Linxweiler Maximilian, Pillong Lukas, Kopanja Dragan, Kühn Jan P, Wagenpfeil Stefan, Radosa Julia C, Wang Jingming, Morris Luc G T, Al Kadah Basel, Bochen Florian, Körner Sandrina, Schick Bernhard
Department of Otorhinolaryngology, Head and Neck Surgery Saarland University Medical Centre Homburg Germany.
Institute of Medical Biometry, Epidemiology and Medical Informatics Saarland University Medical Centre Homburg Germany.
Laryngoscope Investig Otolaryngol. 2020 Aug 7;5(4):621-629. doi: 10.1002/lio2.436. eCollection 2020 Aug.
Endoscopic sinus surgery represents the gold standard for surgical treatment of chronic sinus diseases. Thereby, navigation systems can be of distinct use. In our study, we tested the recently developed KARL STORZ NAV1 SinusTracker navigation software that incorporates elements of augmented reality (AR) to provide a better preoperative planning and guidance during the surgical procedure.
One hundred patients with chronic sinus disease were operated on using either a conventional navigation software (n = 52, non-AR, control group) or a navigation software incorporating AR elements (n = 48, AR, intervention group). Incidence of postoperative complications, duration of surgery, surgeon-reported benefit from the navigation system and patient-reported postoperative rehabilitation were assessed.
The surgeons reported a higher benefit during surgery, used the navigation system for more surgical steps and spent longer time with preoperative image analysis when using the AR system as compared with the non-AR system. No significant differences were seen in terms of postoperative complications, target registration error, operation time and postoperative rehabilitation.
The AR enhanced navigation software shows a high acceptance by sinus surgeons in different stages of surgical training and offers potential benefits during surgery without affecting the duration of the operation or the incidence of postoperative complications.
1b.
鼻内镜鼻窦手术是慢性鼻窦疾病外科治疗的金标准。因此，导航系统可能具有显著用途。在我们的研究中，我们测试了最近开发的卡尔史托斯NAV1鼻窦追踪器导航软件，该软件融入了增强现实（AR）元素，以在手术过程中提供更好的术前规划和指导。
100例慢性鼻窦疾病患者分别使用传统导航软件（n = 52，非AR，对照组）或融入AR元素的导航软件（n = 48，AR，干预组）进行手术。评估术后并发症发生率、手术时长、外科医生报告的导航系统获益情况以及患者报告的术后康复情况。
与非AR系统相比，外科医生报告在使用AR系统进行手术时获益更高，在更多手术步骤中使用导航系统，并且在术前图像分析上花费的时间更长。在术后并发症、靶点配准误差、手术时间和术后康复方面未见显著差异。
AR增强型导航软件在不同手术培训阶段均获得鼻窦外科医生的高度认可，并在手术期间提供潜在益处，而不影响手术时长或术后并发症发生率。
1b。
