Computer Assisted, Endoscopic Sinus Surgery, Navigation, Sinonasal Polyposis
Conditions
Brief summary
This study aimed to compare Endoscopic Sinus Surgery with and without image guidance, analyzing a number of parameters that can impact efficacy in cases of nasal polyposis.
Detailed description
Endoscopic sinus surgery (ESS) is a treatment of choice for rhinosinusitis (CRS), sinonasal polyposis and in cases of skull base diseases. Despite the availability of excellent nasal telescopes and high-resolution preoperative computed tomography (CT), incidence of complications in endoscopic sinus surgery is of 0-1.5% for the major and 1.1-20.8% for the minor. Electromagnetic and optical localization systems both enable real-time detection of instrument position in a 3D imaging repository. At present, such repositories are exclusively based on CT acquisitions reformatted to obtain a series of slices in three dimensions. A software interface matches the imaging repository to a peroperative spatial repository in which the instrument can be located.
Interventions
PROCEDUREEndoscopic sinus surgery with Computer Assisted Navigation
Patients with nasal polyposis undergoing endoscopic sinus surgery with Computer Assisted Navigation.
PROCEDUREEndoscopic sinus surgery
Patients with nasal polyposis undergoing endoscopic sinus surgery only.
Sponsors
Al-Azhar University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
15 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Age from 15 to 70 years. * Both sex. * Patients with nasal polyposis undergoing endoscopic sinus surgery (ESS) whether primary or revision cases.
Exclusion criteria
* Patients with nasal polyposis not undergoing ESS. * Patients with any severe cardiac diseases, pregnant females, transplant patients and patients with psychiatric illness.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recurrence rate | 3 months after the procedure | Recurrence rate was recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of major complications | 3 months after the procedure | Incidence of major complications like cerebrospinal fluid (CSF) leakage, Carotid artery injury, Brain injury, Blindness, Orbital hematoma and persistent diplopia were recorded. |
| Incidence of minor complications | 3 months after the procedure | Incidence of minor complications like Orbital fat extrusion, Bleeding, Dural exposure, Nasolacrimal duct injury, Synechiae and edema were recorded |
Countries
Egypt
Outcome results
None listed