Cone-beam Computed Tomography Guidance in Functional Endoscopic Sinus Surgery: A Retrospective Cohort Study
Journal of Pharmaceutical Research International,
Introduction: Using image-guided intra-operative navigation systems in surgeries like functional endoscopic sinus surgery (FESS) has become widely accepted as an effective tool for improvement of surgical outcomes and reduction of complication. Cone-beam CT (CBCT) is a variant of computed tomography imaging that has developed as a cross-sectional and potentially low-dose technique to visualize bony structures in the head and neck. In current study, it was tried to evaluate surgeons’ satisfaction with CBCT intra-operative navigation imaging as well as image quality prior to FESS and post-operative complications.
Methods: In this prospective study, the included patients who were candidates for FESS underwent CBCT from January to June 2019. The data regarding demographic information, CBCT findings and diagnosis were extracted. The surgeons’ satisfaction with intra-operative navigation imaging and image quality was quantified using Visual Analogue Scale (VAS) (ranging 0 – 10). Furthermore, patients were contacted 3 months later to ask for their satisfaction with the operation using VAS and post-operative complications evaluated.
Results: Totally, 39 patients were included. The mean age was 40.74±5.75 and 20 patients (51.28 percent) were male. Two surgeons performed this operation separately; one of the surgeons performed 20 (51.28 percent) FESS and the other performed 19 (48.71 percent). The mean satisfaction of the surgeons of CBCT guided FFESS was 8.69±0.92. After the 3-month follow up, patients’ satisfaction score was 8.21±1.89. No postoperative complications were reported.
Conclusion: Based on the surgeons’ point of view, CBCT was shown to be reliable for image-guided FFESS. Furthermore, the outcome and complications of performed surgeries were similar to those performed with computed tomography intra-operative navigation imaging.
- Cone-beam computed tomography
- paranasal sinuses
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Jiang R-S, Hsu C-Y. Revision functional endoscopic sinus surgery. Annals of Otology, Rhinology & Laryngology. 2002; 111(2):155-9.
Dalziel K, Stein K, Round A, Garside R, Royle P. Endoscopic sinus surgery for the excision of nasal polyps: A systematic review of safety and effectivenFESS. American Journal of Rhinology. 2006; 20(5):506-19.
Stankiewicz JA, Lal D, Connor M, Welch K. Complications in endoscopic sinus surgery for chronic rhinosinusitis: A 25‐year experience. The Laryngoscope. 2011;121(12):2684-701.
McMains KC. Safety in endoscopic sinus surgery. Current Opinion in Otolaryngology & Head and Neck Surgery. 2008;16(3): 247-51.
DelGaudio JM, Evans SH, Sobol SE, Parikh SL. Intracranial complications of sinusitis: what is the role of endoscopic sinus surgery in the acute setting. American Journal of Otolaryngology. 2010; 31(1):25-8.
Prulière-Escabasse V, Coste A. Image-guided sinus surgery. European Annals of Otorhinolaryngology, Head and Neck Diseases. 2010;127(1):33-9.
Kingdom TT, Orlandi RR. Image-guided surgery of the sinuses: Current technology and applications. Otolaryngo-logic Clinics of North America. 2004; 37(2):381-400.
Ramakrishnan VR, Orlandi RR, Citardi MJ, Smith TL, Fried MP, Kingdom TT, editors. The use of image‐guided surgery in endoscopic sinus surgery: An evidence‐based review with recommendations. International Forum of Allergy & Rhinology; 2013: Wiley Online Library.
Nithiananthan S, Brock K, Daly M, Chan H, Irish J, Siewerdsen J. Demons deformable registration for CBCT‐guided procedures in the head and neck: Convergence and accuracy. Medical Physics. 2009;36(10): 4755-64.
Alamri HM, Sadrameli M, Alshalhoob M, Alshehri M. Applications of CBCT in dental practice: A review of the literature. General Dentistry. 2012;60(5):390-400; quiz 1-2.
Liang X, Lambrichts I, Sun Y, Denis K, Hassan B, Li L, et al. A comparative evaluation of cone beam computed tomography (CBCT) and multi-slice CT (MSCT). Part II: On 3D model accuracy. European Journal of Radiology. 2010; 75(2):270-4.
Miracle A, Mukherji S. Conebeam CT of the head and neck, part 2: Clinical applications. American Journal of Neuroradiology. 2009;30(7):1285-92.
Prisman E, Daly MJ, Chan H, Siewerdsen JH, Vescan A, Irish JC. Real-time tracking and virtual endoscopy in cone-beam CT-guided surgery of the sinuses and skull base in a cadaver model.Int Forum Allergy Rhinol. 2011;1(1):70-7.
Bassiouni A, Naidoo Y, Wormald PJ. When FFESS fails: The inflammatory load hypothesis in refractory chronic rhinosinusitis. The Laryngoscope. 2012; 122(2):460-6.
Khalil H, Nunez DA. Functional endoscopic sinus surgery for chronic rhinosinusitis. Cochrane Database of Systematic Reviews. 2006;3.
Psaltis AJ, Schlosser RJ, Banks CA, Yawn J, Soler ZM. A systematic review of the endoscopic repair of cerebrospinal fluid leaks. Otolaryngology--Head and Neck Surgery. 2012;147(2): 196-203.
Rhee JS, Arganbright JM, McMullin BT, Hannley M. Evidence supporting functional rhinoplasty or nasal valve repair: A 25- year systematic review. Otolaryngology-Head and Neck Surgery. 2008;139(1):10-20.
Suzuki S, Yasunaga H, Matsui H, Fushimi K, Kondo K, Yamasoba T. Complication rates after functional endoscopic sinus surgery: Analysis of 50,734 Japanese patients. The Laryngoscope. 2015;125(8): 1785-91.
Hopkins C, Browne JP, Slack R, Lund VJ, Topham J, Reeves BC, et al. Complications of surgery for nasal polyposis and chronic rhinosinusitis: The results of a national audit in England and Wales. The Laryngoscope. 2006;116(8): 1494-9.
Dalgorf DM, Sacks R, Wormald P-J, Naidoo Y, Panizza B, Uren B, et al. Image-guided surgery influences perioperative morbidity from endoscopic sinus surgery: A systematic review and meta-analysis. Otolaryngology--Head and Neck Surgery. 2013;149(1):17-29.
Mathew R, Omami G, Hand A, Fellows D, Lurie A. Cone beam CT analysis of Haller cells: prevalence and clinical significance. Dentomaxillofacial Radiology. 2013;42(9): 20130055.
Prisman E, Daly MJ, Chan H, Siewerdsen JH, Vescan A, Irish JC, editors. Real‐time tracking and virtual endoscopy in cone‐beam CT‐guided surgery of the sinuses and skull base in a cadaver model. International Forum of Allergy & Rhinology; 2011: Wiley Online Library.
Ludlow JB, Ivanovic M. Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2008;106(1):106- 14.
Alspaugh J, Christodoulou E, Goodsitt M, Stayman J. TH‐D‐L100J‐04: Dose and image quality of flat‐panel detector volume computed tomography for sinus imaging. Medical Physics. 2007;34(6Part23):2634.
Rafferty MA, Siewerdsen JH, Chan Y, Moseley DJ, Daly MJ, Jaffray DA, et al. Investigation of C‐arm cone‐beam CT‐guided surgery of the frontal recFESS. The Laryngoscope. 2005;115(12):2138- 43.
Mukherji S, Gujar S, Jordan J. ACR practice guideline for the performance of computed tomography (CT) of the Extracranial Head and Neck in Adults and Children. ACR Practice Guideline 2006 (Res 12, 17, 35); 2009.
De Vos W, Casselman J, Swennen G. Cone-beam computerized tomography (CBCT) imaging of the oral and maxillofacial region: A systematic review of the literature. International Journal of Oral and Maxillofacial Surgery. 2009;38(6):609-25.
Schulze R, Heil U, Groβ D, Bruellmann D, Dranischnikow E, Schwanecke U, et al. Artefacts in CBCT: A review. Dentomaxillofacial Radiology. 2011;40(5): 265-73.
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