title: Nationwide survey on the use of image-guided functional endoscopic sinus surgery.
abstract: OBJECTIVE
  To evaluate impressions and usage of sinus surgery image-guided surgical (IGS) systems by ENT surgeons in the United States.
  
  
  METHODS
  A survey was mailed to selected practicing ENT physicians, investigating regional information, practice type, IGS usage patterns, perceived benefits and limitations, and usage of the 61795 surgery code.
  
  
  RESULTS
  Seventy-three percent of respondents use IGS. Nonusers respond that it provides no benefit or is too expensive. Eighty percent of respondents replied that IGS may allow for increased safety in certain procedures. Most users attempt reimbursement with the 61795 code.
  
  
  CONCLUSIONS
  IGS usage is increasing but appears to be perceived as expensive and nonbeneficial in certain situations. Most respondents, however, felt that IGS may lead to safer surgery in certain situations, including revision and frontal procedures. Several factors appear to limit routine use including ease of use, technical setup, code reimbursement, and initial purchase costs.
  
  
  CONCLUSIONS
  IGS use appears to be increasing. The most frequent users appear to agree with the previously issued AAO-HNS guidelines regarding appropriate indications. Expanded use may depend on ease of use, reimbursement, and affordability.
  
  
  METHODS
  D-5.
authors.affiliation: Associates of Otolaryngology, P.C., 950 E. Harvard Avenue, Denver, CO 80210, USA. sinusinstmd@hotmail.com
authors.forename: Edward J
authors.initials: EJ
authors.lastname: Hepworth
authors.forename: Matthew
authors.initials: M
authors.lastname: Bucknor
authors.forename: Ankit
authors.initials: A
authors.lastname: Patel
authors.forename: Winston C
authors.initials: WC
authors.lastname: Vaughan
mesh_terms: D004724:Endoscopy / Q000379:methods / Q000706:statistics & numerical data*; D006801:Humans; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods* / Q000706:statistics & numerical data; D010254:Paranasal Sinus Diseases / Q000601:surgery*; D010256:Paranasal Sinuses / Q000601:surgery*; D012189:Retrospective Studies; D025321:Surgery, Computer-Assisted / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014481:United States