[Computer-assisted intraoperative navigation at the anterior skull base]

Area of Science:

• Neurosurgery
• Medical Imaging
• Surgical Technology

Background:

• Intraoperative 3D-navigation has gained significant traction in anterior skull base surgery.
• Successful implementation necessitates adaptation of clinical workflows for integrating radiological imagery.
• Established algorithms and protocols confirm the utility of 3D-navigation systems when paired with quality assurance.

Purpose of the Study:

• To highlight the value of intraoperative 3D-navigation in anterior skull base surgery.
• To discuss the necessary adaptations for successful clinical integration.
• To explore future research directions for expanding its application to the lateral skull base.

Main Methods:

• Review of current practices and established algorithms for 3D-navigation in skull base surgery.
• Analysis of the requirements for integrating preoperative radiological data.
• Discussion of ongoing research in usability and intraoperative quality assurance.

Main Results:

• 3D-navigation systems are proven valuable in anterior skull base surgery with appropriate quality assurance.
• Minor adaptations in clinical pathways are sufficient for integrating radiological data.
• Ease-of-use and reliable quality assurance are key areas for ongoing research.

Conclusions:

• Intraoperative 3D-navigation is an established and valuable tool for anterior skull base procedures.
• Future research focusing on usability and quality assurance will facilitate its successful application in lateral skull base surgery.
• Integration of patient data with high-resolution imaging is crucial for advancing navigation technologies.