Abstract
Objective: 1) Use computer navigation to preplan sinuplasty. 2) To evaluate the success rate of cannulation with real time computer guidance.
Method: IRB approved prospective study at a community hospital and surgicenter using Paint software with Brainlab computer navigation for 2 years. Patients with recurrent and chronic sinusitis are selected. Balloon sinuplasty is used in conjunction with FESS in a “hybrid” procedure. Sinus ostia on CT scans are colorized. Guides are calibrated then directed to the selected sinus ostia with real time navigation for deployment of the catheter. Cannulation rates, complications, and SNOT scores are measured.
Results: We report a 99% cannulation rate for frontal and sphenoid sinuses with no major complications in 200 patients. SNOT scores decreased from over 2 to under 1. Both cases of failure to cannulate were for repeat frontal sinus surgeries.
Conclusion: Real time navigation with preop colorization of the sinuses allowed for high success rate of cannulation and increased patient satisfaction according to SNOT scores with no major complications when using balloon sinuplasty in conjunction with FESS.
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