Department of Otorhinolaryngology-Head & Neck Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, TX, USA.
Ear Nose Throat J. 2021 Dec;100(10):NP475-NP486. doi: 10.1177/0145561320928202. Epub 2020 May 26.
Image-guided surgery (IGS) has gained widespread acceptance in otorhinolaryngology for its applications in sinus and skull base surgery. Although the core concepts of IGS have not changed, advances in image guidance technology, including the incorporation of intraoperative imaging, have the potential to enhance surgical education, allow for more rigorous preoperative planning, and aid in more complete surgery with improved outcomes.
Provide a clinical update regarding the use of image guidance and intraoperative imaging in the field of rhinology and endoscopic skull base surgery with a focus on current state of the art technologies.
English-language studies published in PubMed, Cochrane, and Embase were searched for articles relating to image-guided sinus surgery, skull base surgery, and intraoperative imaging. Relevant studies were reviewed and critical appraisals were included in this clinical update, highlighting current state of the art advances.
As image guidance and intraoperative imaging systems have advanced, their applications in sinus and skull base surgery have expanded. Both technologies offer invaluable real-time feedback on the status and progress of surgery, and thus may help to improve the completeness of surgery and overall outcomes. Recent advances such as augmented and virtual reality offer a window into the future of IGS. Future advancements should aim to enhance the surgeon's operative experience by improving user satisfaction and ultimately lead to better surgical results.
影像引导手术（IGS）在耳鼻喉科中的鼻窦和颅底手术中得到了广泛的应用。尽管 IGS 的核心概念没有改变，但影像引导技术的进步，包括术中成像的结合，有可能增强手术教育，允许更严格的术前规划，并通过改进的结果辅助更完整的手术。
提供关于鼻科学和内窥镜颅底手术领域中影像引导和术中成像的临床最新信息，重点介绍当前最先进的技术。
在 PubMed、Cochrane 和 Embase 中搜索与影像引导鼻窦手术、颅底手术和术中成像相关的英文文献。综述了相关研究，并对本临床更新进行了批判性评价，强调了当前最先进的进展。
随着影像引导和术中成像系统的进步，它们在鼻窦和颅底手术中的应用得到了扩展。这两种技术都为手术的状态和进展提供了宝贵的实时反馈，因此可能有助于提高手术的完整性和整体结果。增强现实和虚拟现实等最新进展为 IGS 的未来提供了一个窗口。未来的进展应旨在通过提高用户满意度来改善外科医生的手术体验，并最终带来更好的手术结果。
