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Better surgical outcome by image-guided navigation system in endoscopic removal of sinonasal inverted papilloma

Authors
 Sang Hyeon Ahn  ;  Eun Jung Lee  ;  Jin Won Kim  ;  Kwang Ha Baek  ;  Hyung-Ju Cho  ;  Joo-Heon Yoon  ;  Chang-Hoon Kim 
Citation
 Journal of Cranio-maxillo-facial Surgery, Vol.46(6) : 937-941, 2018 
Journal Title
 Journal of Cranio-maxillo-facial Surgery 
ISSN
 1010-5182 
Issue Date
2018
Keywords
Endoscopic resection ; Inverted papilloma ; Navigation system ; Recurrence ; Treatment outcome
Abstract
PURPOSE: The purpose of this study was to validate and compare treatment outcomes for endoscopic resection of sinonasal inverted papilloma (IP) with or without the use of a navigation system. MATERIALS AND METHODS: A total of 58 patients who underwent endoscopic resection of sinonasal inverted papilloma by a single surgeon from 2007 to 2016 at our institution were retrospectively reviewed. Depending on the use of the navigation system, subjects were divided into two groups: a conventional endoscopic resection group without navigation system (CER group) and a navigation-assisted endoscopic resection group (NER group). RESULTS: There were 24 patients (41.4%) in the CER group and 34 patients (58.6%) in the NER group. Treatment outcomes showed that navigation-assisted endoscopic resection was a more beneficial surgical technique than conventional endoscopic resection for sinonasal IP. Post-surgical recurrence was noted in seven cases (29.2%) in the CER group and two cases (5.9%) in the NER group. Accordingly, the recurrence rate was significantly less in the NER group compared to the CER group (p = 0.026). There were two cases of complications (8.3%) in the CER group comprising cerebrospinal fluid leak and periorbital fat exposure, while no complications were noted for the NER group (p = 0.167). CONCLUSION: This study demonstrated that navigation-assisted endoscopic removal of sinonasal IP is helpful for reducing recurrence and avoiding surgical complications. Therefore, navigation systems should be always considered when performing endoscopic removal of sinonasal IP.
Full Text
https://www.sciencedirect.com/science/article/pii/S1010518218300854
DOI
10.1016/j.jcms.2018.03.012
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jin Won(김진원)
Kim, Chang Hoon(김창훈) ORCID logo https://orcid.org/0000-0003-1238-6396
Baek, Kwangha(백광하)
Ahn, Sang Hyeon(안상현) ORCID logo https://orcid.org/0000-0002-2389-0005
Yoon, Joo Heon(윤주헌)
Lee, Eun Jung(이은정) ORCID logo https://orcid.org/0000-0002-0454-4510
Cho, Hyung Ju(조형주) ORCID logo https://orcid.org/0000-0002-2851-3225
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/165346
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