2,"score":0.30799999833106995},{"id":"https://openalex.org/C2780236928","wikidata":"https://www.wikidata.org/wiki/Q503944","display_name":"Posterior cranial fossa","level":2,"score":0.3034999966621399},{"id":"https://openalex.org/C2779651940","wikidata":"https://www.wikidata.org/wiki/Q54196","display_name":"Cerebrospinal fluid","level":2,"score":0.30149999260902405},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.27950000762939453},{"id":"https://openalex.org/C2779326565","wikidata":"https://www.wikidata.org/wiki/Q781983","display_name":"Spinal canal","level":3,"score":0.26460000872612}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3390/jcm15218625","doi":"https://doi.org/10.3390/jcm15218625","is_oa":true,"landing_page_url":"https://doi.org/10.3390/jcm15218625","pdf_url":null,"source":{"id":"https://openalex.org/S2737969411","display_name":"Journal of Clinical Medicine","issn_l":"2077-0383","issn":["2077-0383"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3390/jcm15218625","doi":"https://doi.org/10.3390/jcm15218625","is_oa":true,"landing_page_url":"https://doi.org/10.3390/jcm15218625","pdf_url":null,"source":{"id":"https://openalex.org/S2737969411","display_name":"Journal of Clinical Medicine","issn_l":"2077-0383","issn":["2077-0383"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W1516720020","https://openalex.org/W1663629116","https://openalex.org/W1984892903","https://openalex.org/W2005177530","https://openalex.org/W2895673955","https://openalex.org/W2902938625","https://openalex.org/W3091094269","https://openalex.org/W3205535918","https://openalex.org/W4320029136","https://openalex.org/W4389622277","https://openalex.org/W4412943609"],"related_works":["https://openalex.org/W2372273552","https://openalex.org/W2384648448","https://openalex.org/W2005177530","https://openalex.org/W2384292226","https://openalex.org/W2371916046","https://openalex.org/W4414879423","https://openalex.org/W2944133614","https://openalex.org/W7172503299","https://openalex.org/W2376412697","https://openalex.org/W2317835604"],"abstract_inverted_index":{"Background/Objectives:":[0],"To":[1],"describe":[2],"the":[3,63,74,86,103,127,132,171],"technical":[4,172],"feasibility":[5,173],"of":[6,10,32,62,151,174],"fully":[7,176],"exoscopic":[8],"management":[9],"an":[11],"unusually":[12],"extensive":[13,60],"external":[14],"auditory":[15],"canal":[16],"cholesteatoma":[17],"(EACC).":[18],"Methods:":[19],"We":[20],"report":[21],"a":[22,30,39,163,175],"26-year-old":[23],"man":[24],"with":[25,70],"advanced":[26],"right":[27,75],"EACC":[28],"and":[29,52,66,93,108,156],"history":[31],"ipsilateral":[33],"myringoplasty":[34],"approximately":[35],"15":[36],"years":[37],"previously;":[38],"postoperative":[40,115,122],"origin":[41],"was":[42,83,109,119],"suspected":[43],"but":[44],"could":[45],"not":[46],"be":[47,199],"established.":[48],"Clinical,":[49],"radiological,":[50],"surgical,":[51],"follow-up":[53],"findings":[54],"are":[55,185],"described.":[56],"Results:":[57],"Imaging":[58],"revealed":[59],"erosion":[61],"superior":[64],"EAC":[65],"adjacent":[67],"temporal":[68,76],"bone":[69],"mass":[71],"effect":[72],"on":[73,121,126],"lobe.":[77],"The":[78,117],"ORBEYE\u2122":[79],"4K":[80],"three-dimensional":[81],"exoscope":[82],"used":[84],"throughout":[85],"operation,":[87],"including":[88],"dissection":[89],"along":[90],"exposed":[91],"dura":[92,107],"hearing-preserving":[94,178],"reconstruction.":[95],"An":[96],"intraoperative":[97],"cerebrospinal":[98],"fluid":[99],"leak":[100],"occurred":[101],"at":[102,145,159],"middle":[104],"cranial":[105],"fossa":[106],"controlled":[110],"during":[111],"surgery,":[112],"without":[113],"persistent":[114],"leakage.":[116],"patient":[118],"discharged":[120],"day":[123],"4.":[124],"Based":[125],"reported":[128],"four-frequency":[129],"pure-tone":[130],"averages,":[131],"calculated":[133],"air\u2013bone":[134],"gap":[135],"decreased":[136],"from":[137],"18.5":[138],"to":[139,180,195],"8.5":[140],"dB":[141],"HL.":[142],"Diffusion-weighted":[143],"MRI":[144],"18":[146],"months":[147,161],"showed":[148,162],"no":[149],"evidence":[150],"residual":[152],"or":[153,191],"recurrent":[154],"disease,":[155],"clinical":[157],"examination":[158],"24":[160],"patent,":[164],"epithelialized":[165],"canal.":[166],"Conclusions:":[167],"This":[168],"case":[169],"illustrates":[170],"exoscopic,":[177],"approach":[179],"complex":[181],"EACC.":[182],"Comparative":[183],"studies":[184],"required":[186],"before":[187],"conclusions":[188],"about":[189],"superiority":[190],"generalizable":[192],"safety":[193],"relative":[194],"conventional":[196],"visualization":[197],"can":[198],"drawn.":[200]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-11-06T00:00:00"}
