Computed tomography image navigation patient tracker on the cheek during osteoplastic flaps

Garcia‐Rodriguez, Laura; Craig, Joseph G.

doi:10.1002/lary.26870

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…IGS with an imaging update provided by an intraoperative cone‐beam (or volume) CT scanner has been associated with an alteration of the surgical plan in 30% of ESS cases 2116,2117 . Furthermore, IGS also has specific uses for frontal sinus surgery, 2118 orbital surgery, 2107,2119,2120 sphenoidotomy, 2121 skull base surgery, 2122 pediatric sinus surgery, 2123–2125 procedures with skull base erosion, 2126 trephination procedures, 2127 device placement, 2128 orbital surgery, 2107 mucocele marsupialization, 2129 and osteoplastic frontal sinus surgery 2130–2132 …”

Section: Surgery For Chronic Rhinosinusitismentioning

confidence: 99%

International consensus statement on allergy and rhinology: rhinosinusitis 2021

Orlandi

Kingdom

Smith

et al. 2021

Int Forum Allergy Rhinol

423

479

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I. Executive Summary Background The 5 years since the publication of the first International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR‐RS) has witnessed foundational progress in our understanding and treatment of rhinologic disease. These advances are reflected within the more than 40 new topics covered within the ICAR‐RS‐2021 as well as updates to the original 140 topics. This executive summary consolidates the evidence‐based findings of the document. Methods ICAR‐RS presents over 180 topics in the forms of evidence‐based reviews with recommendations (EBRRs), evidence‐based reviews, and literature reviews. The highest grade structured recommendations of the EBRR sections are summarized in this executive summary. Results ICAR‐RS‐2021 covers 22 topics regarding the medical management of RS, which are grade A/B and are presented in the executive summary. Additionally, 4 topics regarding the surgical management of RS are grade A/B and are presented in the executive summary. Finally, a comprehensive evidence‐based management algorithm is provided. Conclusion This ICAR‐RS‐2021 executive summary provides a compilation of the evidence‐based recommendations for medical and surgical treatment of the most common forms of RS.

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Section: Surgery For Chronic Rhinosinusitismentioning

confidence: 99%

International consensus statement on allergy and rhinology: rhinosinusitis 2021

Orlandi

Kingdom

Smith

et al. 2021

Int Forum Allergy Rhinol

423

479

View full text Add to dashboard Cite

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“…For frontal sinus surgery, the accuracy in performing the planned osteoplastic flap is reported as submillimetric mean difference with an extremely high concordance coefficient. The available literature regarding navigation‐guided osteoplastic flaps only reports the 2‐mm tolerance threshold of the navigation system declared by the manufacturer and does not evaluate the actual intraoperative margins of error. All these studies refer to an intraoperative frontal sinus boundary detection rather than to the navigation‐guided performance of a planned osteoplastic flap.…”

Section: Discussionmentioning

confidence: 99%

“…For patients with frontal sinus pathologies requiring an open surgery approach, an osteoplastic flap of anterior frontal sinus wall was planned [28][29][30] (Fig. 3).…”

Section: Study Descriptionmentioning

confidence: 99%

A novel approach to skull‐base and orbital osteotomies through virtual planning and navigation

Franz

Isola

Bagatto³

et al. 2018

The Laryngoscope

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Objective Computer‐assisted planning of osteotomy lines, coupled with navigation‐guided performance of planned osteotomies, is a highly innovative approach to skull‐base and orbital surgery. The aim of this pilot study is to provide an assessment of the accuracy of this novel approach in guiding the correct positioning of osteotomy lines in frontal, temporal, and orbital regions, defining the agreement between the spatial position of the planned and performed osteotomies. Methods Fifteen patients with orbital, frontal sinus, and lateral skull‐base diseases underwent virtual surgical planning. Osteotomies to access the orbit, frontal sinus, and lateral skull base were planned on computer tomography‐based three‐dimensional models. The planned osteotomies were reproduced on the operating field using a navigation system. The positions of the performed and planned osteotomies were compared. The results were described as the mean positional difference between planned and performed osteotomies and as Lin's concordance coefficient, and Bland‐Altman limits of agreement were also defined. Results The overall mean difference was 0.719 mm (95% confidence interval [CI]: 0.472 to 0.965 mm). Overall, Lin's concordance coefficient was 0.997 (95% CI: 0.996 to 0.998), and overall Bland‐Altman limits of agreement ranged from −1.407 to 2.844 mm. The smallest mean difference (0.587 mm, 95% CI: 0.244 to 0.931 mm) was calculated in the orbit group, whereas the highest mean difference (0.904 mm, 95% CI: 0.428 to 1.379 mm) was described in the lateral skull‐base group. Conclusion This study's results support the use of this novel planning and navigation protocol for guiding osteotomy in anterior and lateral skull‐base surgery, providing a clinical validation of this technique. Level of Evidence 4 Laryngoscope, 00:1–9, 2018 Laryngoscope, 129:823–831, 2019

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“…First, the goal of our "How I do It" article was to present a technique that has been effective for us when performing osteotomies during osteoplastic flap procedures. 1 It has been accurate, safe, efficient, and potentially less morbid. We agree that quantitative validation would strengthen the claim of its efficacy, such as was performed by Franz et al 2 Additionally, future image navigation systems will have improved virtual planning capabilities, similar to that described by Franz and Robioni, and these systems will also require validation for use during an osteoplastic flap procedure.…”

Section: Letter To the Editormentioning

confidence: 99%