Endoscopic trans-nasal approach for biopsy of orbital tumours using image-guided neuro-navigation system

Sieśkiewicz, Andrzej; Łysoń, Tomasz; Mariak, Zenon; Rogowski, Marek

doi:10.1007/s00701-008-1558-1

Cited by 29 publications

(28 citation statements)

References 12 publications

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“…Neuronavigation has been shown to be an essential element in endoscopic intervention within the orbit, as it allows for precise location of the target, thereby enabling surgeons to make the smallest possible opening in the bone and periorbita [10–12]; in our patient, however, as the intraorbital foreign body was located in such a concrete and accessible location (beside the lamina papyracea and behind the nasolacrimal duct), we opted not to use this implement. Therefore, we performed a transnasal transethmoidal endoscopic approach to access the lamina papyracea, which preserved our anatomic references (the nasolacrimal duct in this case), thus making this a less invasive approach and a feasible alternative.…”

Section: Discussionmentioning

confidence: 99%

Transnasal, Transethmoidal Endoscopic Removal of a Foreign Body in the Medial Extraconal Orbital Space

Montatixe

Aubá

Barrueco

et al. 2016

Case Reports in Otolaryngology

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Intraorbital foreign bodies are located within the orbit but outside the ocular globe. Though not uncommon, removal of these objects poses a challenge for surgeons. External approaches have been the most frequently used but are associated with increased complications and morbidity. An endoscopic endonasal approach can be an appropriate and less complicated technique in these cases. We report a case of a chronic intraorbital foreign body located within the medial extraconal space lateral to the lamina papyracea and behind the lacrimonasal duct, which was successfully removed using a transnasal, transethmoidal endoscopic technique. Neither postoperative complications nor ocular impairment was reported. The patient improved and remains asymptomatic. The transnasal transethmoidal endoscopic approach can be used as a safer and less invasive alternative when removing foreign bodies from the medial orbital compartment.

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Section: Discussionmentioning

confidence: 99%

Transnasal, Transethmoidal Endoscopic Removal of a Foreign Body in the Medial Extraconal Orbital Space

Montatixe

Aubá

Barrueco

et al. 2016

Case Reports in Otolaryngology

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“…Innovations in navigation technology have also fueled our ability to manage orbital disease minimally invasively . Using CT or CT fused with MRI data for surgical navigation can further enhance surgeon orientation and has been described for the biopsy of intraorbital lesions previously . The use of intraoperative MRI has also been described in the endoscopic endonasal approach for orbital apex lesions, where it specifically helped with the orientation of instruments and in the packing of hemostatic material within the orbit .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic surgery of the orbital apex: Outcomes and emerging techniques

et al. 2015

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“…Computer-aided frameless navigation system has been used as a routine protocol before brain sugery or surgery simulation [1][2][3] . With the advance of computer techiniques, augmented reality has been a noval interactive procedure gradually taking place of the visual reality (VR) with its widly usage in both entertainment and scientific fields [4][5] .…”

Section: Introductionmentioning

confidence: 99%

Optical augmented reality assisted navigation system for neurosurgery teaching and planning

Geng

Wang

et al. 2013

SPIE Proceedings

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This paper proposed a convenient navigation system for neurosurgeon's pre-operative planning and teaching with augmented reality (AR) technique, which maps the three-dimensional reconstructed virtual anatomy structures onto a skull model. This system included two parts, a virtual reality system and a skull model scence. In our experiment, a 73 year old right-handed man initially diagnosed with astrocytoma was selected as an example to vertify our system. His imaging data from different modalities were registered and the skull soft tissue, brain and inside vessels as well as tumor were reconstructed. Then the reconstructed models were overlayed on the real scence. Our findings showed that the reconstructed tissues were augmented into the real scence and the registration results were in good alignment. The reconstructed brain tissue was well distributed in the skull cavity. The probe was used by a neurosurgeon to explore the surgical pathway which could be directly posed into the tumor while not injuring important vessels. In this way, the learning cost for students and patients' education about surgical risks reduced. Therefore, this system could be a selective protocol for image guided surgery(IGS), and is promising for neurosurgeon's pre-operative planning and teaching.

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Endoscopic trans-nasal approach for biopsy of orbital tumours using image-guided neuro-navigation system

Cited by 29 publications

References 12 publications

Transnasal, Transethmoidal Endoscopic Removal of a Foreign Body in the Medial Extraconal Orbital Space

Transnasal, Transethmoidal Endoscopic Removal of a Foreign Body in the Medial Extraconal Orbital Space

Endoscopic surgery of the orbital apex: Outcomes and emerging techniques

Optical augmented reality assisted navigation system for neurosurgery teaching and planning

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