"It's clearly been helpful in more advanced cases, and in primary
cases there's debate that it may or may not be helpful. I have my own
opinion, which is that it's helpful for everything."
The newest image-guided systems help doctors navigate through the
nose using a 3D map that's created with the help of CT scans.
Manufacturers say these real-time 3D images help your surgeons
avoid orbital injuries, entry into the brain and the carotid artery. Dr.
Lane notes that 3D navigation is becoming more popular, though it
"still hasn't caught on," as facilities tend to hold on to older technolo-
gy.
If you're in need of an update, know that there are more benefits
to buying a new system than just 3D imaging. ENT navigation sys-
tems are now smaller, more accurate and more portable, says Dr.
Hopp. He notes that some of the newer models can even be as small
as a laptop, making them "ideal for outpatient facilities," since
they're a less expensive capital investment. Other features, like
touchscreens, wireless technology, simple setups and "intuitive"
software, are also appealing, says Dr. Lane.
The 2 main types of ENT navigation systems — electromagnetic and
optical (infrared) — each have their benefits and drawbacks, says Dr.
Lane. He suggests involving your doctors in any purchasing decisions,
since the choice often comes down to physician preference. Also look
at the cost per case, since that can vary depending on the model and
how many instruments a surgeon uses. The newest navigation sys-
tems typically cost $100,000 to $200,000, with disposable costs ranging
from $50 up to $400 per case.
I m p rove d h ea l i n g afte r e n d o s c o p i c su rg e ry
FESS has been the traditional go-to procedure for more moderate-to-
severe cases of chronic sinusitis, says Dr. Lane. While the techniques
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