Outcome of computer-assisted surgery in patients with chronic rhinosinusitis

Abstract

Objective: To compare the complication rates and outcome of computer-assisted versus non-computer-assisted functional endoscopic sinus surgery.Methods: We reviewed retrospectively the medical records of 276 patients who had undergone sinus surgery for chronic rhinosinusitis with (n ¼ 108) or without (n ¼ 168) computer assistance, from 1996 to 2004, to determine the incidence of complications and need for revision surgery.Results: The incidence of complications was 6.5 per cent in the computer-assisted group and 6.0 per cent in the non-computer-assisted group ( p ¼ 1.00). In the computer-assisted group, 9.2 per cent needed revision surgery, compared with 10.7 per cent in the non-assisted group ( p ¼ 0.84).Conclusions: Although our study found no significant difference in complications or revision rates, computer-assisted surgery serves as an important orientation aid during functional endoscopic sinus surgery.

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

“…1209 Most authors have not detected differences in complications with IGS. 1211,1212 A 2013 systematic review, by Ramakrishan et al 1212 concluded that the peer-reviewed literature does not support conclusions that IGS reduces complications and improves clinical outcomes. These authors recommend IGS as an option, because the consensus of practicing surgeons and expert opinion confirm the utility and acceptance of IGS technology.…”

Computer or not? Use of image guidance during endoscopic sinus surgery for chronic rhinosinusitis at St Paul's Hospital, Vancouver, and meta-analysis

“…Many have found no significant difference in outcome measures. 6,7 However, some have reported reductions in the incidence of major complications when computer assistance has been used. 8 The benefit of computer assistance during ESS is still undetermined.…”

Danger points, complications and medico-legal aspects in endoscopic sinus surgery

“…Surgeries were less frequently interrupted due to bleedings, although the total blood loss in the use of navigation was higher [565]. Other authors did not notice any effect on intraoperative complications or the (subjective or objective) result of the operation [15], [563], [564], [566], [567], [568], [569]. Complications were also caused by navigation- in some cases e.g.…”

“…In regard of these facts, the surgeon must be advised to control the system repeatedly during the operation by means of identified landmarks [571], [572]. Generally a divergence of 1-3 mm in routine surgery can be expected [559], [560], [567], [570], [572], [573], [574]. …”