[Use of navigation in skull base surgery]

Area of Science:

• Neurosurgery
• Medical Technology
• Surgical Navigation

Background:

• Neurosurgical navigation systems have evolved significantly.
• Current systems primarily utilize optical or electromagnetic principles.
• Understanding these principles is crucial for effective application.

Purpose of the Study:

• To review the historical development of neurosurgical navigation.
• To explain the underlying principles of current navigation systems.
• To analyze the application and accuracy of navigation in skull base surgery.

Main Methods:

• Review of historical development and principles of navigation systems.
• Comparative analysis of optical and electromagnetic navigation accuracy.
• Detailed examination of navigation use in skull base surgery.

Main Results:

• Optical navigation generally shows higher accuracy than electromagnetic navigation.
• Both optical and electromagnetic systems achieve submillimeter experimental errors.
• Key applications in skull base surgery include craniofacial reconstruction and tumor removal.

Conclusions:

• Neurosurgical navigation, particularly optical systems, enhances precision in complex procedures.
• Navigation is vital for skull base surgeries involving intricate anatomy.
• Understanding indications and limitations is essential for optimal use.