Our Summary
This research paper discusses the past 25 years of advancements in surgical navigation technology, particularly for sinus and skull base surgeries. A key issue with current navigation systems is a problem called target registration error (TRE), which is essentially a lack of precision. The paper suggests that future systems will need to significantly reduce this error through better hardware and software.
Another key advancement will be the integration of microsensors. The paper also predicts that augmented reality (AR) will play a big role in future surgical navigation systems. AR could allow surgeons to see critical anatomical structures superimposed on real-world images during surgery.
The paper concludes that surgical navigation technology is likely to evolve rapidly in the coming years.
FAQs
- What is the role of surgical navigation technology in endoscopic sinus and skull base procedures?
- How is the target registration error (TRE) in surgical navigation systems expected to be reduced in the future?
- What are some potential innovations in the field of endoscopic sinus surgery, particularly in relation to surgical navigation?
Doctor’s Tip
One helpful tip a doctor might tell a patient about sinus surgery is to follow post-operative care instructions carefully, including keeping the nasal passages clean and avoiding activities that could disrupt the healing process. It is also important to attend all follow-up appointments to ensure proper healing and to address any concerns or complications that may arise.
Suitable For
Patients who are typically recommended for sinus surgery include those who have chronic sinusitis that does not respond to other treatments, recurrent sinus infections, nasal polyps, severe sinus pain or pressure, and structural issues in the nasal passages such as a deviated septum. Additionally, patients with sinus tumors or cysts may also be recommended for sinus surgery.
Timeline
- Before sinus surgery:
- Patient experiences chronic sinusitis symptoms, such as facial pain, pressure, congestion, and difficulty breathing.
- Patient undergoes diagnostic tests, such as CT scans and nasal endoscopy, to determine the extent of sinus disease.
- Patient may try conservative treatments, such as medications and nasal irrigation, before considering surgery.
- Patient consults with an otolaryngologist (ENT) to discuss surgical options and risks.
- After sinus surgery:
- Patient undergoes endoscopic sinus surgery to remove diseased tissue and open up blocked sinus passages.
- Patient may experience temporary swelling, pain, and nasal congestion after surgery.
- Patient follows post-operative care instructions, including taking medications, avoiding strenuous activities, and attending follow-up appointments.
- Patient gradually experiences relief from sinus symptoms and improved breathing over the following weeks and months.
- Patient may undergo additional procedures or revisions if needed to achieve optimal results.
What to Ask Your Doctor
- What are the potential risks and complications associated with sinus surgery?
- How will the surgery improve my sinus symptoms and quality of life?
- What is the expected recovery time and post-operative care plan?
- Will I need any follow-up appointments or additional treatments after the surgery?
- What experience do you have performing sinus surgery and what is your success rate?
- What type of anesthesia will be used during the surgery and what are the potential side effects?
- Are there any alternative treatment options to consider before proceeding with surgery?
- Will I need to make any lifestyle changes or adjustments after the surgery?
- How long will the effects of the surgery last and will I need additional surgeries in the future?
- Can you explain the surgical navigation technology that will be used during the procedure and how it will benefit me as a patient?
Reference
Authors: Citardi MJ, Yao W, Luong A. Journal: Otolaryngol Clin North Am. 2017 Jun;50(3):617-632. doi: 10.1016/j.otc.2017.01.012. Epub 2017 Apr 6. PMID: 28392037