| Computer-assisted navigation system in pediatric intranasal surgery. | |
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MedLine Citation:
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PMID: 12117338 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To introduce a computer-assisted navigation system and to evaluate its application in pediatric sinusonasal surgery. METHODS: A commercially available wireless passive marker system that allows the calibration and tracking of virtually any instrument was adapted to children and used during pediatric endoscopic sinusonasal surgery. RESULTS: The headset localizer that was initially used in computed tomographic scanning was not well accepted by children. Correlation of the preoperative computed tomographic scan to the actual patient was made possible by a laser device. Setup time was able to be decreased from an initial 20 minutes to 3 minutes. The average recording accuracy was 1.1 mm. The advantages of the system became apparent as experience increased in cases involving sinus polyposis, choanal atresia, nasopharyngeal fibroma removal, tumor biopsy, and minimally invasive maxillary, frontal, and sphenoidal surgery. CONCLUSIONS: The computer-assisted navigation system was used first as a control system and then, as experience increased, as a true surgical guide. Indications for its use also increased. Pediatric intranasal surgery was performed using 2 complementary guides: an endoscopic view and a computed tomographic view of the instrument's position. |
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Authors:
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Florence Postec; Denis Bossard; François Disant; Patrick Froehlich |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of otolaryngology--head & neck surgery Volume: 128 ISSN: 0886-4470 ISO Abbreviation: Arch. Otolaryngol. Head Neck Surg. Publication Date: 2002 Jul |
Date Detail:
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Created Date: 2002-07-15 Completed Date: 2002-07-31 Revised Date: 2006-03-28 |
Medline Journal Info:
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Nlm Unique ID: 8603209 Medline TA: Arch Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 797-800 Citation Subset: AIM; IM |
Affiliation:
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Department of Otorhinolaryngology, Hôpital E. Herriot, Place d'Arsonval, 69437 Lyon, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Biopsy / methods Child Child, Preschool Choanal Atresia / surgery Cystic Fibrosis / complications Endoscopy / methods* Facial Bones / surgery Female Fibroma / surgery Humans Infant Infant, Newborn Male Nasal Polyps / complications, surgery Nasopharyngeal Neoplasms / surgery Osteosarcoma / surgery Paranasal Sinuses / surgery* Reoperation Skull Neoplasms / surgery Surgery, Computer-Assisted / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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