Abstract
Objective: To study the efficacy of image-guided surgery (IGS) in the fenestration of the sphenoid sinus in patients with chronic rhinosinusitis who received functional endoscopic sinus surgery (FESS).
Method: A group of 205 patients who received FESS incorporating IGS were enrolled. Another group of 178 patients who underwent FESS before an imaging-guided system was available and chosen for comparison. The fenestration rate of the sphenoid sinus was compared between different groups of patients with and without IGS.
Results: The fenestration rates of the sphenoid sinus were 93.3% for patients without nasal polyps, 94.2% for patients with nasal polyps, and 91.2% for revision FESS when operated with IGS, were 100% for patients without nasal polyps, 98.1% for patients with nasal polyps, and 91.3% for revision FESS when operated with IGS, and were 89.8% for patients without nasal polyps, 88.62% for patients with nasal polyps, and 68.6% for revision FESS when operated without IGS. The fenestration rate of the sphenoid sinus in revision FESS without IGS was significantly lower than others.
Conclusion: Our results showed IGS improves the successful fenestration rate of the sphenoid sinus in revision FESS.
Get full access to this article
View all access options for this article.