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Image guidance in rhinology and anterior skull base surgery: five-year single institution experience

Published online by Cambridge University Press:  18 December 2012

V Visvanathan  and
G W McGarry
V Visvanathan*
Affiliation:
Department of ENT/Head and Neck Surgery, Glasgow Royal Infirmary, Scotland, UK
G W McGarry
Affiliation:
Department of ENT/Head and Neck Surgery, Glasgow Royal Infirmary, Scotland, UK
*
Address for correspondence: Mr V Visvanathan, Department of ENT/Head and Neck Surgery, Glasgow Royal Infirmary, 84 Castle St, Glasgow G4 0SF, Scotland, UK E-mail: [email protected]
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Abstract

Objectives:

We examined our experience of image guidance surgery in rhinology, and compared image guidance surgery cases with non-image guidance cases. We also audited our practice against the American Academy of Otolaryngology–Head and Neck Surgery image guidance surgery guidelines.

Method:

The study employed a single institution retrospective approach comprising 174 image guidance surgery patients (106 males and 68 females) and 134 non-image guidance surgery patients (75 males and 59 females).

Results:

In the image guidance surgery group, tumour operations represented 45 per cent of cases (55 per cent were non-neoplastic). Basic, intermediate and advanced (structured classification) procedures represented 19 per cent, 24 per cent and 61 per cent, respectively. Five minor complications were recorded. In non-image guidance surgery, tumour operations represented 8 per cent of cases (92 per cent were non-neoplastic). Basic, intermediate and advanced procedures represented 73 per cent, 12 per cent and 15 per cent, respectively. One minor complication was observed.

Conclusion:

We report the largest series of image-guided ENT surgical procedures in the UK. In the cases we examined, image guidance surgery was predominantly used in advanced procedures and tumour surgery.

Keywords

Surgical Procedures, OtorhinolaryngologicParanasal SinusesNasal CavityRadiologyComputed Tomography Scanner, X-ray
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 2 , February 2013 , pp. 159 - 162
Copyright
Copyright © JLO (1984) Limited 2012

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Footnotes

Presented orally at the Scottish Otolaryngological Society winter meeting, 8 November 2011, Stirling, Scotland, and at the Laryngology and Rhinology section of the Royal Society of Medicine meeting, 2 March 2012, London, UK.

References

1Roth, M, Lanza, DC, Zinreich, J, Yousem, D, Scanlan, KA, Kennedy, DW. Advantages and disadvantages of three-dimensional computed tomography intraoperative localization for functional endoscopic sinus surgery. Laryngoscope 1995;105:1279–86CrossRefGoogle ScholarPubMed
2Fried, 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;107:594–601CrossRefGoogle Scholar
3Metson, R, Gliklich, RE, Cosenza, M. A comparison of image guidance systems for sinus surgery. Laryngoscope 1998;108:1164–70CrossRefGoogle ScholarPubMed
4Metson, R, Cosenza, M, Gliklich, R, Montgomery, WW. The role of image-guidance systems for head and neck surgery. Arch Otolaryngol Head Neck Surg 1999;125:1100–4CrossRefGoogle ScholarPubMed
5Metson, RB, Cosenza, MJ, Cunningham, MJ, Randolph, GW. Physician experience with an optical image guidance system for sinus surgery. Laryngoscope 2000;110:972–6CrossRefGoogle ScholarPubMed
6Labadie, RF, Davis, BM, Fitzpatrick, JM. Image guided surgery: what is the accuracy? Curr Opin Otolaryngol Head Neck Surg 2005;13:27–31CrossRefGoogle ScholarPubMed
7Hepworth, EJ, Bucknor, M, Patel, A, Vaughan, WC. Nationwide survey on the use of image-guided functional endoscopic sinus surgery. Otolaryngol Head Neck Surg 2006;135:68–75CrossRefGoogle ScholarPubMed
8Metson, R. Image-guided sinus surgery: lessons learned from the first 1000 cases. Otolaryngol Head Neck Surg 2003;128:8–13CrossRefGoogle ScholarPubMed
9Tabaee, A, Hsu, AK, Shrine, MG, Rickert, S, Close, LG. Quality of life and complications following image guided endoscopic sinus surgery. Otolaryngol Head Neck Surg 2006;135:76–80Google ScholarPubMed
10Schlosser, RJ, Bolger, WE. Image-guided procedures of the skull base. Otolaryngol Clin North Am 2005;38:483–90CrossRefGoogle ScholarPubMed
11Citardi, MJ, Batra, PS. Intraoperative surgical navigation for endoscopic sinus surgery: rationale and indications. Curr Opin Otolaryngol Head Neck Surg 2007;15:23–7CrossRefGoogle ScholarPubMed