• M Ally, P Kullar, G Mochloulis, and A Vijendren.
• Department of ENT Surgery, Lister Hospital, Coreys Mill Ln, Stevenage SG1 4AB, East and North Hertfordshire NHS Trust, UK.
• J Laryngol Otol. 2021 Mar 1; 135 (3): 273-275.

ObjectiveMicroscopic surgery is currently considered the 'gold standard' for middle-ear, mastoid and lateral skull base surgery. The coronavirus disease 2019 pandemic has made microscopic surgery more challenging to perform. This work aimed to demonstrate the feasibility of the Vitom 3D system, which integrates a high-definition (4K) view and three-dimensional technology for ear surgery, within the context of the pandemic.MethodCombined approach tympanoplasty and ossiculoplasty were performed for cholesteatoma using the Vitom 3D system exclusively.ResultsSurgery was performed successfully. The patient made a good recovery, with no evidence of residual disease at follow up. The compact system has excellent depth of field, magnification and colour. It enables ergonomic work, improved work flow, and is ideal for teaching and training.ConclusionThe Vitom 3D system is considered a revolutionary alternative to microscope-assisted surgery, particularly in light of coronavirus disease 2019. It allows delivery of safe otological surgery, which may aid in continuing elective surgery.

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