Skip to main content

Image-guided nasal and skull base surgery: a case-control study

En

Abstract

Objective

The objective of this study is to evaluate the efficacy of image-guided systems in nasal and skull base surgeries.

Study design

This is a prospective case–control study.

Materials and methods

A total number of 24 patients were included in this study. The relevant preoperative, operative, and postoperative records were collected and analyzed.

Results

The mean total operative time was greater for the image-guided surgery group (130 min; range 95–160 min) than for the control group (119 min; range 85–150 min). However, the mean actual operative time was less for the image-guided surgery group (93 min; range 65–120 min) than the control group (99 min; range 70–130 min). The image-guided surgery group had no major complications. However, the control group had three major complications (25%). The average estimated blood loss was higher for the image-guided surgery group (395 ml; range 130–1100 ml) than the control group (380 ml; range 100–950 ml).

Conclusion

Image-guided system may reduce the complications associated with endoscopic sinus surgery and allow for a more thorough operation.

References

  1. Gibbons MD, Gunn CG, Niwas S, Sillers MJ. Cost analysisof computer aided endoscopic sinus surgery. Am J Rhinol 2001;15:71–75.

    Article  CAS  Google Scholar 

  2. Dessi P, Castro F, Triglia JM, Zanaret M, Cannoni M. Major complications of sinus surgery: a review of 1192 procedures. J Laryngol Otol 1994;108:212–215.

    Article  CAS  Google Scholar 

  3. Vleming M, Middelweerd RJ, de Vries N. Complications of endoscopic sinus surgery. Arch Otolaryngol Head Neck Surg 1992;118:617–623.

    Article  CAS  Google Scholar 

  4. Jiang RS, Hsu CY. Revision functional endoscopic sinus surgery. Ann Otol Rhinol Laryngol 2002;111:155–159.

    Article  Google Scholar 

  5. Reardon EJ. Navigational risks associated with sinus surgery and the clinical effects of implementing a navigational system for sinus surgery. Laryngoscope 2002;112:1–19.

    Article  Google Scholar 

  6. Horsley V, Clarke RH. The structure and functions of the cerebellum examined by a new method. Brain 1908;31:45–124.

    Article  Google Scholar 

  7. Anon JB, Rontal M, Zinreich SJ. Computer-assisted endoscopic sinus surgery–current experience and future developments. Oper Tech Otolaryngol Head Neck Surg 1995;6:163–170.

    Article  Google Scholar 

  8. Fried MP, Morrison PR. Computer-augmented endoscopic sinus surgery. Otolaryngol Clin North Am 1998;31:331–340.

    Article  CAS  Google Scholar 

  9. Fried MP, Kleefield J, Gopal H, Reardon E, Ho BT, Kuhn FA. Image-guided endoscopic surgery: results of accuracy and performance in a multicenter clinical study using an electromagnetic tracking system. Laryngoscope 1997;107:594–601.

    Article  CAS  Google Scholar 

  10. Anon JB, Klimek L, Mosges R, Zinreich SJ. Computer-assisted endoscopic sinus surgery. An international review. Otolaryngol Clin North Am 1997;30:389–401.

    Article  CAS  Google Scholar 

  11. Anon JB. Computer-aided endoscopic sinus surgery. Laryngoscope 1998;108:949–961.

    Article  CAS  Google Scholar 

  12. Fried MP, Moharir VM, Shin J, Taylor-Becker M, Morrison P. Comparison of endoscopic sinus surgery with and without image guidance. Am J Rhinol 2002;16:193–197.

    Article  Google Scholar 

  13. Kingdom TT, Orlandi R. Image-guided surgery of the sinuses: current technology and applications. Otolaryngol Clin North Am 2004;37:381–400.

    Article  Google Scholar 

  14. Tabaee A, Kacker A, Kassenoff TL, Anand V. Outcome of computer assisted sinus surgery: a 5-year study. Am J Rhinol 2003;17:291–297.

    Article  Google Scholar 

  15. Loehrl TA, Toohill RJ, Smith TL. Use of computer-aided surgery for frontal sinus ventilation. Laryngoscope 2000;110:1962–1967.

    Article  CAS  Google Scholar 

  16. Jagannathan J, Prevedello DM, Ayer VS, Dumont AS, Jane JA Jr, Laws ER. Computer-assisted frameless stereotaxy in transsphenoidal surgery at a single institution: review of 176 cases. Neurosurg Focus 2006;20:E9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hesham A. Fathy MD.

Additional information

Conflicts of interest

There are no conflicts of interest.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fathy, H.A. Image-guided nasal and skull base surgery: a case-control study. Egypt J Otolaryngol 29, 235–239 (2013). https://doi.org/10.7123/01.EJO.0000433257.24830.f2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.7123/01.EJO.0000433257.24830.f2

Keywords