E.N.T. surgery operating microscope

This product is a high-tech product of the nation's first of it's kind, It's designed forthe microscope (Brain surgical microscope, Neurosurgical, Neurosurgery,Ophthalmologic, ophthalmological, Ophthalmic, otolaryngology) is an operation microscope with dual scopes of binocular sharing , manipulation of two or three person. It can also be used for teaching, photographing orthopedics. The angle between the main and assistant's microscope is 90° . deep cavity operations and examinations. It makes possible for simultaneous and micrology in ophthalmology(Brain surgical  microscope, Neurosurgical, Neurosurgery,Ophthalmologic, Ophthalmological, Otolaryngology, Ophthalmic),E.N.T.organial,neurological surgery the same viewing field and motorized continuous optical system, suitable for super and color video recording purposes.

Major specifications:
﹡1.The main microscope (Brain surgical microscope, Neurosurgical, Neurosurgery,Ophthalmic Ophthalmologic, Ophthalmological, Otolaryngology) is in the latest design of tilting binocular tube system with a continuous tilting range of 30-60°.This enables doctors to have  most comfortable body positions when performing various kinds of microsurgical operations.
﹡2.Binocular assistant's microscope synchronizes with the main microscope (Ophthalmological, Brain surgical microscope, Neurosurgical, Neurosurgery,Otolaryngology,Ophthalmologic, Ophthalmic), with the same light route, magnification viewing field and bearing, both enjoy a good stereo-scopic perception when in observation.
﹡3.Both the main and assistant's microscope (Ophthalmological, Brain surgical microscope, Neurosurgical, Neurosurgery,Otolaryngology,Ophthalmologic, Ophthalmic) all adopt a motorized continuous optical systems, with a zoom rate of 1:5. This system features a clear image a sharp stereo-scopic perception and a remarkable depth of field, thus satisfying the needs of all kinds of deep cavity operations.
﹡4.The instrument (Ophthalmological, Brain surgical microscope, Neurosurgical, Neurosurgery, Otolaryngology, Ophthalmologic, Ophthalmic)adopts a coaxial internal illumination system which has a great brightness, suitable for deep cavity operations and examinations.
﹡5.The instrument adopts motorized focusing system which is both convenient and flexible.
﹡6.The instrument has six movements of degrees of freedom allowing the microscope(Ophthalmological, Brain surgical microscope, Neurosurgical, Neurosurgery, Otolaryngology, Ophthalmologic, Ophthalmic) to be motorized or turned to and from up and down, and side to side. This permits each surgeon a best angle of observation.

﹡1.Range of the stand's vertical up-down: 500mm
﹡2.Motorized zooming speed: 2r/min
﹡3.The precise focusing range:40mm,aiming speed:2mm/s
﹡4.The range of the microscope’s free movement to and from side to side are all 100°
﹡5.The interpupillary distances of the main and assistant's microscope are all ajustable, Within a range of 55-72mm
﹡6.Cold light source illumination: 15V 15OW, brightness 80000～180000 Lx
﹡7.The maximum stretching length of the stand's horizontal arm: 1200mm
﹡8.The swing angle of the carrier arm: 360°
﹡9. The stand can be equipped with X-Y coupling, with the moving, range of 40mm

Options:
Beam splitter, single ocular teaching scope, double binocular, intergrated or outside 1/3" CCD video camera and interface, digital camera system and interface.
　

Department of Neurosurgery
NNI @ TTSH Campus

The Department of Neurosurgery(Ophthalmological,Brain surgical microscope, Neurosurgical, Neurosurgery, Otolaryngology, Ophthalmologic, Ophthalmic)  trains many of the practising neurosurgeons in Singapore, and it remains today the largest in Singapore in terms of number of neurosurgeons, patient load and number of surgical procedures performed.
In Singapore, our well equipped and state-of-the-art hospitals, have enhanced the quality of care for our patients and changed the art and practice of neurosurgery. Rapid advances in computed imaging of brain and spinal cord have provided our neurosurgeons (Ophthalmic, Ophthalmological, Brain surgical microscope, Neurosurgical, Neurosurgery, Otolaryngology, Ophthalmologic) invaluable knowledge about the normal and diseased central nervous system. Neurosurgeons(otolaryngology,ophthalmological,Neurosurgical, Neurosurgery,brain  surgical microscope, Ophthalmic, Ophthalmologic) now have a better understanding, not only on the pathology of the problem, but also its relation to and effect on adjacent brain and skull structures.This permits pre-operative planning,allowing neurosurgeons (otolaryngology, Ophthalmological, Neurosurgical, Neurosurgery, Brain surgical microscope, Ophthalmologic, Ophthalmic) to choose  best approach that will cause minimal trauma to neural structures during surgery. Technological advances have also made possible surgical navigation system.These are based on frameless stereotactic systems coupled to pre-operative computed imaging. 'Surgical navigation' is like a 'road directory' that allows the surgeon to see his position inside the patient's head at every point during , thus increasing the safety,effectiveness and speed of operating (otolaryngology,ophthalmological,ophthalmic, Neurosurgical, Neurosurgery, Brain surgical microscope, Ophthalmologic).Microsurgery, on the other hand, facilitates the preservation of vital structures and ensures satisfactory tumour removal. The operation microscope (Otolaryngology, Ophthalmological, Neurosurgical, ophthalmic, Neurosurgery, Brain surgical microscope, Ophthalmologic) makes this possible as it provides the needed lighting and magnification of fine structures.All operating theatres in the hospitals of NNI Campuses are equipped with operating microscopes(Otolaryngology, Ophthalmological, Neurosurgical, ophthalmic, Neurosurgery, Ophthalmologic). Also available are high-speed drills to remove bone for better lesion exposure, and ultrasonic aspirators made small enough for intracranial use. This allows the neurosurgeon to remove tumours that are too hard to cut using conventional means.
Taking advantage of the cutting edge technology and facility, our team of neurosurgeons (Otolaryngology, Ophthalmological, Neurosurgical, ophthalmic, Neurosurgery, Brain surgical microscope, Ophthalmologic) have developed neurosurgical subspecialties and programmes for the various diseases encountered in the local population.
Neuro-Oncology
Neuro-oncology refers to brain tumours. These tumours may be either primary tumours of the central nervous system or result from neurological (Otolaryngology, Ophthalmological, neurosurgical,ophthalmic,neurosurgery,ophthalmologic) complications of systemic cancers. For benign tumours,total removal is curative and carried out by  surgical oncology team.For malignant tumours,surgery has to be followed by radiation therapy or chemotherapy.The neuro-oncology(Otolaryngology, Ophthalmological, Neurosurgical, ophthalmic, Neurosurgery, Brain surgical microscope, Ophthalmologic)  program specialises in providing comprehensive treatment of all brain tumor types, including benign and malignant primary brain tumors (gliomas), meningiomas, and metastatic brain tumors. Our multidisciplinary team comprises highly trained neuro-oncology(Otolaryngology, Ophthalmological, Neurosurgical, ophthalmic, Neurosurgery, Ophthalmologic)  surgeons, neuro-anaesthetists and intensivists, neuroradiologist, neuro-pathologists and experienced nursing staff.
Surgical treatments are accomplished using the most advanced technology and surgical techniques which include:
Microsurgical techniques coupled with intra-operative real time imaging Brain (Ophthalmic, Otolaryngology, Ophthalmological, Neurosurgical, Neurosurgery, Brain surgical microscope, Ophthalmologic) mapping and awake craniotomy techniques Stereotactic radiosurgery for small and irresectable tumours
Head Injury
Head injury is the most common condition treated in the Department. The Department's Head Injury Programme offers treatment not only to patients from Tan Tock Seng Hospital, but also Singapore General Hospital, Changi General Hospital and KK Hospital.
Severely injured patients are closely monitored for raised intracranial pressure and early signs of neurological deterioration in the Neuro-Intensive (Otolaryngology, Ophthalmological, Neurosurgical, Neurosurgery,Ophthalmic,Ophthalmologic) Care Unit. Once stable, the patient is sent for intensive rehabilitation and therapy, which may include physiotherapy and speech therapy.
Vascular (Stroke) Surgery
This subspecialty treats all patients with spontaneous intracranial bleeding. The underlying cause may be hypertension, ruptured aneurysms or arteriovenous malformations (AVM). With surgical intervention necessary for the latter two, and sometimes for hypertensive bleeds, the Department of Neurosurgery (Ophthalmic, Otolaryngology, Ophthalmological, Neurosurgical, Neurosurgery, Brain surgical microscope, Ophthalmologic) works very closely with the Department of Neuroradiology, both in diagnosis and also in its management. Every patient with a suspected aneurysm or AVM undergoes 4-vessel cerebral angiography. For certain aneurysms like basilar artery bifurcation aneurysms or aneurysms in very ill patients, endovascular obliteration instead of open surgery is carried out by our neuroradiologists(Ophthalmic, Otolaryngology, Ophthalmological, Neurosurgical, Neurosurgery, Ophthalmologic) .
Functional Neurosurgery
For some20-30 %of epilepsy patients whose condition cannot be controlled by medication, epilepsy surgery (ophthalmological,otolaryngology,neurosurgical,ophthalmic,ophthalmologic) becomes a treatment option. Epilepsy video monitoring and MRI are used to assess their suitability for surgery.
For patients with advanced Parkinson's disease or other movement disorders like dystonia and intractable limb tremors, minimally invasive surgery such as stereotactic surgery is available here at NNI. These procedures are carried out by specially trained neurosurgeons(Ophthalmic, Otolaryngology, Ophthalmological, Neurosurgical, Neurosurgery, Brain surgical microscope, Ophthalmologic)  under local anaesthesia, with brain mapping to target the relevant areas. Some of the other surgical techniques carried out include pallidotomy, thalamotomy and deep brain stimulation of the sub thalamic nucleus.
Patients with facial pain caused by trigeminal neuralgia are always initially treated by medications, usually with good results. For those with intractable trigeminal neuralgia or who are unable to tolerate medications,neurosurgery (Ophthalmological, Otolaryngology,  neurosurgical,ophthalmic,Brain surgical microscope,ophthalmologic)  is an alternative treatment option. At the NNI, this ranges from percutaneous trigeminal gangliotomy to micro-vascular decompression of the trigeminal nerve root.
Paediatric Neurosurgery
Children also suffer from neurological illnesses that may require surgical intervention. As such, the Department has a specifically trained paediatric neurosurgeon. The Paediatric Neurosurgery (Ophthalmological, Otolaryngology, Neurosurgical, Ophthalmic, Ophthalmologic) Programme is sited at the KK Women's and Children's Hospital, and the service is headed by staff of the Department.