Does Image-Guided Surgery Reduce Complications?

Vijay R Ramakrishnan; Todd T Kingdom

doi:10.1016/j.otc.2015.05.011

Does Image-Guided Surgery Reduce Complications?

Otolaryngol Clin North Am. 2015 Oct;48(5):851-9. doi: 10.1016/j.otc.2015.05.011. Epub 2015 Jun 26.

Authors

Vijay R Ramakrishnan¹, Todd T Kingdom²

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, University of Colorado, 12631 East 17th Avenue, B205, Aurora, CO 80045, USA.
² Department of Otolaryngology-Head and Neck Surgery, University of Colorado, 12631 East 17th Avenue, B205, Aurora, CO 80045, USA. Electronic address: todd.kingdom@ucdenver.edu.

PMID: 26119761
DOI: 10.1016/j.otc.2015.05.011

Abstract

Image-guided surgery (IGS) is progressively used in endoscopic sinus surgery (ESS), and surgeon comfort with the technology has increased. It remains a challenge to determine if the use of IGS in ESS leads to a reduction in surgical complications and improved outcomes. Current literature does not show a clear reduction in surgical complications. The routine use of IGS in ESS as a deterrent to medicolegal liability is not substantiated by recent reported data. There are particular situations in which IGS may be helpful, but its use is likely not required for routine ESS and seems best left to surgeon discretion.

Keywords: Cerebrospinal fluid leak; Endoscopic sinus surgery; Image-guided surgery; Orbital injury; Sinusitis; Surgical navigation; computer-aided surgery.

Publication types

Review

MeSH terms

Endoscopy / adverse effects*
Humans
Paranasal Sinuses / surgery*
Postoperative Complications / epidemiology*
Sinusitis / surgery*
Surgery, Computer-Assisted / legislation & jurisprudence*