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The use of image‐guided surgery in endoscopic sinus surgery: an evidence‐based review with recommendations
Author(s) -
Ramakrishnan Vijay R.,
Orlandi Richard R.,
Citardi Martin J.,
Smith Timothy L.,
Fried Marvin P.,
Kingdom Todd T.
Publication year - 2013
Publication title -
international forum of allergy and rhinology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.503
H-Index - 46
eISSN - 2042-6984
pISSN - 2042-6976
DOI - 10.1002/alr.21094
Subject(s) - medicine , guideline , endoscopic sinus surgery , systematic review , evidence based medicine , medline , clinical practice , medical physics , critical appraisal , surgery , expert opinion , general surgery , intensive care medicine , alternative medicine , physical therapy , pathology , political science , law
Background The frequency of endoscopic sinus surgery (ESS) appears to be increasing, and the use of image‐guided surgery (IGS) in these procedures is becoming more widespread. The use of IGS in ESS and anterior skull base surgery is predicated on the notion that its ability to aid in anatomic identification during surgery will lead to fewer complications and improved surgical outcomes. The purpose of this article is to provide an evidence‐based examination of the benefits of IGS in ESS. Methods A systematic review of the literature was performed and recommendations were created based on the Clinical Practice Guideline Manual, Conference of Guideline Standardization (COGS), and the Appraisal of Guidelines and Research Evaluation (AGREE) instruments. Results This review identified and evaluated literature regarding the effect of IGS on surgical complications and on postoperative outcomes in ESS. Currently, there is grade C evidence to support the use of IGS in ESS. Conclusion Based on the best available evidence in the literature, the use of IGS has not clearly been shown to decrease surgical complications or improve surgical outcomes. These evidence‐based recommendations are based on limited literature with suboptimal research methodology. However, the importance, utility, and acceptance of IGS through expert opinion and consensus are supported by the available literature. Therefore, the use of IGS in ESS is an option and should be based on clinical judgment and applied on a case‐by‐case basis.