Image-Guided Surgical Navigation in Functional Endoscopic Sinus Surgery

Author(s):  
Winston C. Vaughan ◽  
Frederick A. Kuhn
2000 ◽  
Vol 123 (3) ◽  
pp. 188-194 ◽  
Author(s):  
Garth Olson ◽  
Martin J. Citardi

2014 ◽  
Vol 5 (3) ◽  
pp. ar.2014.5.0093 ◽  
Author(s):  
Rong-San Jiang ◽  
Kai-Li Liang

The application of image-guided systems to sinus surgery is gaining in popularity. This study tried to evaluate the efficacy of image-guided surgery (IGS) in the fenestration of the sphenoid sinus in patients with chronic rhinosinusitis (CRS) who received revision functional endoscopic sinus surgery (FESS). A total of 51 CRS patients who received revision FESS incorporating IGS between January 2010 and August 2011 by two surgeons were enrolled in this study. A group of 30 CRS patients who underwent revision FESS by the senior surgeon without incorporating IGS was chosen for comparison. The penetration rates for the sphenoid sinus were 91.2% when performed by the senior surgeon with IGS and 91.3% when done by the other surgeon with IGS. The penetration rate for the sphenoid sinus was 68.6% for revision FESS without IGS. The fenestration rate for the sphenoid sinus in revision FESS without IGS was significantly lower than that in revision FESS with IGS (p = .004). Our results showed that IGS was a beneficial procedure for opening the sphenoid sinus in the revision cases.


Author(s):  
Hesam Jahandideh ◽  
Azam Yarahmadi ◽  
Shahin Rajaieh ◽  
Amin Ostvar Shirazi ◽  
Maryam Milanifard ◽  
...  

Introduction: Using image-guided intra-operative navigation systems in surgeries like functional endoscopic sinus surgery (FESS) has become widely accepted as an effective tool for improvement of surgical outcomes and reduction of complication. Cone-beam CT (CBCT) is a variant of computed tomography imaging that has developed as a cross-sectional and potentially low-dose technique to visualize bony structures in the head and neck. In current study, it was tried to evaluate surgeons’ satisfaction with CBCT intra-operative navigation imaging as well as image quality prior to FESS and post-operative complications. Methods: In this prospective study, the included patients who were candidates for FESS underwent CBCT from January to June 2019. The data regarding demographic information, CBCT findings and diagnosis were extracted. The surgeons’ satisfaction with intra-operative navigation imaging and image quality was quantified using Visual Analogue Scale (VAS) (ranging 0 – 10). Furthermore, patients were contacted 3 months later to ask for their satisfaction with the operation using VAS and post-operative complications evaluated. Results: Totally, 39 patients were included. The mean age was 40.74±5.75 and 20 patients (51.28 percent) were male. Two surgeons performed this operation separately; one of the surgeons performed 20 (51.28 percent) FESS and the other performed 19 (48.71 percent). The mean satisfaction of the surgeons of CBCT guided FFESS was 8.69±0.92. After the 3-month  follow up, patients’ satisfaction score was 8.21±1.89. No postoperative complications were reported. Conclusion: Based on the surgeons’ point of view, CBCT was shown to be reliable for image-guided FFESS. Furthermore, the outcome and complications of performed surgeries were similar to those performed with computed tomography intra-operative navigation imaging.


1999 ◽  
Vol 121 (2_suppl) ◽  
pp. P186-P187 ◽  
Author(s):  
Garth T Olson ◽  
Martin J Citard

2005 ◽  
Vol 133 (2) ◽  
pp. P105-P106 ◽  
Author(s):  
E HEPWORTH ◽  
M BUCKNOR ◽  
A PATEL ◽  
W VAUGHAN

2006 ◽  
Vol 135 (1) ◽  
pp. 68-75 ◽  
Author(s):  
Edward J. Hepworth ◽  
Matthew Bucknor ◽  
Ankit Patel ◽  
Winston C. Vaughan

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