Computer-aided endoscopic sinus surgery

被引:91
作者
Anon, JB [1 ]
机构
[1] Univ Pittsburgh, Sch Med, Dept Otolaryngol, Pittsburgh, PA 15260 USA
关键词
computer-aided; image-guided; computer-assisted; endoscopic sinus surgery;
D O I
10.1097/00005537-199807000-00001
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Objectives: To examine four different types of computer-aided endoscopic sinus surgical devices-the ISG Viewing Wand, the ISG infrared OptoTrak, the IGT FlashPoint 5000, and the VTI InstaTrak-with emphasis on their accuracy and ease of use. Study Design: Prospective study utilizing laboratory experiments and intraoperative data collection. Methods: A review of the literature is presented. Patients undergoing endoscopic sinus surgery during the study period were enlisted under FDA protocols with IRE consent. Groups of patients had surgery performed with each of the above devices-except the FlashPoint 5000. Accuracy measurements were recorded, and user and operating staff comments about ease of use were collected. The FlashPoint 5000 was used exclusively in the laboratory setting, where accuracy measurements were obtained on a cadaver skull, Results: The systems all demonstrated accuracy to within 2.00 mm. Ease of use was somewhat variable, but following a learning curve by the surgeon and operating department personnel, all of the units were considered to be relatively user friendly. Conclusions: Computer-aided endoscopic sinus surgery appears to be the wave of the future. Nevertheless, the modern endoscopic sinus surgeon must have thorough training in the basic anatomy of the paranasal sinuses as well as the various surgical techniques.
引用
收藏
页码:949 / 961
页数:13
相关论文
共 40 条
  • [1] ANON JB, 1994, LARYNGOSCOPE, V104, P901
  • [2] Anon JB, 1995, OPERATIVE TECHNIQUES, V6, P163
  • [3] COMPUTED TOMOGRAPHIC GUIDANCE STEREOTAXIS IN THE MANAGEMENT OF INTRACRANIAL MASS LESIONS
    APUZZO, MLJ
    SABSHIN, JK
    [J]. NEUROSURGERY, 1983, 12 (03) : 277 - 285
  • [4] USE OF A FRAMELESS, ARMLESS STEREOTAXIC WAND FOR BRAIN-TUMOR LOCALIZATION WITH 2-DIMENSIONAL AND 3-DIMENSIONAL NEUROIMAGING
    BARNETT, GH
    KORMOS, DW
    STEINER, CP
    WEISENBERGER, J
    [J]. NEUROSURGERY, 1993, 33 (04) : 674 - 678
  • [5] INTRAOPERATIVE LOCALIZATION USING AN ARMLESS, FRAMELESS STEREOTAXIC WAND - TECHNICAL NOTE
    BARNETT, GH
    KORMOS, DW
    STEINER, CP
    WEISENBERGER, J
    [J]. JOURNAL OF NEUROSURGERY, 1993, 78 (03) : 510 - 514
  • [6] STEREOTAXIC COMPUTED TOMOGRAPHY
    BERGSTROM, M
    GREITZ, T
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 1976, 127 (01) : 167 - 170
  • [8] COMPUTER-ASSISTED FRONTAL SINUSOTOMY
    CARRAU, RL
    SNYDERMAN, CH
    CURTIN, HB
    WEISSMAN, JL
    [J]. OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1994, 111 (06) : 727 - 732
  • [9] Image-guided endoscopic surgery: Results of accuracy and performance in a multicenter clinical study using an electromagnetic tracking system
    Fried, MP
    Kleefield, J
    Gopal, H
    Reardon, E
    Ho, BT
    Kuhn, FA
    [J]. LARYNGOSCOPE, 1997, 107 (05) : 594 - 601
  • [10] MODIFICATION OF THE GOUDA FRAME TO ALLOW STEREOTACTIC BIOPSY OF THE BRAIN USING THE GE-8800 COMPUTED TOMOGRAPHIC SCANNER
    GOUDA, KI
    FREIDBERG, SR
    LARSEN, CR
    BAKER, RA
    SILVERMAN, ML
    [J]. NEUROSURGERY, 1983, 13 (02) : 176 - 181