Outpatient Surgery Magazine

Did Skin Prep Fuel This Fire? - February 2017 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 55 of 146

tant." Sometimes likened to a GPS for the anatomy of the human head, ENT surgical navigation systems give surgeons a real-time roadmap so they know exactly "where they're going" when directing instrumen- tation. As a result, Dr. Gallups says surgeons tend to maneuver more efficiently and confidently even in the tightest of quarters, often with- in just a few hair widths of the brain, the orbital walls and other vital structures. Although not necessary for more routine procedures, image-guided ENT has become increasingly popular for ENT surgeons, particularly in functional endoscopic sinus surgery (FESS), revision sinus surgery and cases marked by unusual anatomy. If you haven't yet made the investment, should you? Following are a few variables to consider. • Functionality. In the past, an image-guided ENT system was an either/or scenario, meaning it worked off either an MRI or a CT scan taken before surgery. But today's newer systems have made it so you no longer have to choose between the two. In cases in which views of both bony and soft-tissue detail is essential — say, thinning of the bone between the sinuses and the brain or the eyes — CT scans, for bone detail, can be merged with MRIs, which offer superior soft-tissue detail, to offer a more comprehensive picture. Also, ENT surgeons used to have to choose between 2 types of sur- gical navigation: optical, which requires a clear line of sight to the instruments; and electromagnetic, which does not require a clear line of sight and registers CT and MR images without headsets or markers. Some vendors have developed hybrid systems that offer both options, which let surgeons choose whichever form best suits the specific needs of the procedure. • Cost. These systems bear what Dr. Gallups refers to as "a high 5 6 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 1 7

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