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Revision Sinus Surgery pp 251–267Cite as

Revision Image-Guided Functional Endoscopic Sinus Surgery

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Abstract

• Image-guided surgery (IGS) incorporates both computer-enabled review of preoperative imaging and intraoperative surgical navigation. Rhinologists have embraced IGS as a technological means to reduce surgical morbidity and improve surgical outcomes.

• All IGS systems share similar hardware (computer workstation, display monitor, tracking system, and surgical navigation) and software (data management, image review, surgical navigation) components.

• Registration is the process through which a surgical navigation system establishes a one-to-one mapping relationship between corresponding points in the operating field volume and the imaging data set volume.

• Registration protocols may be classified as pairedpoint, automatic, and contour-based.

• Surgical navigation is best assessed through determinations of target registration error (TRE). In the clinical realm, the surgeon estimates TRE by localizing against known anatomic landmarks.

• The American Academy of Otolaryngology – Head and Neck Surgery has issued a position statement that endorses the use of IGS at the discretion of the operating surgeon in sinus and skull-base surgery.

• Currently, IGS is commonly employed for revision endoscopic sinus surgery involving the ethmoid, frontal, and sphenoid sinuses. IGS is also useful in cases of sinonasal polyposis. In the setting of previous orbital and skull-base injury, IGS can provide critical information.

• Although prospective, randomized clinical trials for IGS have not been performed, published reports describe the consensus that IGS reduces morbidity and improves outcomes.

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Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology – Head and Neck Surgery, University of Texas Medical School at Houston, 6431 Fannin, MSB 5.202, TX 77030, Houston, TX, USA

    Martin J. Citardi

  2. Head and Neck Institute, Section of Nasal and Sinus Disorders, Cleveland Clinic Foundation, 9500 Euclid Ave, A71, OH 44195, Cleveland, OH, USA

    Pete S. Batra

Authors
  1. Martin J. Citardi
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  2. Pete S. Batra
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© 2008 Springer-Verlag Berlin Heidelberg

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Citardi, M., Batra, P. (2008). Revision Image-Guided Functional Endoscopic Sinus Surgery. In: Revision Sinus Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78931-4_29

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  • DOI: https://doi.org/10.1007/978-3-540-78931-4_29

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-78930-7

  • Online ISBN: 978-3-540-78931-4

  • eBook Packages: MedicineMedicine (R0)

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