Minimally Invasive Endoscopic Sinonasal and Skull Base Surgery in Children Using Image Guidance Systems
✍ Scribed by Margo McKenna Benoit; V. Michelle Silvera; Dwight T. Jones; Trevor J. McGill; Reza Rahbar
- Book ID
- 102927091
- Publisher
- John Wiley and Sons
- Year
- 2009
- Tongue
- English
- Weight
- 940 KB
- Volume
- 119
- Category
- Article
- ISSN
- 0023-852X
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✦ Synopsis
Image-guided surgery (IGS) is rapidly becoming the standard of care for adult revision sinus surgery. Despite the intense research on IGS in adults, there is very little published literature on the use of this technology in the pediatric population. In children with smaller and more variable anatomy, the risks and benefits of IGS should be studied further. The goal of this study is to report our experience of IGS in complicated endoscopic skull base and sinonasal surgery with regard to indications, outcomes, complications, and surgeon comfort.
SELECTED CASES:
CONCLUSIONS:
Image-guided surgery is safe and effective in children.
IGS was rated as very helpful for a variety of infectious, congenital, neoplastic, and traumatic conditions.
Potential benefits include:
assistance in defining landmarks avoidance of complications increasing surgeon confidence more thorough procedures decreased need for facial or intraoral incisions decreased long term effects on facial growth
METHODS:
Retrospective cohort study of 33 patients who underwent sinonasal or skull base surgery at a tertiary pediatric hospital
A. RESULTS: Surgeon experience