This study aimed to compare Endoscopic Sinus Surgery with and without image guidance, analyzing a number of parameters that can impact efficacy in cases of nasal polyposis.
Endoscopic sinus surgery (ESS) is a treatment of choice for rhinosinusitis (CRS), sinonasal polyposis and in cases of skull base diseases. Despite the availability of excellent nasal telescopes and high-resolution preoperative computed tomography (CT), incidence of complications in endoscopic sinus surgery is of 0-1.5% for the major and 1.1-20.8% for the minor. Electromagnetic and optical localization systems both enable real-time detection of instrument position in a 3D imaging repository. At present, such repositories are exclusively based on CT acquisitions reformatted to obtain a series of slices in three dimensions. A software interface matches the imaging repository to a peroperative spatial repository in which the instrument can be located.
Study Type
OBSERVATIONAL
Enrollment
40
Patients with nasal polyposis undergoing endoscopic sinus surgery with Computer Assisted Navigation.
Patients with nasal polyposis undergoing endoscopic sinus surgery only.
Al-Azhar University
Cairo, Egypt
Recurrence rate
Recurrence rate was recorded.
Time frame: 3 months after the procedure
Incidence of major complications
Incidence of major complications like cerebrospinal fluid (CSF) leakage, Carotid artery injury, Brain injury, Blindness, Orbital hematoma and persistent diplopia were recorded.
Time frame: 3 months after the procedure
Incidence of minor complications
Incidence of minor complications like Orbital fat extrusion, Bleeding, Dural exposure, Nasolacrimal duct injury, Synechiae and edema were recorded
Time frame: 3 months after the procedure
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