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Review
. 2021 Apr 1;29(2):149-155.
doi: 10.1097/MOO.0000000000000686.

Imaging-based navigation technologies in head and neck surgery

Donovan Eu  1   2 , Michael J Daly  1 , Jonathan C Irish  1   2
Affiliations
Review

Imaging-based navigation technologies in head and neck surgery

Donovan Eu et al. Curr Opin Otolaryngol Head Neck Surg. .

Abstract

Purpose of review: Image guided navigation has had significant impact in head and neck surgery, and has been most prolific in endonasal surgeries. Although conventional image guidance involves static computed tomography (CT) images attained in the preoperative setting, the continual evolution of surgical navigation technologies is fast expanding to incorporate both real-time data and bioinformation that allows for improved precision in surgical guidance. With the rapid advances in technologies, this article allows for a timely review of the current and developing techniques in surgical navigation for head and neck surgery.

Recent findings: Current advances for cross-sectional-based image-guided surgery include fusion of CT with other imaging modalities (e.g., magnetic resonance imaging and positron emission tomography) as well as the uptake in intraoperative real-time 'on the table' imaging (e.g., cone-beam CT). These advances, together with the integration of virtual/augmented reality, enable potential enhancements in surgical navigation. In addition to the advances in radiological imaging, the development of optical modalities such as fluorescence and spectroscopy techniques further allows the assimilation of biological data to improve navigation particularly for head and neck surgery.

Summary: The steady development of radiological and optical imaging techniques shows great promise in changing the paradigm of head and neck surgery.

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References

    1. Shalit MN, Israeli Y, Matz S, Cohen ML. Intra-operative computerized axial tomography. Surg Neurol 1979; 11:382–384.
    1. American Academy of Otolaryngology - Head and Neck Surgery. AAO HNS position statement: intra-operative use of computer aided surgery [Internet]. Available from: http://www.entnet.org/content/intra-operative-use-computer-aided-surgery .
    1. Leong J-L, Batra PS, Citardi MJ. CT-MR image fusion for the management of skull base lesions. Otolaryngol Head Neck Surg 2006; 134:868–876.
    1. Micko A, Hosmann A, Wurzer A, et al. An advanced protocol for intraoperative visualization of sinunasal structures: experiences from pituitary surgery. J Neurosurg 2019; 133:1–9.
    1. Daisne J-F, Duprez T, Weynand B, et al. Tumor volume in pharyngolaryngeal squamous cell carcinoma: comparison at CT, MR imaging, and FDG PET and validation with surgical specimen. Radiology 2004; 233:93–100.

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