[The first clinical use of an Dynamic Registration Tool for Navigation in FESS].
BACKGROUND
The effective register accuracy in an situs issues a challenge to the employment of instrument navigation in the ENT Surgery. The idea of the initially determined process Dynamic Registration Supply (DRS) is to improve the register accuracy by the automatic, and interoperability of the register.


METHODS
The aim was to determine clinical use of DRS. Opto-electrical system Navigation Panel Unit, vs. 4.0.0 with the functionality DRS was used. Experiments were carried out on 95 patients who had so called FESS. The data of a control group were available to researchers. The measuring log includes among other things following parameters: retooling time, cutting-suture time, frequency of use of the navigated pointer, frequency of additional registration.


RESULTS
At least once during the procedure DRS has been activated in 85 of 95 interventions (89.5). The time required increased by 15% accumulated 189 s per intervention. The most frequently used additional registration was in the region of sphenoid sinus. The surgeons underlined that out of 95 surveys in 75 cases the DRS rendered the instrument navigation more precise, while 1% of 93 cases considered this function as unwanted.


CONCLUSIONS
The first clinical study for use of an automatic algorithm for recognition and reduction of faulty registration of a CT, navigation was successful. The findings suggest that by using automatic intraoperative registration DRS consisting inaccuracy can be reduced. In practice this means an efficient quality improvement of the Navigation.
Universitätsklinikum Leipzig, Klinik für Hals-Nasen-Ohrenheilkunde, Leipzig, Germany. i.gollnick@irdc-leipzig.de
G
G
Strauss
S
S
Schaller
W
W
Wittmann
B
B
Zaminer
M
M
Strauss
S
S
Nowatschin
M
M
Hofer
J
J
Meixensberger
A
A
Dietz
T C
TC
Lueth
D000465:Algorithms; D001291:Attitude of Health Personnel; D004867:Equipment Design; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000295:instrumentation*; D021621:Imaging, Three-Dimensional / Q000295:instrumentation*; D010254:Paranasal Sinus Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D058996:Quality Improvement; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D012984:Software; D013101:Sphenoid Sinus / Q000601:surgery; D025321:Surgery, Computer-Assisted / Q000295:instrumentation*; D013996:Time and Motion Studies; D014057:Tomography, X-Ray Computed / Q000295:instrumentation*; D057188:Workflow