Naslov
Algorithm for navigated endoscopic sinus surgery

Autori
Baudoin, Tomislav ; Grgić, Marko Velimir ; Zadravec, Diana ; Geber, Goran ; Tomljenović, Dejan ; Kalogjera, Livije

Izvornik
Rhinology (0300-0729) 51 (2013), 4; 335-342

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
navigation; sinus surgery; safety; anatomy; orientation

Sažetak
ENT navigation has given new opportunities in performing Endoscopic Sinus Surgery (ESS) and improving surgical outcome of the patients` treatment. ESS assisted by a navigation system could be called Navigated Endoscopic Sinus Surgery (NESS). As it is generally accepted that the NESS should be performed only in cases of complex anatomy and pathology, it has not yet been established as a state-of-the-art procedure and thus not used on a daily basis. This paper presents an algorithm for use of a navigation system for basic ESS in the treatment of chronic rhinosinusitis (CRS). The algorithm includes five units that should be highlighted using a navigation system. They are as follows: 1) nasal vestibule unit, 2) OMC unit, 3) anterior ethmoid unit, 4) posterior ethmoid unit, and 5) sphenoid unit. Each unit has a shape of a triangular pyramid and consists of at least four reference points or landmarks. As many landmarks as possible should be marked when determining one of the five units. Navigated orientation in each unit should always precede any surgical intervention. The algorithm should improve the learning curve of trainees and enable surgeons to use the navigation system routinely and systematically.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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