38 Use of Image Guidance Technology: Mandatory or Not

Judd H. Fastenberg, Marvin P. Fried and Waleed M. Abuzeid

Abstract

Image-guided surgery (IGS) is an important adjunct tool that may help surgeons perform safer and more comprehensive frontal sinus surgery. IGS is not a substitute for sound knowledge of anatomy, critical decision-making, or technical expertise. However, for well-trained otolaryngologists, it may help increase surgeon confidence and reduce fear of misadventure into hazardous areas such as the orbit and brain. Although the technology has become commonplace throughout the United States and Europe, the use of IGS is not mandatory or the standard of care and should be used on a case-by-case basis at the discretion of the operating surgeon. Continued research is necessary to define the impact of IGS on patient outcomes and cost, as well as to guide meaningful use of the technology moving forward.

Key words

frontal sinus - image guidance - navigation - rhinosinusitis

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