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
  • [11] Gunkel A. R., 1995, Acta Oto-Rhino-Laryngologica Belgica, V49, P257
  • [12] GUTHRIE BL, 1991, PERSPECT NEUROL SURG, V2, P1
  • [13] COMPUTERIZED 3-DIMENSIONAL STEREOTAXIC REMOVAL OF SMALL CENTRAL NERVOUS-SYSTEM LESIONS IN PATIENTS
    JACQUES, S
    SHELDEN, CH
    MCCANN, GD
    FRESHWATER, DB
    RAND, R
    [J]. JOURNAL OF NEUROSURGERY, 1980, 53 (06) : 816 - 820
  • [14] A FRAMELESS, ARMLESS NAVIGATIONAL SYSTEM FOR COMPUTER-ASSISTED NEUROSURGERY
    KATO, A
    YOSHIMINE, T
    HAYAKAWA, T
    TOMITA, Y
    IKEDA, T
    MITOMO, M
    HARADA, K
    MOGAMI, H
    [J]. JOURNAL OF NEUROSURGERY, 1991, 74 (05) : 845 - 849
  • [15] COMPUTER-ASSISTED STEREOTACTIC LASER MICRO-SURGERY FOR THE TREATMENT OF INTRA-CRANICAL NEOPLASMS
    KELLY, PJ
    ALKER, GJ
    GOERSS, S
    [J]. NEUROSURGERY, 1982, 10 (03) : 324 - 331
  • [16] PRECISION RESECTION OF INTRA-AXIAL CNS LESIONS BY CT-BASED STEREOTACTIC CRANIOTOMY AND COMPUTER MONITORED CO-2 LASER
    KELLY, PJ
    KALL, B
    GOERSS, S
    ALKER, GJ
    [J]. ACTA NEUROCHIRURGICA, 1983, 68 (1-2) : 1 - 9
  • [17] COMPLICATIONS OF ETHMOIDECTOMY - A SURVEY OF FELLOWS OF THE AMERICAN-ACADEMY-OF-OTOLARYNGOLOGY-HEAD-AND-NECK-SURGERY
    KENNEDY, DW
    SHAMAN, P
    HAN, W
    SELMAN, H
    DEEMS, DA
    LANZA, DC
    [J]. OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1994, 111 (05) : 589 - 599
  • [18] KLIMEK L, 1993, OPHTHALMIC SURG LAS, V24, P411
  • [19] KLIMEK L, 1991, P CAR 91, P358
  • [20] KONDZIOLKA D, 1995, CONT NEUROSURG, V17, P1