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VOLUME 15 , ISSUE 1 ( January-March, 2024 ) > List of Articles

Original Article

Utility of Navigation Technology in Functional Endoscopic Sinus Surgery

Aswathi Paleri, Ravi Ramalingam, K K Ramalingam, Sanjay Udupi, Wasim Khan, Ramu Harirajan

Keywords : Chronic rhinosinusitis, Endoscopic sinus surgery, Sinus polyposis, Surgical navigation

Citation Information : Paleri A, Ramalingam R, Ramalingam KK, Udupi S, Khan W, Harirajan R. Utility of Navigation Technology in Functional Endoscopic Sinus Surgery. Int J Head Neck Surg 2024; 15 (1):8-13.

DOI: 10.5005/jp-journals-10001-1564

License: CC BY-NC 4.0

Published Online: 06-09-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Objectives: Navigation is a novel technique to aid the surgeon in difficult rhinologic surgeries, such as extensive sinonasal polyposis (SNP), revision surgeries, anatomical variants of the nose and paranasal sinuses, and cerebrospinal fluid leaks. The study aimed to determine the usage of the navigation system for surgeons in functional endoscopic sinus surgery (FESS). Materials and methods: In this study, 60 patients were recruited from KKR ENT Hospital and Research Institute, Chennai, and divided into groups A and B, who underwent FESS with and without image guidance, respectively. Patients with chronic rhinosinusitis (CRS) with sinonasal polyposis (SNP), undergoing revision surgery for recurrent SNP sinonasal tumors (SNT), and frontal sinus disease (FSD) were recruited. Lund-Mackay pre- and postoperative endoscopic scores and Sino-Nasal Outcome Test-22 (SNOT-22) scores were analyzed. Computed tomography (CT) scans of the nose and paranasal sinuses were conducted. The patients were subjected to FESS, and following evaluation and affordability, navigation assistance (Fusion Compact Medtronic Navigation System) was used. During the follow-up period, nasal endoscopy was done and postoperative endoscopic scores were calculated along with the SNOT-22 scores. Results: The pre- and postoperative endoscopic and SNOT-22 values between groups A and B were not significantly different. Intraoperative complications were encountered only in group B, with more recurrences, suggesting a substantial advantage for patients in group A over group B. The correlation between the use of navigation and patient outcomes was significantly different (p < 0.05). Conclusion: Using the navigation system is an advantage for skilled surgeons to identify the boundaries of anatomical structures with greater accuracy and precision.

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