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Image guidance systems for minimally invasive sinus and skull base surgery in children.
Int J Pediatr Otorhinolaryngol. 2009 Oct; 73(10):1452-7.IJ

Abstract

OBJECTIVE

The use of image guidance for sinonasal and skull base surgery has been well-characterized in adults but there is limited information on the use of these systems in the pediatric population, despite their widespread use. The aim of this study is to evaluate the use of image guidance systems to facilitate an endoscopic minimally invasive approach to sinonasal and skull base surgery in a pediatric population.

METHODS

A retrospective cohort study was performed at a tertiary pediatric hospital. Thirty-three children presented with complications of sinusitis, tumors, traumatic, or congenital lesions of the skull base and underwent endoscopic surgery using image guidance from March 2000 to April 2007. Patient variables including diagnosis, extent of disease, and complications were extracted from paper and computer charts. Additional surgical variables including set-up time, accuracy, surgeon satisfaction index and number of uses per case were also reviewed.

RESULTS

Twenty-eight patients (85%) underwent sinonasal surgery and five (15%) underwent skull base surgery. Indications included infectious complications of acute sinusitis (N=15), neoplasms (N=12), choanal atresia (N=4), and cerebrospinal fluid leak (N=2). Thirty-one patients (94%) required only one procedure. No surgical complications were reported. Surgeon satisfaction, mean accuracy and number of uses per procedure increased over time (p<0.05).

CONCLUSIONS

Image guidance systems are safe and effective tools that facilitate a minimally invasive approach to sinonasal and skull base surgery in children. Consistent with adult literature, usage and surgeon comfort increased with experience. The additional anatomical information obtained by image guidance systems facilitates a minimally invasive endoscopic approach for sinonasal and skull base pathologies.

Authors+Show Affiliations

Massachusetts Eye and Ear Infirmary, Department of Otolaryngology, 243 Charles Street, Boston, MA 02114, USA. Margo_Benoit@meei.harvard.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19695718

Citation

Benoit, Margo McKenna, et al. "Image Guidance Systems for Minimally Invasive Sinus and Skull Base Surgery in Children." International Journal of Pediatric Otorhinolaryngology, vol. 73, no. 10, 2009, pp. 1452-7.
Benoit MM, Silvera VM, Nichollas R, et al. Image guidance systems for minimally invasive sinus and skull base surgery in children. Int J Pediatr Otorhinolaryngol. 2009;73(10):1452-7.
Benoit, M. M., Silvera, V. M., Nichollas, R., Jones, D., McGill, T., & Rahbar, R. (2009). Image guidance systems for minimally invasive sinus and skull base surgery in children. International Journal of Pediatric Otorhinolaryngology, 73(10), 1452-7. https://doi.org/10.1016/j.ijporl.2009.07.017
Benoit MM, et al. Image Guidance Systems for Minimally Invasive Sinus and Skull Base Surgery in Children. Int J Pediatr Otorhinolaryngol. 2009;73(10):1452-7. PubMed PMID: 19695718.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Image guidance systems for minimally invasive sinus and skull base surgery in children. AU - Benoit,Margo McKenna, AU - Silvera,V Michelle, AU - Nichollas,Richard, AU - Jones,Dwight, AU - McGill,Trevor, AU - Rahbar,Reza, Y1 - 2009/08/19/ PY - 2009/07/16/received PY - 2009/07/20/accepted PY - 2009/8/22/entrez PY - 2009/8/22/pubmed PY - 2011/8/20/medline SP - 1452 EP - 7 JF - International journal of pediatric otorhinolaryngology JO - Int J Pediatr Otorhinolaryngol VL - 73 IS - 10 N2 - OBJECTIVE: The use of image guidance for sinonasal and skull base surgery has been well-characterized in adults but there is limited information on the use of these systems in the pediatric population, despite their widespread use. The aim of this study is to evaluate the use of image guidance systems to facilitate an endoscopic minimally invasive approach to sinonasal and skull base surgery in a pediatric population. METHODS: A retrospective cohort study was performed at a tertiary pediatric hospital. Thirty-three children presented with complications of sinusitis, tumors, traumatic, or congenital lesions of the skull base and underwent endoscopic surgery using image guidance from March 2000 to April 2007. Patient variables including diagnosis, extent of disease, and complications were extracted from paper and computer charts. Additional surgical variables including set-up time, accuracy, surgeon satisfaction index and number of uses per case were also reviewed. RESULTS: Twenty-eight patients (85%) underwent sinonasal surgery and five (15%) underwent skull base surgery. Indications included infectious complications of acute sinusitis (N=15), neoplasms (N=12), choanal atresia (N=4), and cerebrospinal fluid leak (N=2). Thirty-one patients (94%) required only one procedure. No surgical complications were reported. Surgeon satisfaction, mean accuracy and number of uses per procedure increased over time (p<0.05). CONCLUSIONS: Image guidance systems are safe and effective tools that facilitate a minimally invasive approach to sinonasal and skull base surgery in children. Consistent with adult literature, usage and surgeon comfort increased with experience. The additional anatomical information obtained by image guidance systems facilitates a minimally invasive endoscopic approach for sinonasal and skull base pathologies. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/19695718/Image_guidance_systems_for_minimally_invasive_sinus_and_skull_base_surgery_in_children_ DB - PRIME DP - Unbound Medicine ER -