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Choosing a computer-assisted surgical system for sinus surgery.

Safeena Kherani1, Amin R Javer, Jeremy D Woodham

  • 1Paul's Sinus Centre, ENT Clinic, St. Paul's Hospital, Vancouver, British Columbia.

The Journal of Otolaryngology
|August 19, 2003
PubMed
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The InstaTrak electromagnetic navigation system was preferred over the optical LandmarX system for sinus surgery due to its superior ease of use by operating room staff and surgeons.

Area of Science:

  • Otolaryngology
  • Medical Device Technology
  • Surgical Navigation

Background:

  • Selecting computer-assisted navigation systems for sinus surgery presents challenges for surgeons and institutions.
  • A comparative trial evaluated an electromagnetic system (InstaTrak) and an optical system (LandmarX).

Purpose of the Study:

  • To objectively and subjectively evaluate two computer-assisted navigation systems for sinus surgery.
  • To determine the most suitable system for institutional adoption based on performance and user feedback.

Main Methods:

  • A 10-month trial involving 39 patients undergoing sinus surgery.
  • Comparison of InstaTrak (23 patients) and LandmarX (16 patients) based on surgical outcomes and user surveys.
  • Evaluation included estimated blood loss, surgical time, complications, and user-reported ease of use, safety, and storage.

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Main Results:

  • No significant differences in objective surgical data between the two systems.
  • LandmarX demonstrated a steeper learning curve with greater surgical time reduction over the trial period.
  • Operating room personnel found InstaTrak easier to use; CT technologists preferred LandmarX. Surgeons found both systems accurate, but InstaTrak more user-friendly.

Conclusions:

  • The InstaTrak system was selected for institutional use.
  • Ease of use for operating room staff and surgeons was the primary factor in choosing InstaTrak.