title: Image-Guided Sinus Surgery in Sinonasal Pathologies With Skull Base/Orbital Erosion.
abstract: OBJECTIVE
  The aim of the study was to review the use and outcomes of image-guided sinus surgery (IGSS) in sinonasal pathologies with skull base/orbital erosion without intracranial or intraorbital extension.
  
  
  METHODS
  A retrospective charts and medical records review was performed for 474 consecutive sinonasal surgeries performed by a single surgeon at tertiary, academic center from August 2010 to December 2013.
  
  
  RESULTS
  Fourteen subjects (mean age 27 years; 8 men and 6 women) were identified. Mucocele and tumor were the most common pathological indication for IGSS use in this case series. Orbital wall erosion was detected in 57%, skull base in 29%, and both sites in 14%. The average blood loss was 80  mL, the average operative time was 190 minutes, and the average hospital stay was 3 days. There was no major intra- or postoperative complications. Two patients required revision endoscopic sinus surgery. The mean follow-up was 14 months (range 8-36 months).
  
  
  CONCLUSIONS
  Image-guided sinus surgery alone is safe and effective procedure for a variety of sinonasal pathologies with orbital and skull base erosion.
authors.affiliation: Division of Otolaryngology, Department of Special Surgery, Jordan University of Science and Technology, Irbid, Jordan.
authors.forename: Mohannad
authors.initials: M
authors.lastname: Al-Qudah
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009078:Mucocele / Q000601:surgery*; D009916:Orbital Diseases / Q000601:surgery*; D010254:Paranasal Sinus Diseases / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D019291:Skull Base / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D055815:Young Adult