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Stereotactic navigation in orbital decompression surgery - Does it shorten operative time and improve outcomes?
| Content Provider | Europe PMC |
|---|---|
| Author | Chen, Ying Topilow, Nicole J. Lee, Bradford W. |
| Copyright Year | 2022 |
| Abstract | PURPOSE:Stereotactic navigation is being increasingly used for orbital decompression (OD). Recent studies have cited clinical benefits of navigation including greater proptosis reduction but have differed regarding effects on operative time. This study aimed to evaluate navigated vs. non-navigated OD with respect to operative time and proptosis reduction.MATERIALS AND METHODS:Retrospective nonrandomized comparative trial of navigated vs. nonnavigated OD. Operative time and proptosis reduction were recorded and analyzed for all patients.RESULTS:A total of 30 orbital decompressions were included; 14 were performed with stereotactic navigation (SN), and 16 were performed without SN. On average, the SN group took 19 minutes longer for 3-wall decompressions (p = 0.185), 25 minutes shorter for balanced decompressions (p = 0.025), and 18 minutes longer (p = 0.067) for lateral wall decompressions. Mean proptosis reduction (PR) in 3-wall decompressions was greater in the SN group (p = 0.02). Among balanced wall decompressions, mean PR was 4.25 mm and 3.67 mm for the SN and non-SN groups (p = 0.30), respectively. For lateral wall decompressions, mean PR was 2.63 mm with SN and 2.50 mm without SN (p = 0.45).CONCLUSIONS:This study showed no difference in operative times between navigated and non-navigated OD, although empirical experience showed variable times required for registration and intraoperative troubleshooting of the navigation system. This study also found that navigation increased proptosis reduction for all types of OD. Further randomized controlled trials are needed to better understand the impact of navigation technology on operative times and surgical outcomes. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC8988976&blobtype=pdf |
| ISSN | 22115056 |
| Journal | Taiwan Journal of Ophthalmology [Taiwan J Ophthalmol] |
| Volume Number | 12 |
| DOI | 10.4103/tjo.tjo_60_21 |
| PubMed Central reference number | PMC8988976 |
| Issue Number | 1 |
| PubMed reference number | 35399975 |
| e-ISSN | 22115072 |
| Language | English |
| Publisher | Wolters Kluwer - Medknow |
| Publisher Date | 2022-01-01 |
| Publisher Place | India |
| Access Restriction | Open |
| Rights License | This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Copyright: © 2022 Taiwan J Ophthalmol |
| Subject Keyword | Operative time orbital decompression proptosis reduction stereotactic navigation thyroid associated ophthalmopathy thyroid eye disease |
| Content Type | Text |
| Resource Type | Article |
| Subject | Ophthalmology |
