{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T17:03:10Z","timestamp":1760979790303,"version":"build-2065373602"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":4276,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2004,9]]},"abstract":"<jats:sec><jats:title>OBJECTIVES<\/jats:title><jats:p>To evaluate the impact of image\u2010guidance technology on intraoperative complications during frontal sinus obliteration surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN AND SETTING<\/jats:title><jats:p>Retrospective case control. Twenty\u2010four patients underwent frontal sinus obliteration with image\u2010guidance technology (n = 15) or conventional instrumentation (n = 9) between 1992 and 2003. The image\u2010guidance system was used to delineate the frontal sinus perimeter and direct cuts through the frontal bone.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Intraoperative complications occurred in none of the patients in the image\u2010guidance group and in 3 patients in the control group (<jats:italic>P<\/jats:italic> = 0.042). Adverse events included dural tear with CSF leak in 2 patients and exposure of orbital fat in 1 patient. The incidence of postoperative complications was similar between groups (<jats:italic>P<\/jats:italic> = 0.326). No patients required revision surgery. Mean follow\u2010up was 5.2 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>The use of surgical navigation during frontal sinus obliteration appears to improve intraoperative safety.<\/jats:p><\/jats:sec><jats:sec><jats:title>SIGNIFICANCE<\/jats:title><jats:p>This is the first report to document a reduction in the rate of intraoperative complications when image guidance is utilized for frontal sinus surgery.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2004.03.034","type":"journal-article","created":{"date-parts":[[2004,9,14]],"date-time":"2004-09-14T17:03:33Z","timestamp":1095181413000},"page":"150-155","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Impact of Image Guidance on Complications During Osteoplastic Frontal Sinus Surgery"],"prefix":"10.1002","volume":"131","author":[{"given":"Raj","family":"Sindwani","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Massachusetts Eye and Ear Infirmary Harvard Medical School Boston Massachusetts"},{"name":"Department of Otology and Laryngology Harvard Medical School Boston Massachusetts"},{"name":"Department of Otolaryngology St. Louis University St. Louis MO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralph","family":"Metson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Massachusetts Eye and Ear Infirmary Harvard Medical School Boston Massachusetts"},{"name":"Department of Otology and Laryngology Harvard Medical School Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.124.10.1090"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199511000-00004"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.129.8.854"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1958.00730020281001"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348947608500414"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200006000-00028"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989411100605"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2002.19078"},{"issue":"8","key":"e_1_2_6_10_1","first-page":"908","article-title":"A safe technique for frontal sinus osteoplastic flap","volume":"101","author":"Maniglia AJ","year":"1991","journal-title":"Laryngoscope"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200011000-00037"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2003.40"},{"issue":"1","key":"e_1_2_6_13_1","first-page":"1","article-title":"Image guided surgery of paranasal sinuses and anterior skull base?5 years experience with Insta\u2010Trak System","volume":"40","author":"Koele W","year":"2002","journal-title":"Rhinol"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200006000-00017"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/194589240201600403"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2004.03.034","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.otohns.2004.03.034","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2004.03.034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T12:07:39Z","timestamp":1760962059000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.otohns.2004.03.034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,9]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2004,9]]}},"alternative-id":["10.1016\/j.otohns.2004.03.034"],"URL":"https:\/\/doi.org\/10.1016\/j.otohns.2004.03.034","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2004,9]]},"assertion":[{"value":"2016-05-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}