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Endoscopic sinus surgery with and without computer assisted navigation: A retrospective study.

Bruno Galletti1, Francesco Gazia1, Francesco Freni1

  • 1Department of Adult and Development Age Human Pathology "Gaetano Barresi", Unit of Otorhinolaryngology, University of Messina, Italy.

Auris, Nasus, Larynx
|December 12, 2018
PubMed
Summary
This summary is machine-generated.

Computer-assisted navigation (CAN) in endoscopic sinus surgery (ESS) reduces recurrence rates and nasal resistance for chronic rhinosinusitis patients. While not impacting all complications, CAN improves quality of life and surgical outcomes.

Keywords:
Computer assisted navigation (CAN)Endoscopic sinus surgery (ESS)Nasal polyposisNeuronavigationRhinomanometryRhinosinusitis

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Area of Science:

  • Otolaryngology
  • Medical Technology
  • Surgical Innovation

Background:

  • Endoscopic sinus surgery (ESS) is a common treatment for chronic rhinosinusitis (CRS).
  • Computer-assisted navigation (CAN) has emerged as a technological advancement in ESS.
  • The clinical utility and comparative benefits of CAN in ESS require thorough evaluation.

Purpose of the Study:

  • To evaluate the usefulness of computer-assisted navigation (CAN) in endoscopic sinus surgery (ESS).
  • To compare the advantages of CAN-assisted ESS versus conventional ESS.
  • To assess the impact of CAN on patient outcomes and surgical efficiency.

Main Methods:

  • A retrospective review of 96 chronic rhinosinusitis (CRS) patients undergoing ESS.
  • Group A: 48 patients underwent ESS with CAN (surgical navigation).
  • Group B: 48 patients underwent conventional ESS without navigation. Data collected included complications, olfactory function, SNOT-22, RhinoQoL, recurrence (CT Lund-Mackay), nasal resistance, and procedure duration.

Main Results:

  • CAN group showed significantly decreased recurrence rates (p=0.009), reduced total nasal resistance (p=0.007), and improved nasal symptomatology (p=0.008).
  • Quality of life (QoL) showed better improvement in the CAN group.
  • No significant differences in other complications or olfactory function. Surgical intervention time was significantly reduced with CAN (p<0.05).

Conclusions:

  • Computer-assisted navigation (CAN) is beneficial in ESS, particularly for experienced surgeons in frontal recess surgery.
  • CAN effectively decreases recurrence rates and reduces total nasal resistance.
  • CAN enhances quality of life and potentially reduces surgical intervention time in ESS for CRS.