{'fraction_non_alphanumeric': 0.031879194630872486, 'fraction_numerical': 0.01761744966442953, 'mean_word_length': 5.162790697674419, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 1, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Adoption of new technology.

DOI:10.1097/MOO.0000000000000298 Time flies. It seems as though it was just yesterday that I finished my 2 year accredited neurotology fellowship at the University of Iowa in 2002. Now, almost 15 years later, I am no longer the youngest surgeon in the room. However, I pride myself on keeping up with the newest technology, whether at home or at work (e.g., the iPhone 7, social media, surgical simulation, or the use of videos in the training of my medical students, residents, and fellows). That being said, I am still grappling with how to incorporate endoscopic techniques further into my practice. The ability to use both hands while performing a middle fossa acoustic neuroma resection or dissecting the cholesteatoma matrix off a dehiscent facial nerve seems daunting to me without the three-dimensional microscopic view. The authors of this section and issue of Current Opinion will help those who, like me, are interested in employing the endoscope to potentially improve patient outcomes. The endoscope is clearly useful to see around corners and has advantages in teaching anatomy. (The review by Tarabichi discusses (pp. 382–387) some of these advantages.) That being said, more outcomes data are needed for endoscopic techniques. (The review by Hunter et al. (pp. 388–394) is a nice review of some of the outcomes data currently available.) As additional surgeons incorporate the endoscope, the advantages, disadvantages, appropriate uses and applications, and limitations will be further gleaned. The ideal, which would be hard to achieve, is a prospective, randomized multicenter trial for each unique disease (e.g., cholesteatoma surgery, stapes surgery in otosclerosis, ossiculoplasty, and so on) with direct comparison of the endoscope to the gold-standard microscopic technique. Although endoscopic techniques warrant further evaluation and use and should be a part of the armamentarium ofanaccomplishedotologic surgeon,otherquestions need to be addressed. Would improving one’s endoscopic skill set reduce a surgeon’s ability to perform microscopic techniques well? For example, when I went through my internship in general surgery, itwas common for interns to perform open appendectomies and open cholecystectomies. Within a few short years, laparoscopic techniques replaced the open techniques. I do know that my senior colleagues in