Role of navigation system in functional endoscopic sinus surgery

Authors

  • Manish Agrawal Department of ENT, Sardar Patel Medical College of, Bikaner, Rajasthan, India
  • Pooja Arya Department of ENT, Government Shree Kalyan Medical Collage, Sikar, Rajasthan, India
  • Deepchand Meghwal Department of ENT, Sardar Patel Medical College of, Bikaner, Rajasthan, India
  • Vivek Samor Department of ENT, Sardar Patel Medical College of, Bikaner, Rajasthan, India
  • Gaurav Gupta Department of ENT, Sardar Patel Medical College of, Bikaner, Rajasthan, India
  • Vijay Kumar Department of ENT, Sardar Patel Medical College of, Bikaner, Rajasthan, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20203204

Keywords:

FESS, FESS with navigation, Surgeon’s satisfaction

Abstract

Background: Functional endoscopic sinus surgery (FESS) is a challenging procedure for otorhinolaryngologists. Navigation can reassure the surgeon’s judgement and enhance surgical performance and prevent complication. The study done with aim of comparison between FESS with navigation and conventional FESS and explore other indication of navigation in endoscopic sinus surgery in difficult clinical scenario.

Methods: This is a cross-sectional study on patients with sino-nasal disease. 100 patients in whom the ability to identify surgical site is assumed to be compromised by various conditions like previous surgery, massive/ recurrent polyposis, front oethmoidal mucocele, frontal, sphenoid sinus disease were included in the study. Patients were randomly allocated into two groups, group A (50 patients) FESS with navigation and group B (50 patients) conventional FESS. Pre-operative preparation time, intraoperative time, blood loss (Fromme–Boezzaart scoring), surgeon satisfaction, patient satisfaction (SNOT-20), complications were documented on a preformed, pretested proforma. Equipments used were –StealthStation S7 system, CD for recording intraoperative findings.  

Results: Preoperative preparation time duration was applicable for group A only. Intraoperative time was slightly and insignificantly higher in group A. Blood loss according to Fromme-Boezzaart scoring had lesser scoring values in group A and difference among gradings was statistically insignificant. Surgeons satisfaction and confidence was statistically significant higher in group A. The SNOT-20 score values were lower and insignificant in group A.

Conclusions: FESS with navigation is more convenient to surgeon, appears to be safer tool.

Author Biographies

Manish Agrawal, Department of ENT, Sardar Patel Medical College of, Bikaner, Rajasthan, India

FINAL YEAR RESIDENT, ENT

Pooja Arya, Department of ENT, Government Shree Kalyan Medical Collage, Sikar, Rajasthan, India

ASSISTANT PROFESSOR ,ENT

Deepchand Meghwal, Department of ENT, Sardar Patel Medical College of, Bikaner, Rajasthan, India

SENIOR PRFESSOR & HOD, ENT

Vivek Samor, Department of ENT, Sardar Patel Medical College of, Bikaner, Rajasthan, India

ASSOCIATE PROFESSOR, ENT

Gaurav Gupta, Department of ENT, Sardar Patel Medical College of, Bikaner, Rajasthan, India

ASSOCIATE PROFESSOR, ENT

Vijay Kumar, Department of ENT, Sardar Patel Medical College of, Bikaner, Rajasthan, India

FINAL YEAR RESIDENT

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Published

2020-07-22

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Original Research Articles