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Indications for computer-assisted surgery in otorhinolaryngology
Summary
Computer-assisted surgery (CAS) enhances complex otorhinolaryngology procedures, including skull base and sinus surgeries. It also offers educational benefits for surgical anatomy and expands to neck and mediastinal surgeries.
Area of Science:
- Otorhinolaryngology
- Medical Technology
- Surgical Navigation
Background:
- Computer-assisted surgery (CAS) is increasingly utilized in various medical fields.
- Its application in otorhinolaryngology (ENT) addresses complex anatomical challenges.
- Traditional surgical approaches may have limitations in intricate areas.
Purpose of the Study:
- To outline the current indications for CAS in otorhinolaryngology.
- To explore the expanding applications of CAS in complex surgical domains.
- To highlight the educational potential of CAS in surgical training.
Main Methods:
- Review of current clinical applications and indications for CAS in ENT.
- Categorization of CAS use based on anatomical regions and surgical complexity.
- Identification of emerging applications and educational benefits.
Main Results:
- CAS is indicated for difficult skull base surgeries (anterior, middle, posterior), petrous bone, infratemporal fossa, retromaxillar space, and orbit.
- CAS is valuable in extended paranasal sinus surgery and revisions with altered anatomy.
- CAS serves as an educational tool, correlating surgical fields with radiological images.
Conclusions:
- CAS is a valuable tool for complex otorhinolaryngology procedures, particularly in challenging anatomical locations.
- Its utility extends to revision surgeries and provides significant educational advantages.
- Emerging applications include surgery of the inferior neck and upper mediastinum, expanding the scope of CAS in ENT.