Image-guided endoscopic ENT surgery

Intraoperative three-dimensional (3D) "navigation" has significantly improved patient safety during operative procedures on the paranasal sinuses and the frontal skull base. The ISG Viewing Wand (ISG Technologies, Mississauga, Ontario, Canada) is now used routinely for such procedures in o...

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 1997, Vol.254 (7), p.343-346
Main Authors: FREYSINGER, W, GUNKEL, A. R, THUMFART, W. F
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Carcinoma, Adenoid Cystic - diagnostic imaging
Carcinoma, Adenoid Cystic - pathology
Carcinoma, Adenoid Cystic - surgery
Endoscopy - methods
Equipment Design
Female
Foreign Bodies - diagnostic imaging
Foreign Bodies - surgery
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Image Processing, Computer-Assisted
Male
Maxillary Sinus - diagnostic imaging
Maxillary Sinus - surgery
Medical sciences
Monitoring, Intraoperative
Otolaryngology - instrumentation
Skull Neoplasms - diagnostic imaging
Skull Neoplasms - pathology
Skull Neoplasms - surgery
Sphenoid Bone - diagnostic imaging
Sphenoid Bone - pathology
Sphenoid Bone - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Tomography, X-Ray Computed
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Summary:Intraoperative three-dimensional (3D) "navigation" has significantly improved patient safety during operative procedures on the paranasal sinuses and the frontal skull base. The ISG Viewing Wand (ISG Technologies, Mississauga, Ontario, Canada) is now used routinely for such procedures in our hospital at the present time. Current use with our radiological and intraoperative protocols has demonstrated a clinical accuracy of 1-2 mm. Initial experience with the ARTMA Virtual Patient (ARTMA Biomedical, Vienna, Austria) has allowed endoscopic 3D navigation by using augmented reality techniques and has been found to be very promising. We present our experience with these systems and discuss the impact of these unique techniques on computer-assisted surgery (CAS) in otorhinolaryngology and head and neck surgery.
ISSN:0937-4477
1434-4726
DOI:10.1007/bf02630726