Accessibility and use of image-guided navigation systems for endoscopic sinus surgery in the UK: a cross-sectional, survey-based study of UK ENT consultants.

IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY
Edward Balai, Mohammed Hassan Hussain, Karan Jolly, Adnan Darr
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Abstract

Objectives: The American Academy of Otolaryngology endorses using image-guided navigation systems in appropriately selected sinus and skull base cases. This study aimed to understand current practices, accessibility and use of image-guided navigation systems in otolaryngology departments across the UK.

Methods: A 13-point survey was distributed to UK otolaryngology consultants, with responses collated between May and December 2023.

Results: A total of 154 responses were received. Whilst 28.6 per cent felt it should be mandatory for a department undertaking endoscopic sinus surgery to have image-guided navigation systems, 33.1 per cent reported a lack of access, with financial cost the primary barrier. Half of the respondents reported using image-guided navigation systems for surgery involving the sphenoid sinus and "full-house" functional endoscopic sinus surgery. Over three-quarters felt image-guided navigation systems should be utilised for frontal sinus pathology or expanded approaches.

Conclusion: Our study highlights variations in access to image-guided navigation systems and a range of practices regarding its use for endoscopic sinus surgery amongst UK otolaryngologists.

在英国,内镜鼻窦手术中图像引导导航系统的可及性和使用:一项针对英国耳鼻喉科顾问的横断面调查研究。
目的:美国耳鼻喉学会赞同在适当选择的鼻窦和颅底病例中使用图像引导导航系统。本研究旨在了解当前的做法,可及性和使用图像引导导航系统在耳鼻喉科在英国各地。方法:在2023年5月至12月期间,对英国耳鼻喉科咨询师进行了13点调查。结果:共收到154份回复。虽然28.6%的人认为进行内窥镜鼻窦手术的部门应该强制使用图像引导导航系统,但33.1%的人表示缺乏访问权限,主要障碍是经济成本。一半的受访者报告使用图像引导导航系统进行手术,包括蝶窦和“全屋”功能内窥镜鼻窦手术。超过四分之三的感觉图像引导导航系统应用于额窦病理或扩大入路。结论:我们的研究突出了在英国耳鼻喉科医生中使用图像引导导航系统的变化和一系列关于其用于内窥镜鼻窦手术的实践。
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来源期刊
Journal of Laryngology and Otology
Journal of Laryngology and Otology 医学-耳鼻喉科学
CiteScore
3.20
自引率
11.80%
发文量
593
审稿时长
3-6 weeks
期刊介绍: The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.
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