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Proceedings Paper

Computer-assisted navigation system in intranasal surgery
Author(s): Piotr Rapiejko; Andrzej Wojdas; Zbigniew Maciej Wawrzyniak; Dariusz Jurkiewicz
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Paper Abstract

Due to anatomical variability and limited visibility of endoscopic image, endoscopic operations of nose and paranasal sinuses are ones of the most difficult surgical procedures. The field of operation often comprises anatomical structures, which often present anomalies. Computer-assisted navigational endoscopic surgery consists of routine tomography with the possibility of 3-axis projection allowing for localization of surgical instruments in proper relation to anatomic structures. This potential permits the surgeon to penetrate specific structures with surgical instruments and visualize their localization on computer tomography, which was earlier entered to the computer and projected. Projection of the images and endoscopic picture on the same monitor provides comfort to the operator and feeling of safety to the operated patient. The image analysis feature supplies a set of information necessary for safer and more effective procedure conduction and decreased number of complications. This technique may considerably contribute to training programs in endoscopic surgery. Computer-aided navigation in surgical procedures allows for precise biopsy specimen uptake for pathological examination, even in cases requiring precision up to 1 mm. The authors present an overview of surgical computer-aided navigation systems and their own experience in endoscopic ethmoid and maxillary sinus surgery performed with the use of computer-assisted navigation system.

Paper Details

Date Published: 23 February 2005
PDF: 9 pages
Proc. SPIE 5775, Photonics Applications in Astronomy, Communications, Industry, and High-Energy Physics Experiments III, (23 February 2005); doi: 10.1117/12.610749
Show Author Affiliations
Piotr Rapiejko, Military Institute of Medicine (Poland)
Andrzej Wojdas, Military Institute of Medicine (Poland)
Zbigniew Maciej Wawrzyniak, Warsaw Univ. of Technology (Poland)
Dariusz Jurkiewicz, Military Institute of Medicine (Poland)

Published in SPIE Proceedings Vol. 5775:
Photonics Applications in Astronomy, Communications, Industry, and High-Energy Physics Experiments III
Ryszard S. Romaniuk, Editor(s)

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