Is image guidance accurate in children sinus surgery?
作者信息
Bergeron Mathieu, Leclerc Jacques E
机构信息
Department of Otolaryngology - Head & Neck Surgery, Laval University, 1050, avenue de la Médecine, Pavillon Ferdinand-Vandry, bureau 4889, Quebec, Quebec G1V 0A6, Canada.
Department of Otolaryngology - Head & Neck Surgery, Centre Hospitalier Universitaire de Québec, 2705 Boulevard Laurier, Québec, Qc, G1V 4G2, Canada.
出版信息
Int J Pediatr Otorhinolaryngol. 2015 Apr;79(4):469-73. doi: 10.1016/j.ijporl.2014.12.025. Epub 2015 Jan 12.
OBJECTIVES
To compare the precision of the calibration of a 3D navigation system for endoscopic sinus surgery in children and adults. To compare the complication and calibration failure rates of the system in both populations.
METHODS
The precision of the calibration of the Stryker navigation system (Stryker Neuronavigation ENT 2.0 Software) was found in the charts of children and adults operated on for various nasosinusal procedures between May 2008 and February 2013 in a tertiary care center. Demographic characteristics and complication rates were also noted.
RESULTS
Thirty-eight adults and 21 children were included in the study. No statistically significant difference was found between the two groups with an identical mean precision of 0.7mm (p=0.90). The rate of precision unreliability and calibration failures was not statistically different between the two groups (14% children vs 5% adults). No major complications occurred in both groups (p=1.00). No demographic characteristic predicted a failed calibration (height, weight, BMI, age).
CONCLUSION
The Stryker image-guided system can provide a precision level that is equivalent in both children and adults. This study also demonstrated an absent/low complication rate respectively for children and adults post endoscopic surgery.
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