Tags

Type your tag names separated by a space and hit enter

Computer-aided surgery of the paranasal sinuses and skull base.
Expert Rev Med Devices. 2005 Jul; 2(4):395-408.ER

Abstract

Endoscopic sinus surgery is one of the most common surgical procedures in otolaryngology. However, the location of the orbit and intracranial contents in close proximity to the paranasal sinuses makes endoscopic sinus surgery potentially hazardous. Otolaryngologists have employed computer-aided surgery, or image-guided surgery, over the past two decades to enhance surgeon confidence, allow more thorough surgical dissections and possibly reduce the complication rate of endoscopic sinus surgery. Computer-aided surgery utilizes preoperative imaging to provide real-time localization of surgical instruments in the surgical field. Although computer-aided surgery originated in the neurosurgical realm, otolaryngologists soon appreciated that this technology could assist in identifying critical orbital or intracranial structures surrounding the paranasal sinuses, and potentially aid in decreasing complications. In this article, the history of image-guidance systems and their application to surgery of the paranasal sinuses and skull base will be reviewed. The components of computer-aided surgery systems and the currently available technologies for surgical instrument tracking are discussed, as well as the advantages and disadvantages of each of the tracking technologies. In addition, issues relating to the accuracy of image-guidance systems are examined. A number of institutional series noting surgeon experience with computer-aided surgery in the domain of paranasal sinus surgery are reviewed. Furthermore, the authors evaluate the utility of image-guidance technology beyond the paranasal sinuses and skull base, such as its use in surgery of the pituitary gland and pterygopalatine fossa, research and resident education. Finally, potential future applications of computer-aided surgery technology are discussed.

Authors+Show Affiliations

The Emory Clinic, Department of Otolaryngology-Head and Neck Surgery, Atlanta, GA 30322, USA.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

16293079

Citation

Wise, Sarah K., and John M. DelGaudio. "Computer-aided Surgery of the Paranasal Sinuses and Skull Base." Expert Review of Medical Devices, vol. 2, no. 4, 2005, pp. 395-408.
Wise SK, DelGaudio JM. Computer-aided surgery of the paranasal sinuses and skull base. Expert Rev Med Devices. 2005;2(4):395-408.
Wise, S. K., & DelGaudio, J. M. (2005). Computer-aided surgery of the paranasal sinuses and skull base. Expert Review of Medical Devices, 2(4), 395-408.
Wise SK, DelGaudio JM. Computer-aided Surgery of the Paranasal Sinuses and Skull Base. Expert Rev Med Devices. 2005;2(4):395-408. PubMed PMID: 16293079.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Computer-aided surgery of the paranasal sinuses and skull base. AU - Wise,Sarah K, AU - DelGaudio,John M, PY - 2005/11/19/pubmed PY - 2005/12/15/medline PY - 2005/11/19/entrez SP - 395 EP - 408 JF - Expert review of medical devices JO - Expert Rev Med Devices VL - 2 IS - 4 N2 - Endoscopic sinus surgery is one of the most common surgical procedures in otolaryngology. However, the location of the orbit and intracranial contents in close proximity to the paranasal sinuses makes endoscopic sinus surgery potentially hazardous. Otolaryngologists have employed computer-aided surgery, or image-guided surgery, over the past two decades to enhance surgeon confidence, allow more thorough surgical dissections and possibly reduce the complication rate of endoscopic sinus surgery. Computer-aided surgery utilizes preoperative imaging to provide real-time localization of surgical instruments in the surgical field. Although computer-aided surgery originated in the neurosurgical realm, otolaryngologists soon appreciated that this technology could assist in identifying critical orbital or intracranial structures surrounding the paranasal sinuses, and potentially aid in decreasing complications. In this article, the history of image-guidance systems and their application to surgery of the paranasal sinuses and skull base will be reviewed. The components of computer-aided surgery systems and the currently available technologies for surgical instrument tracking are discussed, as well as the advantages and disadvantages of each of the tracking technologies. In addition, issues relating to the accuracy of image-guidance systems are examined. A number of institutional series noting surgeon experience with computer-aided surgery in the domain of paranasal sinus surgery are reviewed. Furthermore, the authors evaluate the utility of image-guidance technology beyond the paranasal sinuses and skull base, such as its use in surgery of the pituitary gland and pterygopalatine fossa, research and resident education. Finally, potential future applications of computer-aided surgery technology are discussed. SN - 1743-4440 UR - https://www.unboundmedicine.com/medline/citation/16293079/Computer_aided_surgery_of_the_paranasal_sinuses_and_skull_base_ L2 - https://www.tandfonline.com/doi/full/10.1586/17434440.2.4.395 DB - PRIME DP - Unbound Medicine ER -