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

Sang Hyeon Ahn; Eun Jung Lee; Jin Won Kim; Kwang Ha Baek; Hyung Ju Cho; Joo Heon Yoon; Chang Hoon Kim

doi:10.1016/j.jcms.2018.03.012

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

Sang Hyeon Ahn, Eun Jung Lee, Jin Won Kim, Kwang Ha Baek, Hyung Ju Cho, Joo Heon Yoon, Chang Hoon Kim

Department of Otorhinolaryngology

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

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.

Original language	English
Pages (from-to)	937-941
Number of pages	5
Journal	Journal of Cranio-Maxillofacial Surgery
Volume	46
Issue number	6
DOIs	https://doi.org/10.1016/j.jcms.2018.03.012
Publication status	Published - 2018 Jun

Bibliographical note

Funding Information:
This research was supported by the National Research Foundation of Korea (NRF) Grant funded by the Korean Government (MSIP) (2016R1A5A2008630) and the Bio & Medical Technology Development Program of the National Research Foundation (NRF) funded by the ministry of Science, ICT & Future Planning (2016M3A9D5A01952414). This study also supported by a faculty research grant of Yonsei University College of Medicine (6-2014-0139). The funding organizations had no role in study design, data collection or analysis, manuscript preparation, or the decision to publish.

Funding Information:
This research was supported by the National Research Foundation of Korea (NRF) Grant funded by the Korean Government (MSIP) ( 2016R1A5A2008630 ) and the Bio & Medical Technology Development Program of the National Research Foundation (NRF) funded by the ministry of Science, ICT & Future Planning ( 2016M3A9D5A01952414 ). This study also supported by a faculty research grant of Yonsei University College of Medicine ( 6-2014-0139 ). The funding organizations had no role in study design, data collection or analysis, manuscript preparation, or the decision to publish.

Publisher Copyright:
© 2018 European Association for Cranio-Maxillo-Facial Surgery

All Science Journal Classification (ASJC) codes

Surgery
Oral Surgery
Otorhinolaryngology

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@article{e9835590bc0c4f018c336ca3c389894e,

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

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.",

author = "Ahn, {Sang Hyeon} and Lee, {Eun Jung} and Kim, {Jin Won} and Baek, {Kwang Ha} and Cho, {Hyung Ju} and Yoon, {Joo Heon} and Kim, {Chang Hoon}",

note = "Funding Information: This research was supported by the National Research Foundation of Korea (NRF) Grant funded by the Korean Government (MSIP) (2016R1A5A2008630) and the Bio & Medical Technology Development Program of the National Research Foundation (NRF) funded by the ministry of Science, ICT & Future Planning (2016M3A9D5A01952414). This study also supported by a faculty research grant of Yonsei University College of Medicine (6-2014-0139). The funding organizations had no role in study design, data collection or analysis, manuscript preparation, or the decision to publish. Funding Information: This research was supported by the National Research Foundation of Korea (NRF) Grant funded by the Korean Government (MSIP) ( 2016R1A5A2008630 ) and the Bio & Medical Technology Development Program of the National Research Foundation (NRF) funded by the ministry of Science, ICT & Future Planning ( 2016M3A9D5A01952414 ). This study also supported by a faculty research grant of Yonsei University College of Medicine ( 6-2014-0139 ). The funding organizations had no role in study design, data collection or analysis, manuscript preparation, or the decision to publish. Publisher Copyright: {\textcopyright} 2018 European Association for Cranio-Maxillo-Facial Surgery",

year = "2018",

month = jun,

doi = "10.1016/j.jcms.2018.03.012",

language = "English",

volume = "46",

pages = "937--941",

journal = "Journal of Cranio-Maxillo-Facial Surgery",

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number = "6",

}

Better surgical outcome by image-guided navigation system in endoscopic removal of sinonasal inverted papilloma. / Ahn, Sang Hyeon; Lee, Eun Jung; Kim, Jin Won; Baek, Kwang Ha; Cho, Hyung Ju; Yoon, Joo Heon; Kim, Chang Hoon.

In: Journal of Cranio-Maxillofacial Surgery, Vol. 46, No. 6, 06.2018, p. 937-941.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Better surgical outcome by image-guided navigation system in endoscopic removal of sinonasal inverted papilloma

AU - Ahn, Sang Hyeon

AU - Lee, Eun Jung

AU - Kim, Jin Won

AU - Baek, Kwang Ha

AU - Cho, Hyung Ju

AU - Yoon, Joo Heon

AU - Kim, Chang Hoon

N1 - Funding Information: This research was supported by the National Research Foundation of Korea (NRF) Grant funded by the Korean Government (MSIP) (2016R1A5A2008630) and the Bio & Medical Technology Development Program of the National Research Foundation (NRF) funded by the ministry of Science, ICT & Future Planning (2016M3A9D5A01952414). This study also supported by a faculty research grant of Yonsei University College of Medicine (6-2014-0139). The funding organizations had no role in study design, data collection or analysis, manuscript preparation, or the decision to publish. Funding Information: This research was supported by the National Research Foundation of Korea (NRF) Grant funded by the Korean Government (MSIP) ( 2016R1A5A2008630 ) and the Bio & Medical Technology Development Program of the National Research Foundation (NRF) funded by the ministry of Science, ICT & Future Planning ( 2016M3A9D5A01952414 ). This study also supported by a faculty research grant of Yonsei University College of Medicine ( 6-2014-0139 ). The funding organizations had no role in study design, data collection or analysis, manuscript preparation, or the decision to publish. Publisher Copyright: © 2018 European Association for Cranio-Maxillo-Facial Surgery

PY - 2018/6

Y1 - 2018/6

N2 - 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.

AB - 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.

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

Abstract

Bibliographical note

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