"Seeing how far you're oper-
ating from the orbit and skull
base provides a little more
confidence that you won't
blow through a sinus wall,"
says Gopi Bipin Shah, MD, an
ENT-otolaryngologist at
Children's Health in Dallas,
Texas.
Is image guidance needed
for every procedure? No, says,
Dr. Shah, but it's especially
helpful during revision surgery
— "because anatomical land-
marks have changed slightly,"
she says — and for complicat-
ed cases, such as the removal
of polyps and sinonasal
tumors.
"Navigation will let surgeons move beyond our current limits to help
treat more advanced disease," says Dr. Shah.
As the technology continues to develop, here are some of the latest
advancements you and your surgeons need to know about.
1. Streamlined performance
Brent Senior, MD, FACS, FARS, chief of the division of rhinology,
allergy and endoscopic skull base surgery at the University of North
Carolina at Chapel Hill, says the makers of image guidance platforms
are designing newer systems for the clinic setting to address the
increased demand for in-office use of the technology during balloon
9 8 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • O C T O B E R 2 0 1 7
• TIGHT SPACES Newer image-guidance units are designed specifi-
cally for facilities with limited floor space in patient care areas.
Brent
Senior,
MD,
FACS,
FARS
