AlKhalifa Muneera, Almomen Ali
Bahrain Defense Force Hospital, Riffa, Bahrain.
King Fahad Specialist Hospital, Dammam, Saudi Arabia.
Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):1061-1066. doi: 10.1007/s12070-020-02137-9. Epub 2020 Sep 10.
The introduction of image guidance navigation system in endoscopic sinus surgeries has been highly advocated in the recent past era. Ever since its introduction in the 1980s and 1990s in Germany it has been asserted that the image-guided navigation enhances surgical outcomes and diminished perioperative morbidities. The objective of this study is to reflect the experience of our institute with the image guidance navigation system in the frontal sinus endoscopic surgeries, specifically due to its constricted anatomy and proximity to vital structures. Retrospective chart review was performed for all image guided endoscopic frontal sinus procedures Performed at a tertiary referral center of King Fahad Specialist Hospital Dammam during the period from 2010 to 2019. A total of 450 endoscopic sinus and skull base procedures were performed using different image guidance systems. Out of the 450 cases, 231 cases were indicated for frontal sinus involvement. The fundamentals of anatomical knowledge are essential for the success of any surgery including image-guided surgeries. Utilization of image-guidance in endoscopic frontal surgeries assists in portraying the way to targeted frontal disease. It aids in localizing vital structures in distorted anatomy thus avoiding undesirable complications.
近年来，内镜鼻窦手术中引入图像引导导航系统受到了高度推崇。自20世纪80年代和90年代在德国引入以来，人们一直认为图像引导导航可提高手术效果并降低围手术期发病率。本研究的目的是反映我们研究所使用图像引导导航系统进行额窦内镜手术的经验，特别是鉴于其解剖结构狭窄且靠近重要结构。对2010年至2019年期间在达曼法赫德国王专科医院三级转诊中心进行的所有图像引导内镜额窦手术进行回顾性病历审查。共使用不同的图像引导系统进行了450例内镜鼻窦和颅底手术。在这450例病例中，有231例因额窦受累而接受手术。解剖学知识基础对于包括图像引导手术在内的任何手术的成功都至关重要。在内镜额窦手术中使用图像引导有助于描绘针对额部疾病治疗的路径。它有助于在解剖结构变形的情况下定位重要结构，从而避免不良并发症。
