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Accessibility and use of image-guided navigation systems for endoscopic sinus surgery in the UK: a cross-sectional, survey-based study of UK ENT consultants

Published online by Cambridge University Press:  18 June 2025

Edward Balai Open the ORCID record for Edward Balai [Opens in a new window] ,
Mohammed Hassan Hussain Open the ORCID record for Mohammed Hassan Hussain [Opens in a new window] ,
Karan Jolly  and
Adnan Darr
Edward Balai*
Affiliation:
Imperial College Healthcare NHS Trust, London, UK
Mohammed Hassan Hussain
Affiliation:
University Hospitals of Leicester NHS Trust, UK
Karan Jolly
Affiliation:
University Hospitals Birmingham NHS Foundation Trust, UK
Adnan Darr
Affiliation:
University Hospitals Coventry & Warwickshire NHS Trust, UK
*
Corresponding author: Edward Balai; Email: edward.balai@nhs.net
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Abstract

Objectives

The American Academy of Otolaryngology endorses using image-guided navigation systems in appropriately selected sinus and skull base cases. This study aimed to understand current practices, accessibility and use of image-guided navigation systems in otolaryngology departments across the UK.

Methods

A 13-point survey was distributed to UK otolaryngology consultants, with responses collated between May and December 2023.

Results

A total of 154 responses were received. Whilst 28.6 per cent felt it should be mandatory for a department undertaking endoscopic sinus surgery to have image-guided navigation systems, 33.1 per cent reported a lack of access, with financial cost the primary barrier. Half of the respondents reported using image-guided navigation systems for surgery involving the sphenoid sinus and “full-house” functional endoscopic sinus surgery. Over three-quarters felt image-guided navigation systems should be utilised for frontal sinus pathology or expanded approaches.

Conclusion

Our study highlights variations in access to image-guided navigation systems and a range of practices regarding its use for endoscopic sinus surgery amongst UK otolaryngologists.

Keywords

anterior skull baseendoscopic sinus surgerynasal polyps rhinologyskull base surgery

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , First View , pp. 1 - 10
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Edward Balai takes responsibility for the integrity of the content of the paper

References

Prulière-Escabasse, V, Coste, A. Image-guided sinus surgery. Eur Ann Otorhinolaryngol Head Neck Dis 2010;127:33–9Google Scholar
American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) 2021. Position Statement: Intra-Operative Use of Computer Aided Surgery. In: https://www.entnet.org/resource/position-statement-intra-operative-use-of-computer-aided-surgery/ [20 January 2024]Google Scholar
Dalgorf, DM, Sacks, R, Wormald, P-J, Naidoo, Y, Panizza, B, Uren, B, et al. Image-guided surgery influences perioperative morbidity from endoscopic sinus surgery: a systematic review and meta-analysis. Otolaryngol Head Neck Surg 2013;149:17–29Google Scholar
Galletti, B, Gazia, F, Freni, F, Sireci, F, Galletti, F. Endoscopic sinus surgery with and without computer assisted navigation: a retrospective study. Auris Nasus Larynx 2019;46:520–5Google Scholar
Javer, AR, Genoway, KA. Patient quality of life improvements with and without computer assistance in sinus surgery: outcomes study. J Otolaryngol 2006;35:373–9Google Scholar
Giotakis, AI, Kral, F, Freysinger, W, Markart, S, Riechelmann, H. Missed paranasal sinus compartments in sinus surgery with and without image-guidance systems: a pilot feasibility study. Int J Comput Assist Radiol Surg 2019;14:895–902Google Scholar
Chung, TK, Riley, KO, Woodworth, BA. The use of image-guidance during transsphenoidal pituitary surgery in the United States. Am J Rhinol Allergy 2015;29:215–20Google Scholar
McHugh, T, Sommer, DD, Thamboo, A, Tewfik, MA, Smith, KA. Image guidance system use amongst Canadian otolaryngologists: a nationwide survey. J Otolaryngol Head Neck Surg 2022;51:27Google Scholar
Orlandi, RR, Petersen, E. Image guidance: a survey of attitudes and use. Am J Rhinol 2006;20:406–11Google Scholar
Justice, JM, Orlandi, RR. An update on attitudes and use of image-guided surgery. Int Forum Allergy Rhinol 2012;2:155–9Google Scholar
Hepworth, EJ, Bucknor, M, Patel, A, Vaughan, WC. Nationwide survey on the use of image-guided functional endoscopic sinus surgery. Otolaryngol Head Neck Surg 2006;135:68–73Google Scholar
Medtronic Image-Guided Surgery Products. In: https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat/image-guided-surgery.html [8 June 2024]Google Scholar
Stryker ENT Navigation System. In: https://www.stryker.com/gb/en/ent/products/stryker-ent-navigation-system.htmlhttps://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat/image-guided-surgery.html [8 June 2024]Google Scholar
Nobre, ML, Sarmento, ACA, Bedaque, HP, Medeiros, KS, Cobucci, RN, Diniz Júnior, J, et al. Image guidance for endoscopic sinus surgery: systematic review and meta-analysis. Rev Assoc Med Bras 2023;69:e20230633Google Scholar
Casiano, RR, Numa, WA Jr. Efficacy of computed tomographic image-guided endoscopic sinus surgery in residency training programs. Laryngoscope 2000;110:1277–82Google Scholar
Theodoraki, MN, Ledderose, GJ, Becker, S, Leunig, A, Arpe, S, Luz, M, et al. Mental distress and effort to engage an image-guided navigation system in the surgical training of endoscopic sinus surgery: a prospective, randomised clinical trial. Eur Arch Otorhinolaryngol 2015;272:905–13.Google Scholar