Cheng Lan, Cao Rongping, Meng Guozhen, Huang Qi, Hou Dongming, Hu Lingxiang
Department of Otolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, 200092, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012 Sep;26(17):796-8.
To evaluate the applicative value of computer assisted navigation system in endoscopic sinus and skull base surgery.
Forty-nine endoscopic surgery procedures were performed with the help of computer assisted navigation system, among which there were 25 cases of recurrent sinusitis and nasal polyps, 9 cases of nasal and sinus tumour, 7 cases of cerebrospinal fluid rhinorrhea, 2 cases of meningoencephalocele, 4 cases of congenital choanal atresia, 1 case of pituitary tumor and 1 case of foreign body in middle cranial fossa.
The preoperative time was 5-13 minutes for preparation, 7 minutes in average. The target error was less than or equal to 1.5 mm. All the 49 cases had successful surgery without complications.
Computer assisted navigation system can help the surgeon to determine the sinus, skull base and adjacent anatomic landmarks correctly, improve surgical accuracy and safety, and reduce intraoperative and postoperative complications.
评估计算机辅助导航系统在内镜鼻窦及颅底手术中的应用价值。
借助计算机辅助导航系统实施49例内镜手术，其中复发性鼻窦炎伴鼻息肉25例，鼻及鼻窦肿瘤9例，脑脊液鼻漏7例，脑膜脑膨出2例，先天性后鼻孔闭锁4例，垂体瘤1例，中颅窝异物1例。
术前准备时间为5 - 13分钟，平均7分钟。靶点误差小于或等于1.5毫米。49例手术均成功，无并发症发生。
计算机辅助导航系统可帮助外科医生准确确定鼻窦、颅底及相邻解剖标志，提高手术准确性和安全性，减少术中及术后并发症。
