No Longer a Pain in the Neck: Use of Operating Microscope for Palatoplasty

Summary. For craniofacial surgeons, cleft palate repair is an intricate and difficult operation positionally. Historically, use of loupe magnification and a headlight can cause significant strain to the surgeon’s neck and, at times, subpar optics for both the operator and the assistant. The use of a...

Full description

Bibliographic Details
Main Authors: Shoichiro A. Tanaka, MD, MPH, Nilesh M. Patel, MD, Ananth S. Murthy, MD
Format: Article
Language:English
Published: Wolters Kluwer 2020-10-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003196
_version_ 1818644482543845376
author Shoichiro A. Tanaka, MD, MPH
Nilesh M. Patel, MD
Ananth S. Murthy, MD
author_facet Shoichiro A. Tanaka, MD, MPH
Nilesh M. Patel, MD
Ananth S. Murthy, MD
author_sort Shoichiro A. Tanaka, MD, MPH
collection DOAJ
description Summary. For craniofacial surgeons, cleft palate repair is an intricate and difficult operation positionally. Historically, use of loupe magnification and a headlight can cause significant strain to the surgeon’s neck and, at times, subpar optics for both the operator and the assistant. The use of an operating microscope was first advocated by Sommerlad in 2003. By using the operating microscope for cleft palate closure, there are improved ergonomics for the surgeon and assistant by allowing for straight in-line back and neck posture with excellent visualization of the surgical field for the entire surgical team. The available zoom and focus improve the ability to isolate and repair the levator veli palatini muscle. Proper posture with a neutral cervical spine will help prolong a surgeon’s career and ability to care for their patients.
first_indexed 2024-12-17T00:15:33Z
format Article
id doaj.art-5fcc7fd416064a5890904cee25d759fb
institution Directory Open Access Journal
issn 2169-7574
language English
last_indexed 2024-12-17T00:15:33Z
publishDate 2020-10-01
publisher Wolters Kluwer
record_format Article
series Plastic and Reconstructive Surgery, Global Open
spelling doaj.art-5fcc7fd416064a5890904cee25d759fb2022-12-21T22:10:43ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742020-10-01810e319610.1097/GOX.0000000000003196202010000-00034No Longer a Pain in the Neck: Use of Operating Microscope for PalatoplastyShoichiro A. Tanaka, MD, MPH0Nilesh M. Patel, MD1Ananth S. Murthy, MD2From the * Akron Children’s Hospital, Akron, Ohio† Michigan Spine Clinic, Brownstown, Mich.From the * Akron Children’s Hospital, Akron, OhioSummary. For craniofacial surgeons, cleft palate repair is an intricate and difficult operation positionally. Historically, use of loupe magnification and a headlight can cause significant strain to the surgeon’s neck and, at times, subpar optics for both the operator and the assistant. The use of an operating microscope was first advocated by Sommerlad in 2003. By using the operating microscope for cleft palate closure, there are improved ergonomics for the surgeon and assistant by allowing for straight in-line back and neck posture with excellent visualization of the surgical field for the entire surgical team. The available zoom and focus improve the ability to isolate and repair the levator veli palatini muscle. Proper posture with a neutral cervical spine will help prolong a surgeon’s career and ability to care for their patients.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003196
spellingShingle Shoichiro A. Tanaka, MD, MPH
Nilesh M. Patel, MD
Ananth S. Murthy, MD
No Longer a Pain in the Neck: Use of Operating Microscope for Palatoplasty
Plastic and Reconstructive Surgery, Global Open
title No Longer a Pain in the Neck: Use of Operating Microscope for Palatoplasty
title_full No Longer a Pain in the Neck: Use of Operating Microscope for Palatoplasty
title_fullStr No Longer a Pain in the Neck: Use of Operating Microscope for Palatoplasty
title_full_unstemmed No Longer a Pain in the Neck: Use of Operating Microscope for Palatoplasty
title_short No Longer a Pain in the Neck: Use of Operating Microscope for Palatoplasty
title_sort no longer a pain in the neck use of operating microscope for palatoplasty
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003196
work_keys_str_mv AT shoichiroatanakamdmph nolongerapainintheneckuseofoperatingmicroscopeforpalatoplasty
AT nileshmpatelmd nolongerapainintheneckuseofoperatingmicroscopeforpalatoplasty
AT ananthsmurthymd nolongerapainintheneckuseofoperatingmicroscopeforpalatoplasty