Next-Generation Surgical Navigation Systems in Sinus and Skull Base Surgery

Martin J Citardi; William Yao; Amber Luong

doi:10.1016/j.otc.2017.01.012

Next-Generation Surgical Navigation Systems in Sinus and Skull Base Surgery

Otolaryngol Clin North Am. 2017 Jun;50(3):617-632. doi: 10.1016/j.otc.2017.01.012. Epub 2017 Apr 6.

Authors

Martin J Citardi¹, William Yao², Amber Luong²

Affiliations

¹ Department of Otorhinolaryngology-Head and Neck Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, 6431 Fannin Street, MSB 5.036, Houston, TX 77030, USA. Electronic address: martin.j.citardi@uth.tmc.edu.
² Department of Otorhinolaryngology-Head and Neck Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, 6431 Fannin Street, MSB 5.036, Houston, TX 77030, USA.

PMID: 28392037
DOI: 10.1016/j.otc.2017.01.012

Abstract

Over the past 25 years, rhinologists have adopted surgical navigation technology for endoscopic sinus and skull base procedures. Navigation systems often produce a wide target registration error (TRE). Ideally, next-generation systems will include a leap in target registration error reduce TRE through innovative hardware and software. Incorporation of microsensors will be another important innovation. Future systems are likely to include augmented reality, which can project overlays of critical anatomy on real-world endoscopic images. Recent trends in surgical navigation suggest a phase of rapid evolution.

Keywords: Augmented reality; Computer-aided surgery; Endoscopic sinus surgery; Microsensors; Surgical navigation.

Publication types

Review

MeSH terms

Endoscopy / instrumentation*
Humans
Imaging, Three-Dimensional / instrumentation*
Paranasal Sinuses / surgery*
Skull Base / surgery*
Surgery, Computer-Assisted / instrumentation*