Abstract
Development of endoscopic endonasal surgery has made it possible to reach diseases located in difficult areas of nose, paranasal sinuses and skull base. Technical advancements such as development of electromagnetic navigation system have greatly revolutionized the field of endoscopic endonasal surgery. Electromagnetic navigation system has improved the precision and accuracy of performing surgery and complication rates. This paper will emphasize on the technical aspects, mechanism of working, advantages and disadvantages of using electromagnetic navigation system and compare it with optic tracking system. While navigation system has many benefits, it should be used as an adjunctive to the surgical skills of a surgeon but not as a substitute.
References
Al-Swiahb JN, Al Dousary SH (2010) Computer-aided endoscopic sinus surgery: a retrospective comparative study. Ann Saudi Med 30(2):149–152
Sadoughi B, Brown SM, Nachlas NE, Fried MP (2010) Image-guided surgery. http://emedicine.medscape.com/article/875524. Accessed 20 Mar 2011
Tabaee A, Hsu AK, Shrime MG, Rickert S, Close LG (2006) Quality of life and complications following image-guided endoscopic sinus surgery. Otolaryngol Head Neck Surg 135(1):76–80
Javer AR, Genoway KA (2006) Patient quality of life improvements with and without computer assistance in sinus surgery: outcomes study. J Otolaryngol 35(6):373–379
Guiot G, Bouche J, Hertzog E, Vourc’h G, Hardy J (1963) Hypophysectomy by trans-sphenoidal route. Ann Radiol (Paris) 6:187–192
Ceylan S, Koc K, Anik I (2009) Extended endoscopic approaches for midline skull-base lesions. Neurosurg Rev 32(3):309–319
Ahn JY, Jung JY, Kim J, Lee KS, Kim SH (2008) How to overcome the limitations to determine the resection margin of pituitary tumours with low-field intra-operative MRI during trans-sphenoidal surgery: usefulness of Gadolinium-soaked cotton Pledgets. Acta Neurochir (Wien) 150:763–771
Al-Mefty O, Pravdenkova S, Gragnaniello C (2010) A technical note on endonasal combined microscopic endoscopic with free head navigation technique of removal of pituitary adenomas. Neurosurg Rev 33(2):243–249
Tabaee A, Anand VK, Fraser JF, Brown SM, Singh A, Schwartz TH (2009) Three-dimensional endoscopic pituitary surgery. Neurosurgery 64(5):288–295
Schwartz TH, Stieg PE, Anand VK (2006) Endoscopic transsphenoidal pituitary surgery with intraoperative magnetic resonance imaging. Neurosurgery 58(1 Suppl):44–51
Neubauer A, Wolfsberger S, Forster M, Mroz L, Wegenkittl R, Bühler K (2005) Advanced virtual endoscopic pituitary surgery. IEEE Trans Vis Comput Graph 11(5):497–507
Mosges R, Schlondorff G (1988) A new imaging method for intraoperative therapy control in skull-base surgery. Neurosurg Rev 11(3–4):245–247
Tabaee A, Kacker A, Kassenoff TL, Anand V (2003) Outcome of computer-assisted sinus surgery: a 5-year study. Am J Rhinol 17(5):291–297
Strauss G, Koulechov K, Röttger S, Bahner J, Trantakis C, Hofer M, Korb W, Burgert O, Meixensberger J, Manzey D, Dietz A, Lüth T (2006) Evaluation of a navigation system for ENT with surgical efficiency criteria. Laryngoscope 116(4):564–572
Lasio G, Ferroli P, Felisati G, Broggi G (2002) Image-guided endoscopic transnasal removal of recurrent pituitary adenomas. Neurosurgery 51(1):132–137
Olson G, Citardi MJ (2000) Image-guided functional endoscopic sinus surgery. Otolaryngol Head Neck Surg 123(3):188–194
Hanna EY, Holsinger C, DeMonte F, Kupferman M (2007) Robotic endoscopic surgery of the skull base. Arch Otolaryngol Head Neck Surg 133(12):1209–1214
O’Malley BW Jr, Weinstein GS (2007) Robotic skull base surgery. Arch Otolaryngol Head Neck Surg 133(12):1215–1219
Nathan CO, Chakradeo V, Malhotra K, D’Agostino H, Patwardha R (2006) The voice-controlled robotic assist scope holder AESOP for the endoscopic approach to the Sella. Skull Base 16(3):123–131
Caversaccio M, Langlotz F, Nolte L, Hausler R (2007) Impact of a self-developed planning and self constructed navigation system on skull base surgery: 10 years experience. Acta Otolaryngol 127:403–407
Acknowledgments
The authors would like to thank Dr. Andrea Rose from Fiagon, Germany, Dr. Köle W (Associate Professor, Department of Otorhinolaryngology and Head and Neck Surgery), Mr. Gerstenberger Claus (biomedical engineer) and Mr. Michael Amschl (operating theatre in charge) from University Klinikum, Graz for their help and support in writing this paper.
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The authors declare that they have no conflict of interest.
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Irugu, D.V.K., Stammberger, H.R. A Note on the Technical Aspects and Evaluation of the Role of Navigation System in Endoscopic Endonasal Surgeries. Indian J Otolaryngol Head Neck Surg 66 (Suppl 1), 307–313 (2014). https://doi.org/10.1007/s12070-011-0380-x
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DOI: https://doi.org/10.1007/s12070-011-0380-x