Hanyang Med Rev.  2016 Nov;36(4):248-253. 10.7599/hmr.2016.36.4.248.

Review of Computer-Aided Sinus Surgery

• Yi BJ
• Yoon HS

• KMID: 2361200
• DOI: http://doi.org/10.7599/hmr.2016.36.4.248

Abstract

Sinus is a cavity within a bone. Most are commonly found in the bones of the face. Specially, paranasal sinuses are air cavities in the cranial bones, especially those near the nose. They include the frontal sinuses, the ethmoid sinuses, the sphenoid sinuses and the maxillary sinuses. There are many types of sinus disease. They are classified as acute (quick onset) and chronic (over a long period of time). Besides, there are several other types of sinus diseases due to fungus and polyps. Sinus tumors also happen although it is relatively uncommon. Navigation software for general sinus surgery has been developed and are being used in the operation room. However, there are still many blind regions in the sinus area by using conventional straight type endoscope and devices. To cope with such a problem, flexible endoscope and devices are being developed along with advanced navigation algorithms. In this review, many research activities associated with computer-aided sinus surgery are discussed.

Keyword

Sinus; Flexible endoscope; Navigation software

MeSH Terms

Endoscopes
Ethmoid Sinus
Frontal Sinus
Fungi
Maxillary Sinus
Nose
Paranasal Sinuses
Polyps
Sphenoid Sinus

Figure

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  Fig. 1 Sinuses and sinusitis.

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  Fig. 2 Measured distances from nostril to the landmarks of sinuses, a) from nostril to basal lamella. b) from nostril to posterior wall of ethmoid sinus. c) from nostril to maxillary ostium. d) from nostril to posterior wall of sphenoid sinus.

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  Fig. 3 View range of a bendable endoscope.

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  Fig. 4 Comparison of a 2-DOF and a 4-DOF biopsy device

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  Fig. 5 Design and prototype of the endoscope end-effector

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  Fig. 6 Design and prototype of the biopsy end-effector

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  Fig. 7 Navigation software for sinus surgery

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  Fig. 8 Registration between robot and image coordinate system.

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  Fig. 9 Typical sinus surgery.

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  Fig. 10 Surgical devices for sinus surgery

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