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Image guidance in rhinology and anterior skull base surgery: five-year single institution experience

Published online by Cambridge University Press:  18 December 2012

V Visvanathan  and
G W McGarry
V Visvanathan*
Affiliation:
Department of ENT/Head and Neck Surgery, Glasgow Royal Infirmary, Scotland, UK
G W McGarry
Affiliation:
Department of ENT/Head and Neck Surgery, Glasgow Royal Infirmary, Scotland, UK
*
Address for correspondence: Mr V Visvanathan, Department of ENT/Head and Neck Surgery, Glasgow Royal Infirmary, 84 Castle St, Glasgow G4 0SF, Scotland, UK E-mail: Vikranth@hotmail.co.uk
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Abstract

Objectives:

We examined our experience of image guidance surgery in rhinology, and compared image guidance surgery cases with non-image guidance cases. We also audited our practice against the American Academy of Otolaryngology–Head and Neck Surgery image guidance surgery guidelines.

Method:

The study employed a single institution retrospective approach comprising 174 image guidance surgery patients (106 males and 68 females) and 134 non-image guidance surgery patients (75 males and 59 females).

Results:

In the image guidance surgery group, tumour operations represented 45 per cent of cases (55 per cent were non-neoplastic). Basic, intermediate and advanced (structured classification) procedures represented 19 per cent, 24 per cent and 61 per cent, respectively. Five minor complications were recorded. In non-image guidance surgery, tumour operations represented 8 per cent of cases (92 per cent were non-neoplastic). Basic, intermediate and advanced procedures represented 73 per cent, 12 per cent and 15 per cent, respectively. One minor complication was observed.

Conclusion:

We report the largest series of image-guided ENT surgical procedures in the UK. In the cases we examined, image guidance surgery was predominantly used in advanced procedures and tumour surgery.

Keywords

Surgical Procedures, OtorhinolaryngologicParanasal SinusesNasal CavityRadiologyComputed Tomography Scanner, X-ray
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 2 , February 2013 , pp. 159 - 162
Copyright
Copyright © JLO (1984) Limited 2012

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Footnotes

Presented orally at the Scottish Otolaryngological Society winter meeting, 8 November 2011, Stirling, Scotland, and at the Laryngology and Rhinology section of the Royal Society of Medicine meeting, 2 March 2012, London, UK.

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