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Is image guidance accurate in children sinus surgery?
Mathieu Bergeron1, Jacques E Leclerc2
1Department of Otolaryngology - Head & Neck Surgery, Laval University, 1050, avenue de la Médecine, Pavillon Ferdinand-Vandry, bureau 4889, Quebec, Quebec G1V 0A6, Canada.
International Journal of Pediatric Otorhinolaryngology
|February 10, 2015
Summary
This study found that the Stryker 3D navigation system offers comparable calibration precision and low complication rates for both pediatric and adult patients undergoing endoscopic sinus surgery.
Area of Science:
- Otolaryngology
- Medical Device Technology
- Surgical Navigation
Background:
- Image-guided surgery (IGS) systems enhance precision in complex procedures.
- Endoscopic sinus surgery (ESS) benefits from accurate navigation, especially in pediatric cases with unique anatomy.
Purpose of the Study:
- To evaluate the calibration precision of the Stryker 3D navigation system in pediatric versus adult patients.
- To compare complication and calibration failure rates between these two age groups.
Main Methods:
- Retrospective chart review of 59 patients (21 children, 38 adults) who underwent ESS with the Stryker Neuronavigation ENT 2.0 Software.
- Analysis of calibration precision (mean 0.7mm), failure rates, and complication data.
Main Results:
- Identical mean calibration precision (0.7mm) was observed in both pediatric and adult groups (p=0.90).
- Calibration failure/unreliability rates were 14% in children and 5% in adults, not statistically significant.
- No major complications occurred in either group.
Conclusions:
- The Stryker image-guided system demonstrates equivalent calibration precision in children and adults for ESS.
- The system is associated with a low complication rate in both pediatric and adult populations post-surgery.
