Abstract
The aim of the current study is to share our experience with surgical outcomes of Functional Endoscopic Sinus Surgery using an image-guidance system. The study was a randomised control trial with the comparison between two groups. Image guidance system (Electromagnetic) was used for endoscopic surgery on patients with disease of the paranasal sinuses (n = 30). Results were compared with those in control patients who underwent similar surgery without image guidance during the same period (n = 30). The operating room time (image-guidance group, 165.68 ± 6.55 min [mean ± SE]; control group, 163.33 ± 5.43 min), Intraoperative anatomical localization was accurate to within 2 mm. Intraoperative blood loss (image-guidance group, 566.67 ± 62.23 ml [mean ± SE]; control group, 636.33 ± 72.59 mL) and complication rates (image-guidance group, 3.3%; control group, 3.3%) did not differ significantly between groups. We find image guidance system a useful tool with accuracy of 2 mm. Actual intraoperative time, blood loss and complications do not differ significantly with or without the use of IGS.
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References
Chu ST (2006) J Endoscopic sinus surgery under navigation system-analysis report of 79 cases. J Chin Med Assoc 69(11):529–533
Stelter K, Andratschke M, Leunig A, Hagedorn H (2006) Computer-assisted surgery of the paranasal sinuses: technical and clinical experience with 368 patients, using the Vector Vision Compact system. J Laryngol Otol 1209(12):1026–1032
Casiano RR, Numa WA Jr (2000) Efficacy of computed tomographic image-guided endoscopic sinus surgery in residency training programs. Laryngoscope 110(8):1277–1282
Eliashar R, Sichel JY, Gross M, Hocwald E, Dano I, Biron A et al (2003) Image-guided navigation system-a new technology for complex endoscopic endonasal surgery. Postgrad Med J 79(938):686–690
Anon JB (1998) Computer-aided endoscopic sinus surgery. Laryngoscope 108(7):949–961
Al-Swiahb JN, Al Dousary SH (2010) Computer-aided endoscopic sinus surgery: a retrospective comparative study. Ann Saudi Med 30(2):149–152
Metson R, Cosenza M, Gliklich RE, Montgomery WW (1999) The role of image-guidance systems for head and neck surgery. Arch Otolaryngol Head Neck Surg 125(10):1100–1104
Fried MP, Moharir VM, Shin J, Taylor-Becker M, Morrison P (2002) Comparison of endoscopic sinus surgery with and without image guidance. Am J Rhinol 16(4):193–197
Palmer JN, Kennedy DW (2005) Historical perspectives of image-guided sinus surgery. Otolaryngol Clin North Am 38(3):419–428
Hemmerdinger SA, Jacobs JB, Lebowitz RA (2005) Accuracy and cost analysis of image-guided sinus surgery. Otolaryngol Clin North Am 38(3):453–460
Fried MP, Kleefield J, Gopal H, Reardon E, Ho BT, Kuhn FA (1997) Image-guided endoscopic surgery: results of accuracy and performance in a multicenter clinical study using an electromagnetic tracking system. Laryngoscope 107(5):594–601
Fried MP, Parikh SR, Sadoughi B (2008) Image-guidance for endoscopic sinus surgery. Laryngoscope 118(7):1287–1292
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Dr. Chirom Amit Singh and Dr. Kapil Sikka for being involved in patient surgery and care.
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Singh, A., Kumar, R., Thakar, A. et al. Role of Image Guided Navigation in Endoscopic Surgery of Paranasal Sinuses: A Comparative Study. Indian J Otolaryngol Head Neck Surg 72, 221–227 (2020). https://doi.org/10.1007/s12070-019-01773-0
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DOI: https://doi.org/10.1007/s12070-019-01773-0