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Published on: July 5, 2021
[Application of computer assisted navigation system in endoscopic sinus and skull base surgery]
Lan Cheng1, Rongping Cao, Guozhen Meng
1Department of Otolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, 200092, China.
Summary
Computer assisted navigation systems enhance safety and accuracy in endoscopic sinus and skull base surgeries. This technology aids surgeons in identifying anatomical landmarks, reducing complications and improving patient outcomes.
Area of Science:
- Neurosurgery
- Otolaryngology
- Medical Technology
Background:
- Endoscopic sinus and skull base surgeries are complex procedures requiring precise anatomical navigation.
- Minimizing intraoperative risks and improving surgical outcomes are paramount in these delicate operations.
Purpose of the Study:
- To assess the practical utility and effectiveness of computer assisted navigation systems (CANS) in endoscopic sinus and skull base surgery.
- To determine if CANS can enhance surgical precision and patient safety.
Main Methods:
- A retrospective analysis of 49 endoscopic surgeries utilizing a computer assisted navigation system.
- Procedures included various pathologies such as recurrent sinusitis, nasal polyps, tumors, CSF leaks, and congenital abnormalities.
Main Results:
- The average preparation time for CANS was 7 minutes (range 5-13 minutes).
- The system achieved a high degree of accuracy, with target errors of 1.5 mm or less.
- All 49 surgical procedures were completed successfully without any reported complications.
Conclusions:
- Computer assisted navigation systems significantly improve the accuracy and safety of endoscopic sinus and skull base surgeries.
- CANS assists surgeons in correctly identifying critical anatomical structures, thereby reducing the risk of intraoperative and postoperative complications.