Image-guided sinus surgery: practical and financial experiences from a UK centre 2001–2009

Masterson, Liam; Agalato, E; Pearson, C. R.

doi:10.1017/s002221511200223x

Cited by 17 publications

(20 citation statements)

References 17 publications

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“…Masterson et al 1216 found a reduction in revision surgery among patients whose ESS was performed with IGS. Other studies have not demonstrated similar benefits of IGS.…”

Section: Xd4 Surgical Principles/techniques: Image Guidancementioning

confidence: 99%

See 1 more Smart Citation

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

558

888

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Background:The body of knowledge regarding rhinosinusitis (RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). Methods:Evidence-based reviews with recommendations (EBRRs) were developed for scores of topics, using previously reported methodology. Where existing evidence was insufficient for an EBRR, an evidence-based review (EBR) was produced. The sections were then synthesized and the entire manuscript was then reviewed by all authors for consensus. Results:The resulting ICAR:RS document addresses multiple topics in RS, including acute RS (ARS), chronic RS (CRS) with and without nasal polyps (CRSwNP and CRSsNP), recurrent acute RS (RARS), acute exacerbation of CRS (AE-CRS), and pediatric RS. Conclusion:As a critical review of the RS literature, ICAR:RS provides a thorough review of pathophysiology and evidence-based recommendations for medical and surgical treatment. It also demonstrates the significant gaps in our understanding of the pathophysiology and optimal management of RS. Too o en the foundation upon which these recommendations are based is comprised of lowerlevel evidence. It is our hope that this summary of the evidence in RS will point out where additional research efforts may be directed. C 2016 ARS-AAOA, LLC. Key Words:rhinosinusitis; chronic rhinosinusitis; acute rhinosinusitis; recurrent acute rhinosinusitis; evidence-based medicine; systematic review; endoscopic sinus surgery List of Abbreviations Used

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“…Masterson et al 1216 found a reduction in revision surgery among patients whose ESS was performed with IGS. Other studies have not demonstrated similar benefits of IGS.…”

Section: Xd4 Surgical Principles/techniques: Image Guidancementioning

confidence: 99%

“…One study has proposed that IGS may reduce the overall cost of care, by reducing the need for revision surgery. 1216 From a medicolegal perspective, IGS has not been implicated as a factor in litigation for ESS-related complications 1234 (Table X- …”

Section: Xd4 Surgical Principles/techniques: Image Guidancementioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

558

888

View full text Add to dashboard Cite

show abstract

“…Sub-millimeter accuracy in CBCT image overlay on the endoscopic view was achieved. The utility of surgical navigation in endoscopic endonasal skull base surgery is well established [1][2][3][4][5][6][10][11][12][13][14][15]. Most commercially available navigation systems employ a contour-based registration protocol, where a laser pointer is used to identify the skin surface, which is then co-registered with the preoperative CT or MR images [38].…”

Section: Discussionmentioning

confidence: 99%

“…To further increase safety, surgical navigation has been implemented and is today a well-established tool in endoscopic skull base surgery [3][4][5][6]. While some studies have failed to demonstrate a positive impact of navigation in endonasal surgery [7][8][9], others have shown reduced complication rates and improved patient outcome [10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Fusion of augmented reality imaging with the endoscopic view for endonasal skull base surgery; a novel application for surgical navigation based on intraoperative cone beam computed tomography and optical tracking

et al. 2020

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ObjectiveSurgical navigation is a well-established tool in endoscopic skull base surgery. However, navigational and endoscopic views are usually displayed on separate monitors, forcing the surgeon to focus on one or the other. Aiming to provide real-time integration of endoscopic and diagnostic imaging information, we present a new navigation technique based on augmented reality with fusion of intraoperative cone beam computed tomography (CBCT) on the endoscopic view. The aim of this study was to evaluate the accuracy of the method. Material and methodsAn augmented reality surgical navigation system (ARSN) with 3D CBCT capability was used. The navigation system incorporates an optical tracking system (OTS) with four video cameras embedded in the flat detector of the motorized C-arm. Intra-operative CBCT images were fused with the view of the surgical field obtained by the endoscope's camera. Accuracy of CBCT image co-registration was tested using a custom-made grid with incorporated 3D spheres.

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“…However, ongoing surgical dissection can alter the observed anatomy on a real time basis and distort boundaries seen on a pre-operative navigational CT scan. It appears that computer guided sinus surgery may not necessarily improve clinical outcome, but it may reduce surgical complication rates [9,10].…”

Section: Introductionmentioning

confidence: 99%