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OTORINOLARINGOLOGIA

A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery


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Otorinolaringologia 2006 September;56(3):113-6

language: English

Present trends and possible developments of endoscopic surgery of paranasal sinuses

Ralli G., Macrì G. F., Benfari G.

Dipartimento di Otorinolaringoiatria e Foniatria “G. Ferreri” Università degli Studi di Roma ''La Sapienza'', Roma


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During the last 20 years, endoscopic nasal surgery has been noticeably improved for both invasivity and selectivity. These goals have been reached thanks to the perfectioning of surgery instruments, materials used for nasal packing and imaging techniques. Thanks to the fusion of new imaging techniques and endoscopic surgery is now possible to realize computer-assisted endoscopic nasal surgery. In addition, 3D imaging techniques allowed the introduction of robotic surgery in this specialty, already used in otolaryngology for cochlear implants. Several experimental studies have been conducted to understand how robots perform in nasal surgery, especially focusing on their ability to reach those anatomic regions otherwise difficult to reach, such as the sphenoid sinus. Additional developments in these studies will permit to extend endoscopic surgery beyond the limit of paranasal sinuses. It will be therefore possible to take advantage of robotic surgery to decrease the risks and the difficulties of a surgery that is still subjected to expensiveness and high mortality rate.

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