Intraoperative Nursing Cooperation for Electromagnetic Image-Guided Endoscopic Sinus Surgery

Abstract

Purpose: Endoscopic sinus surgery is nowadays routinely used in chronic rhinosinusitis, the technique now has expanded and used to treat orbital and skull base diseases. However, the complications including severe bleeding, blindness and injure to the central nervous system have been reported once in a while. To address these concerns, electromagnetic navigation system has been used in endoscopic sinus surgery at home and abroad. The navigation system is a computer aided technique that helps identify important anatomical structures by using three-dimensional image information. Surgeons could get more intuitive and more detailed imaging information in the operative field (anatomical structures “map”), identify the relationships between structures and surgical instruments conveniently, thus preventing and reducing endoscopy-related issue. Navigation system through an endoscopic sinus surgery was to be a significant part of nasal basic research and clinical practice; although there’re limitations, such as cannot provide intraoperative changes on real time and the heavier economic burden. Intraoperative nursing cooperation for electromagnetic image-guided endoscopic sinus surgery will become increasingly important.