down between
cases. A steadily
increasing case vol-
ume is forcing the
surgeons to consider
adding a third unit.
Don't ignore the
importance of
adding a platform
with a small foot-
print, says Dr.
Scotch, who points
out that smaller
units don't take up
floor space in ORs or storage areas where every square foot is valu-
able real estate.
Dr. Shaia also says image guidance reduces the risk of wayward
instruments breaking through the sphenoid sinus cavity and into the
brain and helps surgeons steer clear of the eye socket.
The technology is pricey — about $80,000 to $100,000 — but it's a
sound investment, according to Dr. Shaia. "If you want to bring in
complex cases, it's getting more and more likely that you'll need
image-guidance," he says. "If your ORs don't have the technology, sur-
geons will likely take their cases elsewhere."
Dr. Scotch agrees. "It's become the standard of care for complex
sinus surgery, which we perform routinely," he says.
Dr. Scotch adds that the technology's high price tag is worth a line in
your capital budget because it gives surgeons the confidence to per-
form delicate sinus surgeries faster, safer and more completely.
5 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A R C H 2 0 1 8
"ENT is all we do. We do it
every day, and we do it well,"
says otolaryngologist Brett Scotch, MD,
shown here with staff members of the Select
Physicians Surgery Center in Tampa, Fla.
