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Published on: July 5, 2021
[Effect and evaluation of image guided navigation system in complex endoscopic endonasal surgery]
Li Qiao1, Jianhua Qiu, Fuquan Chen
1Department of Otolaryngology-Head and Neck Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China. qiaoli@fmmu.edu.cn
Summary
Image guided navigation systems (IGNS) enhance safety and effectiveness in complex endoscopic endonasal surgery. This valuable tool improves operator confidence and accuracy, with minimal impact on procedure time.
Area of Science:
- Neurosurgery
- Otolaryngology
- Medical Technology
Background:
- Complex endoscopic endonasal surgeries present significant challenges.
- Image guided navigation systems (IGNS) offer potential solutions for enhanced surgical precision.
Purpose of the Study:
- To evaluate the efficacy and safety of IGNS in complex endoscopic endonasal surgery.
- To assess IGNS accuracy, impact on procedure time, and surgeon confidence.
Main Methods:
- A retrospective analysis of 305 patients undergoing endoscopic surgery with IGNS.
- Data collected included IGNS accuracy, operation time, surgeon satisfaction, and complications.
Main Results:
- All 305 procedures were successful with no perioperative complications.
- IGNS demonstrated high accuracy, with a mean localization error of 1.2 mm (less than 2 mm in 98.7% of cases).
- IGNS increased surgeon confidence and patient safety without significantly increasing operation time compared to routine endoscopic surgery (ESS).
Conclusions:
- IGNS significantly improves the effectiveness and safety of endoscopic endonasal surgery.
- IGNS is a valuable tool for managing complex cases in endoscopic endonasal surgery.
